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A minimum of 25 percent of the net income from each domestic Affiliate Race supports the national Komen Grant Program, which funds groundbreaking breast cancer research, meritorious awards and educational and scientific conferences around the world.
Up to 75 percent of the net income from each domestic Affiliate Race stays in the local community to fund breast health education, breast cancer screening and treatment projects.
While applications will be accepted for programs providing services within the Affiliate service area, priority will be given to applicants that demonstrate benefit to one or more of the following target communities:
• African-American women in Albany County and Schenectady County
• American Indian women in Franklin County
• Foreign born women in Albany County and Schenectady County
• Hispanic/Latina women in Montgomery County
• Rural women in Franklin County, Fulton County and/or Montgomery County
• Saratoga County
The funding priority areas are listed below in no order of importance:
Programs that increase access to breast cancer services (e.g., screening, diagnostics and treatment) for low-income (at or below 250% of the 2016 Federal Poverty Level), uninsured or underinsured (meaning the individual has health care insurance coverage, but is not able to afford the co-pays/deductibles to receive services).
· The Affiliate seeks to fund programs that provide no cost and/or low cost breast cancer screening, diagnostic and treatment services; financial assistance with diagnostic and treatment co-pays/deductibles, transportation assistance, interpreter services, treatment support and patient navigation.
· Patient navigation is a process by which a trained individual- patient navigator- guides patients through and around barriers in the complex breast cancer care system. The primary focus of a patient navigator is on the individual patient, with responsibilities centered on coordinating and improving access to timely diagnostic and treatment services tailored to individual needs. Patient navigators offer interventions that may vary from patient to patient along the continuum of care and include a combination of informational, emotional, and practical support (i.e., breast cancer education, counseling, care coordination, health system navigation, and access to transportation, language services and financial resources);
· Programs that provide culturally appropriate, evidence-based breast cancer education (e.g., one-on-one and/or group sessions) that leads to documented age-appropriate breast cancer action such as talking with a doctor about personal risk and/or getting a screening mammogram. Education programs must provide information on Komen’s breast self-awareness messages and available breast cancer services.
Programs that increase support services and access to support services for women living with metastatic breast cancer (mbc). This includes:
· Creating or expanding evidence-based psychological support programs for women living with mbc
· Evidence-based psychological support, including support groups, has been shown to increase quality of life for women living with mbc
· Reducing barriers for women seeking to access psychological support services
· Reducing barriers for women with mbc seeking to enroll in clinical trials or to obtain metastatic breast cancer specific care at a major medical center located more than 50 miles from their home. transportation barriers, financial barriers, childcare, etc.).
Nearly 200 women die of late stage breast cancer annually in the Northeastern New York Service Area (Komen NENY Community Profile, 2015), and many more women are diagnosed with metastatic breast cancer (MBC). It is estimated that 20-30% of all breast cancer cases will become metastatic2. Although a small percentage of these cases will be initial diagnoses, most cases of metastatic breast cancer in the United States are recurrences. While many support programs currently exist for women with all types of breast cancer, women with metastatic breast cancer have unique needs that are not able to be met by traditional breast cancer support programs.
Within the NENY service area, the highest rates of late stage diagnoses occur in Greene, Fulton, Rensselear, Albany, Saratoga, and Washington counties (Komen NENY Community Profile, 2015). However, data is not available for the number of women diagnosed with a recurrence that is late-stage or metastatic.
Therefore, we recognize that the need for programs for women with mbc likely exists outside of the counties where initial late stage diagnosis rate are high.
Within our 15 county service area, Albany County has the highest concentration of specialized and accredited treatment options for advanced stage breast cancer (Komen NENY Community Profile, 2015). For women in most parts of our service area, traveling several hours to work with oncologists in Albany who have the most experience treating mbc can be difficult. In addition, many women with mbc have reported that they were referred to seek treatment in New York City or Boston to work with an oncologist who specializes in their particular sub-type of mbc or to participate in a clinical trial. Travel, expenses, childcare, and lost wages create a barrier to initiating or adhering to treatment at these distant sites. resulting in lower quality of care, and lack of access to potentially lifesaving treatments and clinical trials. As of September 2016, 6 out of 277 clinical trials for Metastatic breast cancer were available in the NENY service area-- four in Albany County, two in Washington County (BreastCancerTrials.org).