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Strategic Investments to Bridge the Gaps in Prevention and Care to Reduce Inequities in Cancer

Supporting how communities, academics, and healthcare systems work together to produce meaningful changes in cancer prevention and early detection

Full Project Name:Strategic Investments to Bridge the Gaps in Prevention and Care to Reduce Inequities in CancerPrimary Community Organization:The Board of Regents of the University of Wisconsin System, Center for Urban Population HealthAward Amount:$4,819,477
Award Date
April2024
Project Duration:36 months

Project Summary:


The AHW-funded Community and Cancer Science Network (CCSN) was established to address cancer in Wisconsin, the second highest cause of mortality in our state. CCSN’s initial charge was to address breast and lung cancer disparities. To effectively address a problem as multifactorial and interconnected as cancer disparities, an approach which engages diverse sectors with knowledge of the biology, behavior, and/or the socio-cultural and physical environments contributing to disparities is required.

The CCSN collaborative work group initiative brought together diverse sectors including researchers, community-based organizations, and community members. The overarching goal was to use CCSN’s transdisciplinary approach to develop solutions to breast and lung cancer disparities in four communities: Milwaukee (breast and lung), Racine (breast), Walworth (breast), and in the Lac du Flambeau tribal area. Five community-academic workgroups were established to participate in a facilitated collaboration and learning process guided by the CCSN’s theory of change rooted in a four-phase model of transdisciplinary team-based research.

Guided by the socio-ecological model, the three-year Phase 2 transdisciplinary implementation focuses on multiple levels of impact in each community, including people, practice and policy. The locally relevant and culturally grounded approaches will: 1) increase awareness of cancer risks, prevention, and screening; 2) improve access to cancer prevention and early detection efforts; and 3) foster equitable systems.

Phase 2 implementation will be led by experienced local teams and reflect the transdisciplinary orientation and grounding established in Phase 1.

Community Partners: Wisconsin Women’s Health Foundation; YWCA Southeastern Wisconsin; Great Lakes Inter-Tribal Council, Inc.; Planned Parenthood of Wisconsin; Progressive Community Health Centers; Evaluation Plus

Project Updates:


  • Conducted community surveys for the Great Lakes Intertribal food sovereignty initiative, which highlighted the types of foods, level of experience with growing food, and perception of nutrition to guide program activities and support initial efforts to grow traditional foods and distribute them to community members
  • Supported the Milwaukee and Racine collaborative work groups to convene as an implementation team to work towards improving breast cancer risk assessment and surveillance and hired community health workers to use the Gail Model with women over 40 and connect to mammography screening services
  • Engaged the Walworth County Breast Cancer team to vet resources provided by over 40 community organizations to ensure suitability and accessibility for the Latina population in Walworth County
  • Established the foundation for a strong coalition in Milwaukee to address lung cancer, including subcommittees to address radon, screening/assessment, and smoking cessation
  • Conducted seven presentations to disseminate project efforts

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