2. BUILDING BRIDGES TEAM
Amy Raines-Milenkov, DrPH Principal Investigator
Eva Baker, MPH Program Manager
Martha Felini, DC, MPH, PhD Evaluator
Lucy Smith, MPH Education Coordinator
Emelda Thein Lay Health Educator
Halimo Mudey Lay Health Educator
Laurette Rudasingwa Lay Health Educator
Radhika Subedi Lay Health Educator
Neneh Wurie, MPH Medical Case Manager
Mercy Okaalet Graduate Research Assistant
Iram Qureshi Graduate Research Assistant
3. BUILDING BRIDGES REFUGEE FOCUS
Refugees, as per U.S. Citizenship and Immigration
Services, are persons living outside their country of
origin who are forced to leave their homes due to fear of
persecution based on their race, religion, nationality, or
membership in a particular social/political group.
Approximately 70,000 refugees are resettled in the USA
each year.
4. GOAL AND TARGET NUMBERS
GOAL
The overall goal of this three year Cancer
Prevention Research Institute of Texas
(CPRIT) funded service prevention project
is to expand the net of breast, cervical,
and liver cancer prevention efforts,
activities, and clinical services to include
refugee women – an underserved
population in Texas
5. COMMUNITY ADVISORS
Bhutanese:
Narayan Subedi
Khara Bhandari
Prakash Koirala
Dal Bir Poudel
Durga Budhathoki
Central African:
Justin Nsenga
Jean Claude Nzambonimpa
Lambert Buhigiro
Bosco Muyango
Karen:
Ebenezer Ku
Htee Moo Shee
Somali:
Asli Parker
Nafisa Mohammed
Ibrahim Mudey
Illmiya Maalin
Deqo Hassan
6. BUILDING BRIDGES MODEL
Refugee
Woman
Lay Health
Educators
Midwife
Model of
Care
Medical Case
Management
Community
Collaboration
Health
Provider
Education
Community
Advisory
Board
8. SERVICES
Individual and group education
Healthy Living
Breast Health
Liver Health/Hepatitis B
Cervical Health/HPV
Clinical Services offered at UNT Health
Well-woman exam: PAP Exam, Clinical Breast
Exam, Hepatitis B screening
Mammogram Referrals and Follow-Up
HPV Vaccination
9. SERVICES
Navigation services to
Hepatitis B vaccination
Perinatal Hepatitis B Services
Medical Case Management
Medical Case Management-Catholic Charities
Abnormal results
Medical care for chronic Hepatitis B
Cancer diagnosis
10. WHY THESE CANCERS?
Estimated age-standardized rates of Breast/Cervical Cancer Deaths (World) per 100,000
Source: GLOBOCAN 2012 (IARC) , Section of Cancer Information (9/5/2014)
12. EDUCATION BARRIERS
Karen
“Cancer can spread
from person to person,
so we usually avoid
people who have it.”
“Cancer cannot be
treated.”
13. EDUCATION BARRIERS
Central Africa
“Only white people get
cancer”
“Many women from my country
have had abuse and rape from
doctors during medical check
ups. Sometimes, even though
the doctor rapes women in his
clinic, the doctor is the only one
in the region so they are not
able to do anything about it.”
14. EDUCATION BARRIERS
Bhutanese
“Mammograms are
painful. They stuck a
needle in my chest and
pulled out all my
blood.”
“In our community,
many people have
diabetes. It is common
for us to share needles
and reuse them.”
“If you fall and injure
yourself then it may
cause cancer.”
15. EDUCATION BARRIERS
“Good Muslims don’t get
cancer”
“God is good, so we don’t
need to be tested for cancer.”
“Sometimes when someone has
Hepatitis B, the traditional
healers can use a metal stick
that has been heated in fire to
press three dots on the
stomach to cure it.”
Health in Islam:
The prophet (pbuh) was once was asked “O Allah’s
messenger should we seek medical treatment for our
illnesses? He replied ‘yes, you should seek medical
treatment, because has not let no disease exist without
providing for its cure and that seeking treatments is
part of decree”.
Somali
