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Research ArticleProgram Description

Afrocentric screening program for breast, colorectal, and cervical cancer among immigrant patients in Ontario

Onye Nnorom, Antonia Sappong-Kumankumah, Oluwatobi R. Olaiya, Mervin Burnett, Nancy Akor, Nan Shi, Patricia Wright, Abel Gebreyesus, Liben Gebremikael and Aisha Lofters
Canadian Family Physician November 2021; 67 (11) 843-849; DOI: https://doi.org/10.46747/cfp.6711843
Onye Nnorom
Family physician and Public Health and Preventive Medicine Specialist in Toronto, Ont, Associate Program Director of the Public Health and Preventive Medicine Residency Program at the Dalla Lana School of Public Health, Black Health Theme Lead in the Faculty of Medicine, and Equity, Diversity and Inclusion Lead for the Department of Family and Community Medicine, all at the University of Toronto.
MD MPH CCFP FRCPC
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  • For correspondence: onye.nnorom@utoronto.ca
Antonia Sappong-Kumankumah
Family doctor at Inner City Health Associates in Toronto.
MD CCFP
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Oluwatobi R. Olaiya
Resident in the Michael G. Degroote School of Medicine at McMaster University in Hamilton, Ont.
MD
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Mervin Burnett
Research assistant in the Department of Laboratory Medicine and Pathology at the University of Alberta in Edmonton.
MB BS
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Nancy Akor
Registered nurse at TAIBU Community Health Centre (CHC) in Toronto and Coordinator for the Ontario Telemedicine Network.
RN
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Nan Shi
Physician assistant in the University Health Network in Toronto.
PA
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Patricia Wright
Nurse practitioner at TAIBU CHC.
NP
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Abel Gebreyesus
Data Management Coordinator at TAIBU CHC and Data Coach (E-QIP) at Addictions and Mental Health Ontario.
MHI
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Liben Gebremikael
Executive Director of TAIBU CHC.
MA
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Aisha Lofters
Family doctor and Chair in Implementation Science at Women’s College Hospital, Associate Professor in the Department of Family and Community Medicine at the University of Toronto, Senior Scientist at ICES, and Provincial Primary Care Lead for the Ontario Health (Cancer Care Ontario) Cancer Screening Portfolio.
MD CCFP PhD
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Abstract

Problem addressed Black and immigrant populations across Canada have lower screening rates than Canadian-born white populations, predisposing them to increased cancer morbidity and mortality. Effective interventions are required to increase cancer screening rates among these populations.

Objective of program To improve breast, colorectal, and cervical cancer screening rates at TAIBU Community Health Centre, which has a mandate to provide primary health care services to the Black and immigrant community in the greater Toronto area.

Program description An Afrocentric quality improvement program was developed and implemented, consisting of provider audits, cancer screening education programs, a patient call-back program, and a mammography promotion day.

Conclusion TAIBU Community Health Centre’s continuous quality improvement approach was successful in engaging health care providers and patients to increase cancer screening participation sustainably in a racially and socioeconomically diverse setting. Rates of breast, colorectal, and cervical cancer screening offered to eligible patients increased from 17% to 72%, 18% to 67%, and 59% to 70%, respectively, between 2011 and 2018.

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Canadian Family Physician: 67 (11)
Canadian Family Physician
Vol. 67, Issue 11
1 Nov 2021
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Afrocentric screening program for breast, colorectal, and cervical cancer among immigrant patients in Ontario
Onye Nnorom, Antonia Sappong-Kumankumah, Oluwatobi R. Olaiya, Mervin Burnett, Nancy Akor, Nan Shi, Patricia Wright, Abel Gebreyesus, Liben Gebremikael, Aisha Lofters
Canadian Family Physician Nov 2021, 67 (11) 843-849; DOI: 10.46747/cfp.6711843

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Afrocentric screening program for breast, colorectal, and cervical cancer among immigrant patients in Ontario
Onye Nnorom, Antonia Sappong-Kumankumah, Oluwatobi R. Olaiya, Mervin Burnett, Nancy Akor, Nan Shi, Patricia Wright, Abel Gebreyesus, Liben Gebremikael, Aisha Lofters
Canadian Family Physician Nov 2021, 67 (11) 843-849; DOI: 10.46747/cfp.6711843
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