Men’s Health 2010Standing Rock Reservation

History • Model of screening developed by NDBCCEDP in 1997 – Women’s Way established partnerships

• Men’s Health started in 2003- requested by the community of Standing Rock

• Funded by Spirit of EAGLES

Geography

Partners• Indian Health Service• Tribal Health Community Health

Representatives• North Dakota Cancer Coalition • Northern Plains Cancer Coalition• Custer Health • Spirit of EAGLES

Partners

Indian Health Service• Facility• Providers• Lab• Follow up

Partners

Community Health Representatives:• Outreach • Education in the districts • Promote screening days• Provide limited transportation• Navigation for the men at the screening events

Partners

North Dakota Cancer Coalition• Funding to promote colorectal cancer education• Funding to track the return rate of the FOBT kits• Colorectal cancer education workshops

PartnersNorthern Plains Cancer Coalition• Fund cancer education • Provide incentives for attendance• NPCCCP staff conducted evaluation at workshops with Audience Response System

PartnersCuster Health • Organize and facilitate screening days• Track the Fecal Occult Blood Test kits results• Organize the cancer education in the

community

PartnersSpirit of EAGLES • Has funded the men’s health program since 2003

• Funding pending for 2010-2011

Partners

• Tribal Diabetes program• Tribal Education • NDSU Extension Service• SDSU Extension Service• Student nurses from the following

institutions – Med Center One School of Nursing, University of Mary, Sitting Bull College

Screening• Invitations sent to eligible men- 40 and

older• Appointments set up at Indian Health

Service on designated days – 5 days per year – 2 days at McLaughlin SD and 3 days in Fort Yates ND

Screening Advertisement• Posters placed throughout reservation

• KLND - local radio station announces the men’s health events

• Teton Times - local newspaper runs ads when money is available

ScreeningEducation stations topics:• Diabetes education• Colorectal cancer education• Heart health• Tobacco cessation• Stress and coping• My Food Pyramid

Diabetes Screening and Education

Screening More education topics: • Dental health• Sexually Transmitted Diseases• Erectile dysfunction• Rate your fiber

Heart Health Education

Screening Day• Men check in• Routing slip given• Physical exam including a digital rectal

exam, Prostate Specific Antigen or shared decision making,

Fecal Occult Blood Test (FOBT)– 3 day take home kit with collection instructions self addressed stamped envelope for easy return

Screening

• Cholesterol• Fasting Blood Sugar• Chest x-ray if indicated• EKG if indicated

Evaluation• Fill out evaluation form• Socialization• Snacks• Incentives – Leatherman, Swiss army

knives, caps, 4 in 1 screwdrivers, Stanley tape measures, phone cards, and T-shirts

Evaluation Station

Screening NumbersIn 2001 to 2002 – prior to the men’s healthProgram - 37 men were screened for

cancer

From 2003 to September 17, 2010 – 774men’s cancer screenings were completed

Cancers Diagnosed8 prostate cancers diagnosed

5 colorectal cancers diagnosed

Data is estimated

ProclamationsChairman Murphy

• Declared March Colorectal Cancer Awareness month

• Declared September Prostate Cancer Awareness month

Administrative Leave

Tribal Employees:

• Paid 2 hours leave for exams

Testimonials

Cancer Survivors • Speak at events to encourage men to

screen for cancer• Audio – local prostate cancer survivor’s

story played on the local radio station• Letters to the editor with the importance of

screening

What is next?

Reach more new men

Community Health Representatives contestto recruit new men for screening events

What is next“Zannia Ma Wani- United We Walk forBetter Health”

Cancer Walk- October 27th in Fort Yates -2 miles ending at Long Soldier GymEducation stations in the gym at theconclusion of the walk

Cancer Walk• Rollin Colon inflatable colon to walk

through with colorectal cancer education. Other education topics:• Breast cancer education• Lung cancer education• Diabetes and fitness education• HIV testing• Cervical cancer education

Cancer Walk

Food and water will be availableSalvation Army- feed the children semi truckof food and toiletries - pending

Cancer EducationCommunity Health RepresentativesRound table discussion in the districtsseparate for men and womenPower points presentations with cancer educationAnatomical models

Men’s Health Logo

Developed by a local artist to place on T-shirts, hats and other men’s health itemsto make recognizable – brand the men’s health program

Artwork for Logo

Tool kitCreate a men’s health tool kit • Provide to other communities• To increase screening for men• To share materials that have worked for

the Standing Rock Reservation

Questions?• Jodie Fetsch RN Custer Health 701-667-3370 jfetsch@custerhealth.comElaine Keeps EagleCHR Standing Rock 701-854-3865srchr@westriv.com