The purpose of the Susan G. Komen Community Profile Report (CP) is to conduct an updated needs assessment of Komen Kansas City’s 17-county, bi-state service area. This comprehensive study utilizes quantitative (statistical) and qualitative (focus group and provider interview) data collection and analysis. The assessment is used to establish priorities for the Affiliate’s decisions regarding grant funding, education, marketing and outreach and public policy activities. It is our road map for future funding and will guide the Affiliate’s Strategic Plan for the next several years.
JACKSON COUNTY, MISSOURI
Jackson County, Missouri is a high priority county in regards to meeting the Healthy People 2020 goals. Jackson County has been chosen as a target community due to rates and trends regarding breast cancer deaths, as well as the rates of breast cancer incidence and late-stage diagnosis. Additionally, Jackson County residents reflect a diverse population with many women who may be more vulnerable to breast cancer due to known poorer prognosis rates (i.e., late-stage diagnosis or more aggressive cancers). Finally, compared to the service area average, more residents in this county are living below 250 percent poverty, have higher unemployment rates, and are less likely to have health insurance making affordable access to breast health care potentially difficult.
Data for Jackson County show the breast cancer death and late-stage diagnoses rates are currently higher than both the United States’ and the service area’s average rates. However, there are promising trends in the rates of incidence, deaths from breast cancer and late-stage diagnoses. All categories are expected to show lowering rates in upcoming years.
Women in Jackson County, ages 50-74, have reported obtaining a screening mammogram at a rate comparable to the service area average. This is positive since mammography can facilitate early detection.
Analysis by Target Community
As seen through mapping of services, Jackson County has breast health resources all along the “continuum of care”. Kansas City, Missouri and the immediate area have numerous health centers providing screening, diagnostics, treatment, and support. However, urban Jackson County remains a target area due to late-stage diagnosis rates, education levels, poverty levels, and hard to reach populations. Therefore, Komen Kansas City works with multiple partners to provide better access to breast health to the least reached populations of Jackson County.
Public Policy Implications
Because Missouri and Kansas chose not to expand Medicaid, a coverage gap is left of people making too little to qualify for federal help. The authors of ACA intended these individuals to be covered by Medicaid expansion, but both states in our service area opted to not expand. Therefore, most of Kansas and Missouri’s poorest, working-age residents — those under age 65 and below the poverty line of $11,490 for an individual and $15,510 for a couple — aren’t eligible for government help. In Kansas there are currently 369,000 uninsured individuals – 78,000 in Kansas (21% of uninsured) who would have been eligible for Medicaid if the state expanded will fall into the coverage gap. In Missouri, 93,000 of the 834,000 uninsured adults (23% of the uninsured) will fall into this gap.
Through advocacy efforts and partnerships, Komen Kansas City continues to be a voice for breast health in both Missouri and Kansas. Komen Kansas City advocates for funding of breast health screening, research, and treatment programs.
Our Mission Action Plan
Women in Jackson County have breast cancer death and late-stage diagnosis rates which are higher than the US and service area averages and a higher level of residents who are vulnerable to a poorer prognosis of breast cancer survival. Additionally, more residents are living below poverty, have higher unemployment rates and are less likely to have health insurance.
The affiliate’s work in Jackson County will contain to expand with a strong focus on providing meaningful education to individuals in the community. The affiliate will also work with the health systems to discuss the found breast needs and collaboratively create a plan to further address those needs. The affiliate will also work tirelessly to increase the number of women obtaining preventative breast health screenings in the county.
- In FY16, hold at least two collaborative meetings with healthcare providers in Jackson County to develop a plan on how to improve breast health needs
- By the end of FY17, develop and implement a campaign encouraging women to make their healthcare a priority
- By the end of FY17, develop and implement a campaign to educate the population and those who work directly with them on Show Me Healthy Women as well as the breast health provisions outlined with the Affordable Care Act
- By the end of FY18, a minimum of 20 outings will be conducted in Jackson County using the affiliates Connecting for a Cure curriculum
- By the end of FY19 hold at least one local “Mammacare” training event for providers
- By the end of FY19, in partnership with other entities, hold at least five breast health screening events for the public
We look forward to providing you reports on our efforts over the next few years.