Priority Counties: Northeast Kansas Region
The purpose of the 2015 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.
NORTHEAST KANSAS REGION (Atchison, Brown, Doniphan, Jackson Counties, Kansas):
Due to small population sizes, data have been suppressed for many of Northeast Kansas counties. These counties have been combined into one region for the purpose of this report and for the Affiliate’s targeted efforts. The Northeast Kansas Region is located in eastern Kansas and aligns with the Missouri state border. All counties in the region are considered rural. These counties have been chosen due to low screening rates, unique population demographics, and identification as medically underserved and having lower income levels. Although, the demographic makeup of this region’s female residents is primarily Caucasian, several American Indian reservations are located in the region. In the past, breast cancer in American Indians was rare. Unfortunately, the last two decades have seen large increases in both incidence and death rates for this group of women. Additionally, socioeconomic characteristics of the region indicate a potential concern about women’s access to affordable breast health care. All counties in the region, with the exception of Jackson County, Kansas have substantially higher percentages of residents living below 250 percent poverty income than the service area average. Additionally, Doniphan County is considered to be in a medically underserved area compounding potential barriers to breast health care. Only two providers in the entire region participate in the National Breast and Cervical Cancer Early Detection Program; and one of those providers is limited to only providing services to American Indian women.
Analysis by Target Community
Atchison, Brown, Doniphan, and Jackson Counties make up the target community of the Northeast Region of Kansas. This rural area of Kansas, while having a hospital and health department in each county, lacks readily accessible services along the complete “continuum of care.” Residents of this area without independent transportation would most likely be unable to receive any breast care. In addition, Atchison, Kansas has the lowest screening rate in Komen Kansas City’s entire service area.
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 living in Northeast Kansas have the lowest screening rates in the entire service area. The area is considered to be “rural” and full breast health services are not available along the continuum of care in the region. Additionally, there are only two Early Detection Works providers in the entire region. The Affiliate will continue to work in the area with efforts to increase the number of women receiving preventative breast health screenings as well as increase the region’s capacity to provide breast health care in Northeast Kansas. Lastly, the Affiliate will work to increase educational outreach to women in the community.
- By the end of FY 2019, a minimum of eight outings will be conducted in Northeast Kansas using the Affiliate’s Connecting for a Cure curriculum
- Work with local resources and key influencers in NE Kansas to hold a minimum of four screening events by March, 2019
- By the end of FY17, develop and implement a campaign to educate the population and those who work directly with them on Early Detection Works as well as the breast health provisions outlined with the Affordable Care Act
- Identify and assist with recruiting of one additional Early Detection Works Provider in NE Kansas by October, 2017
- By the end of FY17, a key funding priority will be developing or improving patient navigation programs targeting Northeast Kansas Women
We look forward to providing you reports on our efforts over the next few years.