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Direct Health Promotion Programme Avon Breast Screening Unit

This program focuses on improving breast screening uptake among diverse ethnic groups, with interventions like educational sessions, awareness campaigns, and a dedicated walk initiative. The audit reveals positive changes and the need for a broader approach in health promotion. Key stakeholders collaborated to implement targeted strategies and boost attendance rates. Join us in promoting breast health awareness and increasing screening participation for better health equity.

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Direct Health Promotion Programme Avon Breast Screening Unit

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  1. Direct Health Promotion ProgrammeAvon Breast Screening Unit Dr.S.Chakrabarthi Consultant Radiologist UH Bristol NHS Foundation Trust

  2. Avon Breast Screening Unit 7th largest screening unit in the country Screening population - 134,000 Every year invite - approx 44,000 Overall uptake rate – 74% Lowest uptake rate – 47%

  3. Background • Standard acceptance rate - more than 70% • Acceptance rate at Charlotte Keel - very poor historically (47.5% in 2006) • Large number of women screened • Diverse ethnicity (estimated 50% from ethnic minority groups) • One of the most deprived practices in Avon

  4. General vs Ethnic minority - 2006

  5. Caucasian vs Ethnic minority

  6. Health Equity Audit Cycle

  7. Local target To achieve an attendance rate of 70% in the next round - 2009

  8. Interventions • 07/02/08 : Meeting with key players – Director of ABS, GP, Link workers, PCT • All religious and leisure centres were posted letters and followed up with at least one phone call • Educational sessions

  9. Educational sessions Oct 2008 – Jan 2009 • Charlotte Keel Health Centre • Ethnic minority organisations AwazUthaoh Bangladeshi women’s organisation • Church

  10. Educational sessions – Who? • Consultant Radiologist • Breast Care Nurse • Health Promotion worker - PCT

  11. Educational sessions – What? • Greetings & Introduction • Breast Awareness – hands on • Awareness of ducts - pictorial • Understanding of Breast cancer • Importance of Breast Screening • Walking the Way to Health • Posters and leaflets

  12. Walk your way to Health • A Bristol City Council initiative • Map by Bristol PCT • Dedicated walk leader

  13. Map

  14. Challenges • Arranging funds for link workers from PCT • Co-ordinate activities • Inviting women by postcode • Accomodating the needs of all • TIME!

  15. Re audit (Jan – Feb 2009) Questionnaires: Age Ethnic group Mode of transport Did they use the walking route map? Did they attend an educational session? Would they like breast awareness sessions?

  16. Questionnaires 63% (450 women) completed questionnaires

  17. 2006 vs 2009

  18. People who would have liked an education session

  19. 53 people (12%) walked • Black caribbean or british caribbian – 21 – 40% • White British – 14 – 27% • Mixed white and Black Caribbean – 5 – 9% • Others - 13 – 24%

  20. Key Findings • Target of 70% uptake rate not achieved • Uptake rate improved by 9% overall • Uptake rate improved by 12% in the ethnic minority groups • A broader health promotion programme reaching out more women is likely to make a difference

  21. Changes in our Unit • GP Practices are offered education sessions • Sessions to be run by Breast Care Nurses • Sessions to be organised by GP practices • At present offered to surgeries with uptake rate less than 60%

  22. Thank you very much Dr.L.Kutt Dr.M.Lamont Ms.S.Clough Ms.P.Castell Ms.N.Day Staff at ABSU M.Burrell – PCT Health Promotion worker Link workers – Charlotte Keele (Mrs.Hamid) Dr.Muir – Charlotte Keele PCT Bristol City Council

  23. Most of all Nishat!

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