There are numerous strategies for increasing cervical cancer screening. Some recommendations include:
- Using patient navigators, also called system navigators, to help guide patients through medical, insurance and social support systems.
- Providing financial incentives, such as payments or vouchers, for preventive care.
- Media campaigns to increase awareness.
- Client reminders.
- Cost reduction.
- Removal of barriers in transportation and language.
The Indiana Breast and Cervical Cancer Program (BCCP) is the Indiana implementation of the National Breast and Cervical Cancer Early Detection Program (NBCCEDP). The BCCP provides access to breast and cervical cancer screenings, diagnostic testing, and treatment for underserved and underinsured women who qualify for services.
The NBCCEDP is the first and only national cancer screening program in the United States. The NBCCEDP functions through cooperative agreements with the Centers for Disease Control and Prevention (CDC) and state and territorial health departments, tribes, and organizations. The NBCCEDP currently serves women in all 50 states, the District of Columbia, five territories, and twelve tribes.
The BCCP receives funds from both the NBCCEDP and from the State of Indiana and serves between 3,000 and 4,000 women annually.
Through the BCCP, female Indiana residents may qualify for free breast and cervical cancer screenings and diagnostic tests. Services provided include
- Colposcopies (with or without biopsies)
- Liquid-based cytology tests
- High risk panel HPV testing
- Office visits
- Pelvic exams/tests
- Clinical breast exams (CBEs)
- Mammograms (screening and diagnostic)
- Diagnostic breast ultrasounds
- Breast biopsies
As of 2009, the BCCP is capable of qualifying women diagnosed with breast and cervical cancer for MA-12 (Indiana Medicaid) through its Option 3. The MA-12 remains active during cancer treatment and terminates at its conclusion. Over 100 women received MA-12 through Option 3 in its first year alone.