Our goals for 2019: 80% of all women newly diagnosed with breast or gynecologic cancer will receive support and information from the Breast and GYN Health Project Assist at least 50 low-income women needing financial assistance with information and referrals to financial resources.

Strategy 1: Because most of BGHP's referrals come from family and friends, get the word out about BGHP services via presentations to womens' groups throughout the region, attendance at health fairs, via social media and through BGHP's bi-annual newsletter.

Strategy 2: Because BGHP's second most common referral resource is healthcare providers, conduct targeted communications to primary care, surgeons and oncology practices to provide them information and tools for referrals

BGHP offers a highly experienced, technically competent team to meet our mission to assist our local community as its members face breast or gynecologic cancer. Experienced RN Co-Client Services Director, Experienced Co-Client Services Director specializing in Young Women, and Medical Consultant work with trained peer support volunteers to assist clients with cancer concerns or cancer diagnoses. The Executive Director has over 23 years experience with resources for cancer patients and local health care providers. Unfortunately, we lost a longstanding grant from a national foundation. The loss of the grant resulted in letting go of the RN Breast Health Navigator role. This role was the primary community health educator, liaison between high-risk women in the community and BGHP, and 33% of the Client Services staff role that conducted patient navigation. This has hampered our capacity to provide immediate patient navigation and education to local people facing cancer. BGHP's Medical Consultant attends the local cancer committee and tumor board meetings where she is able to educate the physician community about how BGHP can provide specific assistance for breast or gynecologic cancer patients.

BGHP will compare how many newly diagnosed clients seek services and compare these numbers to the annual estimates of cancer incidence in Humboldt County from the California Cancer Registry/American Cancer Society's "California Cancer Facts and Figures".

BGHP will track how many individuals report they were referred by their doctor and/or whether we received a referral from directly from their healthcare provider. We will compare these figures against last year's figures.

In 2018, BGHP continued to assist over 400 local people facing breast or gynecologic cancer concerns. This is an excellent statistic, because recent California Cancer Registry estimates are that about 100 women will be diagnosed with breast and gynecologic (uterine and cervical) cancers annually in Humboldt and Del Norte counties combines. Most of these clients we assist are dealing with a cancer diagnosis, rather than a concern. The primary referral source is friends and family, followed by referrals from local medical providers. Here are some specific outcomes from 2018: * 386 patient navigation services were provided to clients to help them access not only medical services, but financial and social services resources too. * 153 support group sessions were held of seven different groups. There were 537 support group attendees over the course of the year. * 44 people with cancer concerns received decision support/ medical visit consultations with BGHP's Medical Consultant to help them become better educated about their diagnosis and treatment options. * Over 100 special medical record binders were given out to people newly diagnosed with cancer * More than 90 women sought help to obtain a free wig, breast prosthesis, bra, scarf, etc. * About 50 people with breast or gynecologic cancer received a specially-decorated ChemoKit bag filled with useful items to help them as they underwent chemotherapy. Outreach: During 2018, BGHP reached over 17,000 people in our community with messages about local resources and early detection. Collaboration with local health care providers. BGHP continues to try to encourage local providers to directly refer patients with breast or gynecologic cancer concerns to BGHP for emotional support and education as they go through the diagnosis and treatment process. Open Door Community Health Centers, our area's largest safety net clinic system has begun to include a site visit to BGHP as part of its new provider orientation to community resources. In the Spring and Fall, BGHP distributes packets of useful resource information to 65 medical offices and hospitals in our region. There is material specifically for patients as well as for health care providers about BGHP support services, local resources for low-income women and referral forms.