Community Reviewer Comments

Transcend documents and compiles all community reviewer comments. This allows us to have a deeper understanding of a group’s specific needs and cultural concerns. Below is a summary of the community reviewers’ feedback on the Every Woman Counts project:

Community Reviewer comments - Every Woman Counts	Chinese	Korean	Spanish	Vietnamese
1. Include personal success stories of detection/treatment.	✓	✓	✓	✓
2. Specify which income levels qualify for free services. (Saying “low income” may be unclear.)	✓	Say at the beginning.	Say at the beginning.	✓
3. Do follow-up after presentation. One presentation is not enough.	✓	✓	✓	✓
4. Women in this group prefer female providers over male.	✓	✓	✓	✓
5. Emphasize interpreters are available, and female providers may be available.	✓	✓	✓	✓
6. Provide opportunities for women to cover up as much as possible.	✓	✓	✓	✓
7. Use photos of target group.	✓	✓	✓	✓

Chinese	Spanish
May rely on Chinese herbs for good health and for cures. May prefer to return to China for healthcare where they know the health care system, and it is free or lower cost. Prefer Chinese-speaking providers. Folk beliefs may play a role in understanding disease. For example, certain foods are believed to cause “hot poison” in the blood, which is believed to cause breast cancer. Barriers to care include: language issues, no insurance/cost of care, embarrassment, pain, “laziness,” or a belief that you do not seek care unless you feel sick.	Talk about improved success rates in breast cancer compared to years gone by. Many older women still believe there is nothing you can do if you get cancer. Advise if Spanish-speaking providers are available. Talk about transportation options to appointments. Make presentations short. Barriers to care include cost, language, and embarrassment.
Korean	Vietnamese
May rely on Chinese herbalists and herbs, which are often seen as better than doctors and western medicines because they do not have side effects. Exercise, healthy food and herbal tea are seen as adequate methods to stay healthy. Provide numbers/percentages of women with these health problems. Present info about risk associated with multiple sex partners and smoking carefully. Korean women tend to have only 1 lifetime partner and do not smoke. Often do not seek care unless they have symptoms May be reluctant to show their breasts and to discuss breast and cervical cancers.	The facilitator must be personable, good communicator, and bicultural and bilingual. She must develop a close bond with the women. Give the women a short, printed summary of the curriculum materials. Explain how they should ask for a female provider and how to ask for an interpreter. Vietnamese women know something about breast cancer, but are shy or reluctant to discuss it in public. Barriers to seeking care include fear of pain or learning they have cancer, no insurance, cost, language barriers, and embarrassment.

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