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CRITIQUE OF APPLICATION FOR FUNDINO <br /> <br />TAROETED PREVENTION OF BREAST CANCER PROJECT <br /> <br />Cancer Control. Program <br />Naalth Care Section <br />Division of Adult tlealth <br /> <br /> CABARRUS COUNTY <br /> <br /> Strengths of proposal <br /> <br /> - Multl-facoted approach to interventions <br /> - Offering md~cation in-house to professional staff <br /> - Physician awareness eampaigB <br /> <br /> Ueaknesses of proposal <br /> <br /> - Objectives need to be further developed and strengthened <br /> - Objective 1 (reduction in mortality from breast cancer) cannot definitely <br /> be attributed to impact of program: needs go be deleted or modified <br /> - Extent of involvemant with oc~nunity/~ivio groups not evident <br /> <br /> Establishment of data linkage to proposal <br /> <br /> Good use of existing data to assess county's heads, e.g., county mortality <br /> statistics and a thorough inventory cf available medical <br /> resources/providers. Tho uso of tumor registry dace was especially helpful <br /> in determining the population'at risk. It needs to bu noted that the data <br /> from the 3 tmnor registries probably do not represent the total ineidenne. <br /> Because of the limitations in the administration of the telcpbone survey, as <br /> noted in the proposal, the rmsults should not be considered to represent Nll <br /> women over 35 end, consequently, could b~ biased. The findings, however. <br /> obtai~l~d from the needs assessment were accuratoly reflected in the proposed <br /> interventions. Overall, the proposal indicated an effective use of data co <br /> plan breast cancer prevention stratogies. <br /> <br /> Special Conditions for Funding <br /> <br /> - Further develop and strengthen objectives to he more evaluablo <br /> - Include an objective and intervention rmflecting corm.unity/civic activity <br /> <br /> <br />