Salud en Mis Manos - Breast and Cervical Cancer Prevention and Early Detection - Expansion 2

A Community Based Program to Increase Breast and Cervical Cancer Screening and HPV Vaccination to Reduce the Impact of Breast and Cervical Cancer Among Latinas.

The purpose of this study is to increase early detection and prevention of breast and cervical cancer through education and navigation and to increase breast and cervical cancer screening and Human Papillomavirus (HPV) vaccination in underserved Latinas.

This is an evaluation of the implementation of the Salud en Mis Manos program. The investigators evaluate the effect of the program on increasing participant breast and cervical cancer screening and HPV vaccination using a one-group pre-post study design (2022-2024). The investigators also describe the implementation of the program during a longer time period (2020-.2024).

Inclusion Criteria:

• Primarily residing in the Gulf Coast & Lower Rio Grande Valley county areas (or other counties in Texas)
• Women 40 years of age and older with no mammogram in the past 2 years
• Women 21-65 years, with no Pap test in the past 3 years
• Women aged 18-26 years, who have not initiated or completed the HPV vaccine series, and through age 45 years if Advisory Committee on Immunization Practices (ACIP) recommends the FDA-approved age expansion for HPV vaccination for older individuals.

Exclusion Criteria:

• Current pregnancy
• Have a current or prior cancer diagnosis