Henson R M, Wyatt S W, Lee N C
J Public Health Manag Pract. 1996 Spring;2(2):36-47.
The passage of the Breast and Cervical Cancer Mortality Prevention Act established a nationwide, comprehensive public health program to increase access to breast and cervical cancer screening services for women who are medically underserved. This act created the first opportunity for state health agencies to build a public health infrastructure for cancer control at the state and community levels. The Congress appropriated $30 million in fiscal year 1991 for the first year of this program. In the summer of 1991, the Centers for Disease Control and Prevention (CDC) used a competitive application process to fund the first eight states to establish early detection programs. Since then, the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) has become a nationwide program with a budget of $100 million. Thirty-five states and nine American Indian Tribes are supported to implement comprehensive screening programs. Fifteen states, three territories, and the District of Columbia receive planning and infrastructure grants as part of the Capacity Building Program. The NBCCEDP surveillance data through January 31, 1995 shows that 556,003 screening tests have been provided to women who are medically underserved. The success of NBCCEDP has contributed to the growing pressure on state health agencies to focus more attention and resources on chronic disease prevention and control.
《乳腺癌和宫颈癌死亡率预防法案》的通过设立了一项全国性的综合公共卫生项目，以增加医疗服务不足的女性获得乳腺癌和宫颈癌筛查服务的机会。该法案为州卫生机构创造了首个机会，使其能够在州和社区层面建立癌症控制的公共卫生基础设施。1991财年，国会拨款3000万美元用于该项目的第一年。1991年夏天，疾病控制与预防中心（CDC）通过竞争性申请程序，资助了首批八个州建立早期检测项目。从那时起，国家乳腺癌和宫颈癌早期检测项目（NBCCEDP）已成为一个预算达1亿美元的全国性项目。有35个州和9个美洲印第安部落得到支持，以实施全面的筛查项目。作为能力建设项目的一部分，15个州、3个领地和哥伦比亚特区获得了规划和基础设施拨款。截至1995年1月31日的NBCCEDP监测数据显示，已为医疗服务不足的女性提供了556,003次筛查检测。NBCCEDP的成功促使州卫生机构面临越来越大的压力，需要将更多注意力和资源集中在慢性病的预防和控制上。
