The Non-Communicable Disease Bureau (NCDB) mission is to support and empower the people in the CNMI through health promotion and the preventionof non-communicable diseases. The NCDB aims to provide awareness, prevention, and intervention services for the CNMI community to address the NCD epidemic. The NCDB is composed of five (7) programs; Breast & Cervical Screening Program (BCSP), Cancer Registry, Comprehensive Cancer Control Program (CCCP), Diabetes Prevention & Control Program (DPCP), Patient Referral Outreach Advocacy (PROA), Racial and Ethnic Approaches to Community Health (REACH), and the Tobacco Prevention & Control Program (TPCP).
BCSP’s mission is to reduce the diagnosis (morbidity) and death (mortality) of women due to breast and cervical cancer through early detection.
Cancer Registry’s goal is to develop a systematic and accurate collection of cancer data in the CNMI. The University of Hawaii, Department of Family Medicine and Community Health was designated the bonafide agent on behalf of the ten USAPI jurisdictions to plan and implement the Centers for Disease Control (CDC) National Program of Cancer Registries (NPCR) planning program. The CDC cooperative agreement was awarded in July 2007. The majority of USAPI jurisdictions began reporting 2007 data to the CDC NPCR in December 2009 via the Pacific Regional Central Cancer Registry. The Cancer Council of the Pacific Islands, as the Advisory Board to the PRCCR, has included data items within the cancer registry database to capture selected variables on Non-Communicable Diseases (NCDs). By so doing the regional registry system is able to identify cancer patients with co‐existing NCDs as well as interface with the public health programs. This ensures that the NCD needs are properly identified and incorporated into care plans and that individuals with cancer and other NCD co-morbidities are included in all NCD and cancer “registries” or databases.
The primary tasks and responsibilities of the Pacific Regional Cancer Registry are; 1) To develop the systems and policies which insure proper identification, reporting and recording of all cancers in each USAPI; 2)To develop the capacity and infrastructure for each of the USAPI to manage the rigorous data collection and entry required of a cancer registry; 3) To develop a cancer registry where the data is controlled and owned by each individual jurisdiction and to ensure the data are useful for local program planning and evaluation as well as Tracking local cancer trends over time; 4) To develop a cancer registry system that is sophisticated, flexible and sustainable, i.e. takes into account the relative case load of cancers in each USAPI, the availability of trained; 5) personnel, and the local ability to finance such a system; 6) To link the individual USAPI cancer registries in a synergistic system which allows for economies of scale to make the regional registry project sustainable.
CCCP’s is focused on preventing and minimizing the impact of cancer in our island community. It focuses on paying special attention to the needs and concerns of all cancer survivors and their families, developing and implementing strategic plans to address the cancer burden, setting priorities and leveraging resources to implement evidence-based interventions to support behavioral lifestyle changes to prevent cancer; ensure access to screen services to detect cancers early; as well as to ensure access to treatment services.
DPCP aims promote wellness and educate the community about diabetes prevention, intervention, and care while collaborating with internal and external partners. DPCP also tracks and provides data on individuals diagnosed with diabetes.
PROA aims to connect clients with diabetes or those at risk for diabetes to available community resources and programs that provides healthy lifestyle education.
REACH aims to reduce racial and ethnic disparities in health. CNMI REACH projects may be funded for up to three years through the subaward from the University of Hawaii. These projects aim to:
Increase access to smoke and tobacco-free environments for 75% of the adult population by September of 2017; and
Increase access to healthy food options for 75% of the adult population by September of 2017
TPCP’s mission is to promote a healthy, tobacco-free community by reducing tobacco use in the CNMI. The program aims to accomplish goals such as: reducing the use of tobacco by adults and minors, reducing the risk of exposure to secondhand smoke, and eliminating the sale of tobacco to minors. Services under TPCP include Basic Tobacco Intervention Skills certification training and the tobacco cessation program.
NCDB is represented by fifteen (15) professionals:
Becky Robles – NCDB Administrator
Jocelyn Songsong – Breast & Cervical Cancer Screening Program Coordinator
Adela Tado – BCSP Data Management Specialist
Ling Rabauliman – BCSP Tracking Specialist
Joanne Ogo – CNMI Cancer Registrar
Sharina Clark – Comprehensive Cancer Control Program Coordinator
Kimberly Sablan – CCCP Navigator
Amber Mendiola – Diabetes Program Coordinator
Rocel Cariaso – PROA Coordinator
Nikki Sablan – Patient Referral Outreach Advocate (PROA)
Bradwell Batallones – Patient Referral Outreach Advocate (PROA)
VACANT – REACH Local Project Assistant
Velma Del Rosario – Tobacco Prevention and Control Program Coordinator
Jessica Delos Reyes – Tobacco/Diabetes Technical Advisor
Amy Babauta – Tobacco Project Assistant
For more information on the Non-Communicable Disease Bureau, please contact Amber Mendiola at 236-8727.