Grant: Project Grant

Cancer continues to take a heavy toll on First Nations (FN) communities in Alberta. FN people face higher rates of cancer and are more likely to die from it, mainly because they are often diagnosed later, when treatment is less effective. Screening programs can catch cancer early, but many FN individuals, especially those living on reserve, have low access to screening or follow-up care afterward. This project will work directly with FN communities to change that. Using a trusted electronic health system already used by most FN communities in Alberta, researchers will collect and share data on cancer screening and follow-up for each community, something that has not been done before. Together with local health staff, Elders, and people with lived experience, the team will plan and roll out customized programs to raise awareness and reduce barriers (such as making screening easier through options like mobile clinics and self-testing kits). Communities will help decide what works best for them. The project will take place over three years and include four main steps: (1) learning what the screening rates are and why people may not attend; (2) co-designing solutions with each FN community; (3) implementing and testing those solutions; and (4) sharing what works so that other FN communities can benefit too. The goal is to increase cancer screening and follow-up by 10-15%, raise awareness, and ensure communities can sustain successful efforts beyond the study. FN leaders, health staff, and community members will guide the work at every step, ensuring the project reflects FN knowledge, priorities, and cultural values. With long-standing relationships and a proven team, this project aims to improve health and save lives - one community at a time.