The “Daylight” Project, a multidisciplinary effort embedded in Barnes-Jewish Hospital’s Center for Diversity and Cultural Competence, delivers culturally and linguistically appropriate messages about breast health and breast cancer prevention to refugee and immigrant communities in the greater St. Louis area. The program creates and sustains systems that reduce multiple barriers to education, screening and treatment by empowering refugee and immigrant women, especially those who are new arrivals and Limited English Proficient (LEP). The overall objective of the Project is to reduce disparities in morbidity and mortality related to breast cancer in refugee and immigrant women in the St. Louis area by offering free mammography screenings and free follow-up care to those uninsured and medically underserved in our community.

The Daylight Project has three major components: the Wise Women program, Outreach services and Inreach.

The first component identifies leaders within new arrival communities and trains them to be Wise Women – truth speaker about breast health, breast cancer and the importance of early detection. Once trained, these women are capable of using their newly acquired knowledge to design and deliver early detection messages and to link women to appropriate screening services. In doing so, they are moving the disease of breast cancer out of dark, unspeakable places into the daylight of knowledge, empowerment, and hope.

The second component, Outreach services target the refugee and immigrant communities in the St. Louis area. Currently, the “Daylight” Project works with 12 different refugee and immigrant communities to design outreach services that take into consideration the language and the worldview of each community, linking women to the Breast Health Center at Barnes-Jewish Hospital for mammography screening and diagnostic follow-up, when needed.

The third component of the “Daylight” Project is Inreach, which is designed to reach women as they go about their daily lives, delivering teaching in conventional and not-so conventional environments: ESL classes, mutual assistance programs, places of worship, sewing classes etc. The goal is to deliver early detection messages and to link women to screening and diagnostic services.

In the past seven years of existence the “Daylight” Project has reached more than 11,500 women in the community and has provided services to over 4,000. Based on these accomplishments in May of 2011 the Agency for Healthcare Research and Quality recognized the “Daylight” Project for its innovation in improving quality and reducing disparities in women’s care. For additional details, please click here.

If you have any questions about the “Daylight” Project, please call Eva Enoch at (314) 747-5688.

The “Daylight” Project is generously funded by the Susan G. Komen for the Cure, St. Louis

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