Maximizing cervical cancer prevention in safety-net settings of care: Resources from the Federal Cervical Cancer Collaborative for provider and patient engagement.

5542 Background: Uneven administration of cervical cancer prevention, screening, and management, and changing guidelines prompted the Health Resources and Services Administration (HRSA) Office of Women’s Health and federal partners to develop the Federal Cervical Cancer Collaborative (FCCC). The FCCC aims to achieve the vision of the Cancer Moonshot in safety-net settings, reduce disparities in cervical cancer, and bridge the U.S. government’s priorities of cancer research and health care delivery. The FCCC supported: i) a survey of NCI-Designated Cancer Centers on barriers and opportunities that influence how Cancer Centers partner and engage with HRSA-supported and other safety-net settings of care; ii) the development of resources for providers in safety-net settings of care to support equitable cervical cancer prevention, screening, and management; and iii) the development of health communications materials to foster patient engagement for improved access to preventive health services. Methods: From January-February 2022, the FCCC conducted a multiple-choice and open-ended survey of 72.3% of Cancer Centers (n = 47) to identify opportunities to strengthen collaborations with safety-net settings. From February 2022-June 2023, the FCCC convened nine roundtables, with stakeholders across U.S. territories and freely associated states, national organizations, academia, and federal agencies, to inform provider technical assistance and patient outreach materials. Results: Cancer Centers reported patient-level barriers as the most challenging, compared with clinician-level, organizational-level, and systems-level barriers. The most common barriers to management of abnormal cancer screening included: transportation/travel (98%), health literacy (96%), and caregiving responsibilities (95%). The roundtable series informed the development of two resources: a primary care provider toolkit and patient outreach materials to strengthen cervical cancer prevention, screening, and management of abnormal results in safety-net settings of care. Conclusions: Roundtables and survey findings can inform needed structural and public health interventions to overcome patient level barriers and strengthen partnerships between Cancer Centers and safety-net settings. The findings also guide the FCCC’s long-term commitments to support equitable cervical cancer prevention in safety-net settings. The toolkit offers practical tools and guidance to primary care providers to improve quality of care, train staff, and communicate with patients. Patient outreach materials can support patient engagement in care and access to care. Both freely available resources will be used in a national remote tele-mentoring initiative for providers in safety-net settings of care.