Clinical Research Directory

Inclusion Criteria: Organization inclusion criteria: * Clinic or community health center (CHC) with LHWs serving Latina populations. * Expressed intent to participate in the implementation of SEMM. * Serve low-income populations with low or no-cost screening and vaccination. * Provide comprehensive primary health care services. SEMM Participant Inclusion criteria: * Latinas who self-identify as Hispanic/Latina. * Latinas who have at least one unmet breast or cervical cancer prevention need, following Electronic Clinical Quality Measures. * (1) Latinas aged 21-64 years who have not had a Pap test in the past 3 years, and (2) Latinas aged 30-64 who have not had a HPV test in the past 5 years (CMS eCQM ID: CMS124v9). * (3) Latinas aged 51-74 years who have not had a mammogram in the past 2 years (CMS eCQM ID: CMS125v9). * (4) Latinas aged 18-26 years who have not initiated HPV vaccination. * Note: Some women will have more than one unmet need (e.g., HPV vaccination and pap test), so they will be included in more than one non-adherent group. Exclusion Criteria: Organization exclusion criteria: \- Clinics/Community Health Centers not located in Texas. SEMM Participant Exclusion criteria: \- Latinas with a prior or current cancer diagnosis due to modified cancer screening surveillance guidelines for cancer survivors.