WISEWOMAN — Well-Integrated Screening and Evaluation for WOMen Across the
Nation — works towards optimal cardiovascular health for people aged 35–64,
focusing on women who are uninsured, underinsured or on lower incomes.
The clever part
**WISEWOMAN extends preventive services to participants of the CDC-funded
National Breast and Cervical Cancer Early Detection Program.**
It does not build its own outreach. It attaches to a programme that has
already found and enrolled exactly the population cardiovascular prevention
struggles to reach — women without insurance, who are already through the door
for a mammogram or a Pap test.
A separate heart health programme aimed at the same women would spend most of
its budget locating them.
What it provides
Risk factor assessment: blood pressure, diabetes, BMI and cholesterol
screening.
Referrals to healthy behaviour support services, to reduce cardiovascular
risk through **diet, physical activity, tobacco cessation and medication
adherence support.**
Evidence-based lifestyle programmes and individual health coaching, with
referral to social services and support resources where needed.
Services are delivered by **local health departments, doctors' offices and
community health centres**.
What it is aiming at
Early detection and treatment of hypertension and high cholesterol — the
two conditions that are silent, common, cheap to treat and expensive to miss.
And explicitly: **addressing the social and economic factors that lead to
disparities in health care.** The social services referral is part of the
programme rather than an afterthought, because a woman who cannot afford the
medication has not been helped by the diagnosis.
Source: Centers for Disease Control and Prevention.
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