National Breast and Cervical Cancer Early Detection Program 30th Anniversary: Vermont The You First Program at the Vermont Department of Public Health reflects on the successes and challenges of cancer screening in the community. Audio Descriptive Text • Burlington You First Program. Vermont Department of Health. U.S. Department of Health and Human Services. Centers for Disease Control and Prevention. A barn in Burlington. • Nancy Kaplan, Former Program Manager, You First, Vermont. • View of Burlington from the facility. • Justin Pentenrieder, Program Manager, You First, Vermont. • Painting of a woman with a bandana serving water in a building wall. • A rainbow LGBTQ flag in a wall. • A flyer in a wall that says newamericansinvermont.com and COVID-19 Information as well as different languages. • A woman walking in front of the Community Halal Store. • You First Program building. • Justin Pentenrieder speaking. • Banner showing the logos for Pride Center VT, SafeSpace, and Glam Vermont. • Justin Marsh, Director of Communications and Development, Pride Center of Vermont. • Justin Marsh in his office looking at his laptop. • A library with the word PRIDE on top of bookshelves. • Nancy Kaplan speaking. • Rainbow flag. • Justin Marsh speaking. • “All Are Welcome Here” banners in English and Spanish. • Justin Marsh with Chip Viau. • Chip Viau, Community Member. • Chip Viau walking. • Nancy Kaplan speaking. • Amelia Schossberg, Healthcare Advocate. • "Got It? Pap It!" cards and banner. • Justin Marsh speaking. • Amelia Schossberg with her dog. • Justin Marsh speaking. • Justin Marsh walking. • Chip Viau speaking. • Nancy Kaplan speaking. • Special Thanks: Nancy Kaplan, Justin Pentenrieder, Sue Kamp, Justin Marsh, Amelia Schossberg, Chip Viau, You First, Vermont Department of Health, Pride Center of Vermont, Planned Parenthood, Vermont Coalition of Clinics for the Uninsured, Community Health Centers of Burlington, Northern Tier Center for Health, Springfield Medical Care Systems, and National Breast and Cervical Cancer Screening Program. This video was produced and shot in accordance with CDC guidelines for the prevention of COVID-19 that were available at the time with great appreciation for all the participants and hope for a healthier future. The “Enhancing Cancer Program Grantee Capacity through Peer-to-Peer Learning” project is supported by the Centers for Disease Control and Prevention of the U.S. Department of Health & Human Services (HHS) as part of a financial assistance award totaling $850,000 with 100 percent funded by CDC/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CDC/HHS, or the U.S. Government. Script [Nancy Kaplan] Burlington, Vermont is a town where everybody knows everybody. And it's a place that under the surface, there are a lot of underlying issues, especially when you do public health. [Justin Pentenrieder] Broadly, we serve in the Burlington area, at least and some other parts of the state, a really diverse population. A lot of priority populations, including LGBTQ community, new Americans, refugees, migrant workers. Almost everything we do, we do through partnerships. They help us identify what the needs are in the community. We might think we know, but they actually are talking every day to their community members. [Justin Marsh] The Pride Center of Vermont is important to the community because we are the most comprehensive LGBTQ plus organization for the state of Vermont. [Nancy Kaplan] Working with an organization like the Pride Center was just fantastic. We were sort of trying to reach people that we had never thought about reaching before in a really authentic way. [Justin Marsh] So oftentimes, especially for trans or gender nonconforming folx, they don't know they're going to be received, welcomed, warmly, met with their proper pronouns and met with the type of care that they're needing. [Chip Viau] I think there's a lot of silence in the talk about health care, because there's a big stigma around the external being that you are given versus what's inside that needs to be looked at and the fear that goes along with being touched in places you don't want to be touched, and reminding you of the gender you don't feel you are, and being mis-gendered. [Nancy Kaplan] There are people who have breasts, and there are people who have a cervix who don't think of themselves as a lady. [Justin Marsh] For a trans man, it is stigmatizing to go to a gynecologist’s office. And you are the only man in the room. [Amelia Schossberg] It's about someone's experiences with discrimination, someone's risks or other health care conditions. What makes someone feel small, what makes someone feel powerful and comfortable. [Nancy Kaplan] They came up with this campaign that took the gender out of the parts. [Justin Marsh] So the "Got 'em? Screen 'em!" is really important because it takes the gender out of health care and really reduces it to your body. So what does your body have? What does your body need? And then when should you have those things looked at? Partnering with the You First program is really important because it allows us to diversify our programming, expand our health and wellness program and also educate the population. [Chip Viau] Seeing other people who you feel like are like you and have had your journey is really helpful. [Nancy Kaplan] You First is about you. You know, you take control of your health.