Empowering Rural Communities: Claudia Hardy’s Mission to Improve Cancer Care Access


11/28/2023


Claudia Hardy has found her calling in life. As the Director of Community Health Access and Relations for the O’Neal Comprehensive Cancer Center at the University of Alabama at Birmingham, the state’s only National Cancer Institute-Designated Cancer Center, she brings cancer resources and preventive care to communities in Alabama’s Black Belt, much like the one she was raised in.

“In our rural communities, there are no Ubers or other public transportation systems, so being able to get to a healthcare facility is hard,” Claudia explains. “But even if we’re able to physically get to a facility, we still need to understand the difficult medical lingo and have the correct insurance to be able to access comprehensive treatment.”

Her personal experience with these rural areas gives Claudia an advantage in understanding what’s needed. Many rural cities may only have a dollar store where people get their groceries. “I grew up here. At the time, I didn’t realize I was living in a medically underserved area and a food desert,” she reflects.

Claudia is always learning more about what these limitations mean, especially for Black women. When her sister-in-law was diagnosed with breast cancer, Claudia was initially puzzled by her decision to receive medical care in Montgomery, instead of commuting to Birmingham, where Claudia works.

“She could get leading-edge cancer care at our center, but she decided not to travel the 120 miles round trip.” she says. “After my sister-in-law went through more than 40 rounds of daily radiation treatments, I understood why she chose to go to the place closer to her.”

Her sister-in-law’s choices highlighted the barriers facing Black women with breast cancer who live in rural counties. Concerned that not enough was being done to reach these communities, Claudia developed a new program to provide early breast cancer education and screening for Black women in rural areas of Alabama’s Black Belt.

As part of Gilead’s ongoing commitment to advancing health equity and addressing barriers to care in communities with the greatest unmet needs, a Gilead community oncology grant supported Claudia’s launch of A Family Affair this year.

A Family Affair’s mission is to provide support for Black breast cancer survivors and their family members, especially those at high risk of the disease, across the healthcare journey – from screening to survivorship. Claudia’s team of about 30 community health advisors and coordinators, also known as “natural helpers,” are trusted individuals who bring tailored support and resources to their own communities. They’re connected to 26 counties in rural Alabama and Mississippi that each have unique needs, but the natural helpers all have in common a devotion to their community.

“What I hope to do with A Family Affair is to share resources with Black women who have gone through breast cancer, particularly in these rural communities,” says Claudia. “And I want to bring in experts who can teach them things that’ll hopefully have a long lasting impact on their lives.”