Priority Program Research Articles

Development of a model-based modular building kit for sensor-integrating machine elements—Theory and application

AbstractIn the Priority Program 2305 of the German Research Foundation, so-called Sensor-integrating Machine Elements (SiME) are to be developed. These are essentially highly standardized components with integrated microelectronics. The present article presents the development of a model-based construction kit to support the design of integrated sensor systems for these new machine elements. A methodical procedure for collecting the development data required for modeling the modular building kit for SiME is presented and applied to four different cases within the project. Use cases, product structure and module diagrams were recorded and modeled for the machine elements screw, gear, coupling and feather key. These are then linked in SysML models to enable sensor systems for SiME to be configured in line with requirements. The modeling of the system architectures deepens the understanding of the underlying mechatronic system architecture and supports the identification of differentiation features as well as synergy potentials.

Awareness Regarding Adolescent Sexual and Reproductive Health Among School Students in Nepal: A Cross-Sectional Study

Adolescent sexual and reproductive health (ASRH) is a priority program in Nepal, yet significant knowledge gaps persist among adolescents. This study aimed to assess the awareness of ASRH among school adolescents and identify factors that influence their knowledge. A cross-sectional study was conducted at Bageshowari Higher Secondary School in Bhaktapur Municipality, Nepal, involving 330 students aged 14-18 years. Participants were selected using a probability simple random sampling method. Data were collected using a self-administered structured questionnaire that covered pubertal changes, sexually transmitted infections, family planning, and abortion. Descriptive statistics and chi-square tests were used for data analysis. The results revealed that 54.8% of adolescents demonstrated adequate ASRH awareness. Age was a significant factor, with older adolescents (≥16 years) showing higher awareness (46.6%) compared to younger adolescents (8.1%). Gender differences also existed, with females demonstrating higher awareness (35.1%) than males (19.6%). Ethnicity influenced awareness, with advantaged Janajatis showing higher awareness (31.1%). Grade-wise analysis indicated that awareness increased with higher grades, peaking at grade twelve (19.4%). Domain-specific analysis revealed the highest awareness for sexually transmitted infections (83.9%) and the lowest for abortion (35.2%). The study concluded that while ASRH awareness was moderate, there are significant gaps, especially concerning abortion. The findings suggest the need for targeted interventions, particularly for younger adolescents and male students, and recommend incorporating ASRH topics into school curricula along with specialized awareness programs focusing on underperforming areas.

Strategic program management: Performance accountability driving use in national governments

AbstractStrategic program management (SPM) is an approach for advancing the aspirations of programs and their impact. While programs are omnipresent in government, concerns exist that they are not always strategically managed. Studies that examine SPM are lacking. This study defines and conceptualizes SPM, examines it in two national governments (Brazil and Indonesia), and focuses on felt performance accountability as a driver of SPM use. SPM use is highly uneven, and despite concerns about the effectiveness of performance accountability in the public sector, a key finding is that program managers' felt performance accountability is associated with increased SPM use by program officials. Managers' performance accountability also increases political appointees' support for programs and decreases their interference with program priorities. These findings are important because they provide a means for program officials, typically civil servants, to strengthen the strategic direction of public programs. Recommendations are made for strengthening the performance accountability of managers.

The Relevance of Determining A CSR Program Based On SDGS: Management Perspective

Sustainability Development Goals (SDGs) are very important for companies in achieving their goals. This research aims to determine management's perspective in integrating the SDGs concept which is reflected in the preparation of the company's CSR program. This research uses a qualitative method through case study approach. This research found that PT KIE carried out several program priorities for sustainability based on material aspects. There is alignment of CSR programs with sustainability goals and there are some that are not included in the Sustainability report. Furthermore, there are two things to measure integration within the company, namely linking sustainability to the company's vision and mission and relationships with company partners and government, so society benefits can increase value for stakeholders. PT KIE has reported a separate sustainability report from the company's annual report. Monitoring and evaluation reports are needed to support the company CSR programs.

Quality traits drive the enrichment of Massilia in the rhizosphere to improve soybean oil content

BackgroundSoybean seeds are rich in protein and oil. The selection of varieties that produce high-quality seeds has been one of the priorities of soybean breeding programs. However, the influence of improved seed quality on the rhizosphere microbiota and whether the microbiota is involved in determining seed quality are still unclear. Here, we analyzed the structures of the rhizospheric bacterial communities of 100 soybean varieties, including 53 landraces and 47 modern cultivars, and evaluated the interactions between seed quality traits and rhizospheric bacteria.ResultsWe found that rhizospheric bacterial structures differed between landraces and cultivars and that this difference was directly related to their oil content. Seven bacterial families (Sphingomonadaceae, Gemmatimonadaceae, Nocardioidaceae, Xanthobacteraceae, Chitinophagaceae, Oxalobacteraceae, and Streptomycetaceae) were obviously enriched in the rhizospheres of the high-oil cultivars. Among them, Oxalobacteraceae (Massilia) was assembled specifically by the root exudates of high-oil cultivars and was associated with the phenolic acids and flavonoids in plant phenylpropanoid biosynthetic pathways. Furthermore, we showed that Massilia affected auxin signaling or interfered with active oxygen-related metabolism. In addition, Massilia activated glycolysis pathway, thereby promoting seed oil accumulation.ConclusionsThese results provide a solid theoretical basis for the breeding of revolutionary soybean cultivars with desired seed quality and optimal microbiomes and the development of new cultivation strategies for increasing the oil content of seeds.7196FtKvsnPuUrhB77D9vLVideo

Application of an implementation premortem: A novel qualitative approach leveraging prospective hindsight to enhance barbershop health interventions for Black men.

Barbershop-based efforts to promote health among Black men have been uniquely successful. Despite the success of these efforts, the emphasis on outcomes as opposed to how these outcomes can be achieved has created a gap in the literature. The present study addresses this gap by describing implementation-related program priorities that Black men identify for barbershop-based interventions. Twenty-three Black men participated in implementation premortem activities. Participants were: (i) given details about a barbershop-based health promotion effort, (ii) told that the effort had failed, and (iii) were asked to identify potential sources of program failure and strategies to overcome those challenges. The frequency of program priorities was calculated based on the Exploration, Preparation, Implementation, and Sustainment (EPIS) Framework, and focus group data were analyzed using an inductive thematic qualitative data analytic approach. Data analyses occurred in three phases: (i) excerpts were grouped by Phase, Domain, and Construct of the EPIS Framework; (ii) themes within each excerpt were then identified using an inductive approach; and (iii) themes were organized into conceptually similar and parsimonious categories. Participants suggested that the biggest source of program failure was that more attention needed to be paid to Program Fit during the Implementation Phase. Participants reported concerns with the accessibility and convenience of the effort. Additional participant concerns included economic issues, community ownership, climate, staffing processes, cultural sensitivity, engagement, and trust. The implementation of health promotion programs for Black men should pay particular attention to how the intervention fits the needs, lives, and contexts of potential participants.

Gereja Katolik dan Pengentasan Pengangguran Pemuda di Era Bonus Demografi

Youth unemployment in Indonesia remains notably high at 9.25%, posing a potential threat to the optimal utilization of the demographic dividend anticipated to peak by 2030. This research seeks to explore how the Catholic Church can contribute to addressing youth unemployment during this critical period. By employing the theoretical framework of Catholic social teaching—focusing on the principles of human dignity, solidarity, and integral justice—the study examines the Church's role, potential, and concrete opportunities in mitigating youth unemployment, and provides recommendations for key programs. A qualitative approach is used, involving a literature review of Catholic social teaching documents and analysis of secondary data. The study's findings suggest that the Catholic Church holds strategic potential through its extensive network of parishes and institutions to assist in resolving the youth unemployment issue. Suggested priority programs include skills training, educational scholarships, job fairs, the establishment of youth empowerment institutions, vocational schools, research centers, and business incubators. Effective cross-sector collaboration is crucial to ensuring that these Church-initiated programs function efficiently and offer long- term benefits to Indonesian youth, helping them seize the opportunities presented by the 2030 demographic bonus. This research adds to the understanding of the potential contributions of religious institutions in addressing contemporary socio-economic challenges and opens avenues for further study on the intersection of religion, public policy, and economic development within the framework of Indonesia‘s demographic dividend.

The Relationship Between Nutritional Status And The Development Of Children Aged 4-60 Months

Child development is an important aspect of human life, especially in the early period of life, which is often referred to as the critical or golden period as the child's brain undergoes rapid growth. Developmental disorders in children under five, especially in terms of motor skills, have a long-term impact on their development, and a child's nutritional status has been shown to play a role in the process. Therefore, this study aims to determine the relationship between nutritional status and development of children aged 4-60 months in Jember Regency. The research method used was a quantitative correlational approach with a cross-sectional approach, involving a total of 57 children who had a Kartu Menuju Sehat (KMS) as the population. From the results of the formula calculation, the sample size was determined as 50 respondents using a non-randomized (non-probability) method, namely purposive sampling based on certain criteria. The research instruments involved the Kartu Menuju Sehat (KMS) to assess children's nutritional status and the Developmental Pre-Screening Questionnaire (KPSP) to identify children's development. The results of the chi-square statistical test revealed a significant relationship between nutritional status and development of children aged 4-60 months in Jember District. [ Children with good nutritional status show more optimal developmental progress, while children with poor nutritional status tend to experience slower or inappropriate development for their age. This finding supports theories that emphasize the importance of adequate nutrition for children's growth and development. Therefore, efforts to improve children's nutritional status should be a top priority in various child health and education programs. With the right understanding and action, we can help create a healthier and more potential future generation.

Test anxiety and coping strategies among university students an exploratory study in the UAE

Test anxiety is a widespread problem among university students, with negative consequences for their social, physical, and academic well-being. Therefore, students may engage in activities that might alleviate anxiety symptoms, including taking medication. The study aimed to identify factors affecting test anxiety among medical and non-medical students during examination period and their coping approaches. A cross-sectional study was conducted using a survey to collect data. The westside test anxiety scale was used to measure the students’ anxiety levels. Univariate and post hoc analyses were used. The number of participants was 925 from 14 colleges, and 82.9% of them were female. The results indicated that the test anxiety was moderately high. Young students, females, junior students, and students with low cumulative grade point averages (cGPAs) has statistically significant high test levels with p-values 0.042, 0.01, < 0.001, and < 0.001, respectively. Most students used multi methods to cope with anxiety. The most common non-pharmacological coping approaches are praying (59.5%), drink caffeine and/or energy beverages (49.6%). Only a few students (6.6%) used medications to cope with test anxiety, with only 2.2% using propranolol. The study concluded the test anxiety was a common among university students and an action should be taken to reduce the anxiety level. The priority of support programs should target females, young students, and those with low cGPA. In addition, there is a need to raise awareness among students to reduce caffeine and energy drinks consumption, maintain enough and quality sleep during this period and avoid using medication without expert advice.

OPTIMALISASI PENGUATAN NILAI-NILAI MODERASI BERAGAMA MELALUI AKSI GOTONG ROYONG MENYAMBUT HUT RI KE 79 DI DESA TARUSAN DANUM

KKN Nusantara Religious Moderation is a priority program of the Ministry of Religion of the Republic of Indonesia which was initiated through collaboration with various universities in Indonesia, in order to maximize the value of tolerance in society. KKN Nusantara Religious Moderation in 2024 was implemented in Central Kalimantan, precisely in Katingan Regency, by sending 12 groups to different villages with programs that could foster an attitude of tolerance in society. The purpose of KKN NMB is to build a commitment to community understanding related to the values ​​of religious moderation within the framework of Bhineka Tunggal Ika. The KKN NMB community service method uses the PAR Participatory Action Research type or community participation action research in Tewang Rangkang Village. The results of the NMB KKN activities show that the strengthening of the values ​​of religious moderation in the Tarusan Danum Village community on a scale of change is slightly better than before the arrival of the NMB KKN, especially through mutual cooperation actions to enliven the 79th Anniversary of the Republic of Indonesia. As for community participation towards being pro-active again with a commitment in each respective place of worship (Islam, Christianity and Hinduism) willing to carry out and implement the values ​​of religious moderation. Thus, the realization of the priority program of the Ministry of Religion together with PTK Nusantara is able to have a massive and sustainable impact on society

Equitable community-based participatory research engagement with communities of color drives All of Us Wisconsin genomic research priorities.

The NIH All of Us Research Program aims to advance personalized medicine by not only linking patient records, surveys, and genomic data but also engaging with participants, particularly from groups traditionally underrepresented in biomedical research (UBR). This study details how the dialogue between scientists and community members, including many from communities of color, shaped local research priorities. We recruited area quantitative, basic, and clinical scientists as well as community members from our Community and Participant Advisory Boards with a predetermined interest in All of Us research as members of a Special Interest Group (SIG). An expert community engagement scientist facilitated 6 SIG meetings over the year, explicitly fostering openness and flexibility during conversations. We qualitatively analyzed discussions using a social movement framework tailored for community-based participatory research (CBPR) mobilization. The SIG evolved through CBPR stages of emergence, coalescence, momentum, and maintenance/integration. Researchers prioritized community needs above personal academic interests while community members kept discussions focused on tangible return of value to communities. One key outcome includes SIG-driven shifts in programmatic and research priorities of the All of Us Research Program in Southeastern Wisconsin. One major challenge was building equitable conversations that balanced scientific rigor and community understanding. Our approach allowed for a rich dialogue to emerge. Points of connection and disconnection between community members and scientists offered important guidance for emerging areas of genomic inquiry. Our study presents a robust foundation for future efforts to engage diverse communities in CBPR, particularly on healthcare concerns affecting UBR communities.

Community-Based Health Information Systems in Africa: A Scoping Review of Data Generation, Utilization, and Community Empowerment

Introduction The community-based health information system (CBHIS) is a vital component of the community health system, as it assesses community-level healthcare service delivery and generates data for community health programme planning, monitoring, and evaluation. CBHIS promotes data-driven decision-making, by identifying priority interventions and programs, guiding resource allocation, and contributing to evidence-based policy development. Objective This scoping review aims to comprehensively examine the use of CBHIS in African countries, focusing on data generation, pathways, utilisation of CBHIS data, community accessibility to the data and use of the data to empower communities. Methods We utilised Arksey and O'Malley's scoping review methodology. We searched eight databases: PubMed, EMBASE, HINARI, Cochrane Library, Web of Science, Scopus, Google Scholar, and grey literature databases (Open Grey and OAIster). We synthesised findings using a thematic approach. Results Our review included 55 articles from 27 African countries, primarily in Eastern and Southern Africa, followed by West Africa. Most of the studies were either quantitative (42%) or qualitative (33%). Paper-based systems are primarily used for data collection in most countries, but some have adopted electronic/mobile-based systems or both. The data flow for CBHIS varies by country and the tools used for data collection. CBHIS data informs policies, resource allocation, staffing, community health dialogues, and commodity supplies for community health programmes. Community dialogue is the most common approach for community engagement, empowerment, and sharing of CBHIS data with communities. Community empowerment tends towards health promotion activities and health provider-led approaches. Conclusion CBHIS utilises both paper-based and electronic-based systems to collect and process data. Nevertheless, most countries rely on paper-based systems. Most of the CBHIS investments have focused on digitisation and enhancing data collection, process, and quality. However, there is a need to shift the emphasis towards enabling data utilisation at the community level and community empowerment.

Application of Apriori to Determine Correlations between Source Competencies Human Resources with Education and Working Period

Human resource competence (HR) is a key factor in supporting organizational performance. Referring to several problems in the Binjai City BKD, such as there is a difference between the competencies possessed by employees and the competencies needed to carry out their duties and responsibilities effectively, the placement of employees that are not in accordance with the competencies, the absence of a system to map and monitor employee competencies can cause difficulties in identifying development needs, as well as in the placement of appropriate employees. Employee competency mapping is relevant in the implementation of human resource management, both in planning, development and employee placement activities. Therefore, it is necessary to carry out competency mapping that can be used for various human resource management needs and this is in accordance with the priority program that will be carried out in the 2025 RKPD, namely improving the quality of innovative human resources. This study uses a priori algorithm with the Rapidminer application to be able to provide correlation results of human resource competencies. From the results of the research, a correlation was formed between human resource competence and education and work period, namely 8 association rules and the highest best rule was obtained with support of 32% and confidence value of 99.4%.

Clinicians' priorities for exercise programming for people receiving peritoneal dialysis: Qualitative content analysis from an international survey.

Exercise and physical activity have been shown to improve health outcomes among people receiving peritoneal dialysis (PD), however, little is known about PD clinicians' perceptions and practices regarding exercise counselling. To inform exercise program design and implementation, we distributed a cross-sectional online questionnaire to PD clinicians between July and December 2021 through professional nephrology societies and networks. As part of this survey, participants were asked, "What are the most important aspects you would like to see incorporated in an exercise program for PD patients?" Six hundred and nine respondents provided 1249 unique perspectives. Responses were coded using summative content analysis and grouped into themes. The overarching theme identified was the need for individualized and accessible programming. Under this umbrella, the four main sub-themes identified were: promotion of specific exercises, overcoming common barriers to exercise, perceived cornerstones of exercise prescriptions, and program design to address patient-relevant outcomes. Overall, PD clinicians believed that PD does not preclude exercise participation and recognized the potential for exercise to improve physical, mental, and social well-being. The involvement of exercise professionals was valued in PD clinical programs. However, additional education for practitioners and patients regarding safety and the benefits of exercise is required to assist in widespread implementation and acceptance of exercise programming in the PD population.

Civil society, local government and rural health in an eastern Indian state

ABSTRACT This paper explores how civil society mobilization makes a difference in local government performance in delivering rural healthcare. The study was carried out during 2019–2020 in tribal-dominated Nilgiri and Daringbadi blocks of Odisha state in eastern India. Civil society activism is found to interject more programmatic priorities into local governance of health in Nilgiri than in Daringbadi. Success in Nilgiri is linked to its history of subaltern mobilization, the organizational efforts of a pro-poor political party and a comparatively mobilized civil society. Conversely, failure in Daringbadi is linked to a fractured community, little if any history of civil society mobilization and hegemony of the ruling party which uses local government to advance its own political agenda.

Childhood tuberculosis outcomes and factors associated with unsuccessful treatment outcomes in selected public hospitals of Lusaka Zambia from 2015 to 2019.

Treatment outcomes of tuberculosis in children are rarely evaluated. Childhood tuberculosis has been a low priority for tuberculosis programs due to difficulties in diagnosis and treatment. This study evaluated childhood tuberculosis outcomes and factors associated with unsuccessful treatment outcomes in selected public hospitals in Lusaka, Zambia from 2015 to 2019. This was a cross-sectional study conducted in eight public hospitals in Lusaka. All children aged 0-14 years, treated with tuberculosis and had treatment outcomes evaluated were included. The WHO tuberculosis treatment outcomes were grouped into successful treatment outcome (cured, treatment completed) and unsuccessful treatment outcome (death, loss to follow-up, failure). Taking unsuccessful treatment outcome as the outcome variable, logistic regression models were performed. All analyses were done at a 95% confidence interval. Out of 2,531 children managed for TB from 2015 to 2019, only 1,495 (59.1%) had treatment outcomes evaluated. Out of 1,495 participants, majority were 5 to 14 years old (50.9%), males (51.1%), HIV-negative (58.7%), and had pulmonary tuberculosis (74.2%). Bacteriological tests were performed on 59.8% of children, where 21.6% had positive bacteriological results. Bacteriologically confirmed TB was higher in children over 5 years (29.5%), pulmonary TB (25.6%), and retreatment (28.6%). The majority of children (84.2%) completed treatment, while 10.7% were cured, 1.5% were lost to follow-up, 3.1% died, and 0.5% failed treatment. Overall, unsuccessful treatment outcome was 5.1% while successful treatment outcome was 94.1%. Extrapulmonary tuberculosis was associated with unsuccessful treatment outcomes (AOR 1.64; 95% CI: 1.02-2.62). The tuberculosis successful treatment outcome met the World Health Organization's threshold goal of 90%. Children with extrapulmonary tuberculosis should be targeted as a high-risk group to improve treatment outcomes. Tracking children whose treatment outcomes were not evaluated would provide more precise estimates of TB treatment outcomes.

Synthesis of 2‐Substituted Bicyclo[2.1.1]Hexan‐1‐ols via SmI2‐Mediated Reductive Cyclization Reactions

AbstractThe replacement of benzene rings with saturated bioisosteric counterparts is a key priority in drug discovery programs, and disubstituted bicyclo[2.1.1]hexanes have been recognized as flexible molecular scaffolds that could act as ortho‐substituted benzene bioisosteres. In this study, we outline the synthesis of a wide range of 2‐substituted bicyclo[2.1.1]hexan‐1‐ols, which have the potential to emulate ortho‐phenolic derivatives, via SmI2‐mediated reductive cyclization reactions. The synthetic utility of this methodology was exemplified by the preparation of several saturated analogs of pharmaceutically relevant compounds.

GROWTH MONITORING TRAINING AND CHILD DEVELOPMENT FOR PRESCHOOL TEACHERS IN THE FRAMEWORK OF STUNTING OVERCOMING

The prevalence of stunting in Indonesia fell from 24.4% in 2021 to 21.6% in 2022. The stunting figure is still quite high compared to the government's target of 14% in 2024. Stunting is one of the government's priority programs, considering the impact of stunting on the quality of human resources is very large. PAUD/Kindergarten teachers academically have the potential intellectual abilities to provide input on the importance of children's growth, in addition to children's abilities or intelligence. The service activities aim to increase the capacity of PAUD/TK teachers in monitoring children's growth and development according to standards The activity method is training in monitoring the growth and development of early childhood. Activities in collaboration with partners, namely HIMPAUDI, Sunyaragi District and Sunyaragi Community Health Center, Cirebon City. Collaboration by sharing resources between study programs and partners. The measuring parameters use the pre-post knowledge and ability values ​​of participants in carrying out practical assignments to monitor growth and development in child cases. This activity is expected to increase the capacity of PAUD teachers in monitoring the growth and development of their students according to standards. This activity was carried out at the HIMPAUDI Secretariat, Cirebon City, attended by 25 PAUD teachers representing 5 (five) sub-districts in Cirebon City. As a result of this training activity, PAUD teachers understand better about anthropometric measurements, growth and development of early childhood based on the results of the pre and post test scores carried out. The teachers were very enthusiastic about participating in the training until it was finished. The outputs that have been created are training modules, activity videos, publication drafts in newspaper media and publication journals in the Community Service Journal in the process of being prepared.

Effect of an oncology care management program on ED visits in a rural Medicaid population.

175 Background: Optum’s Cancer Support Program (CSP) provides care management to members with cancer diagnoses facing healthcare barriers. CSP nurses educate members on symptom management, palliative care and advance care planning, address psychosocial needs and close gaps in care. Improving health equity and outcomes is a program priority. In 2023, Optum analyzed outpatient claims for 24,221 Medicaid members with cancer and found that rural members visit emergency departments (ED) 31% more than urban members. As part of a CSP quality and outcomes assessment, we aimed to understand CSP’s impact on ED utilization within a high-risk rural Medicaid population. Methods: Beginning 1/1/23, Medicaid members in rural zip codes with an active cancer diagnosis were stratified as high- or low-risk based on diagnosis and clinical factors. High-risk members were invited to participate in CSP and receive individualized telephonic care management. 2023 outpatient medical claims were evaluated, and rural ED visit rates were compared for high-risk CSP participants and non-participants for approximately 4 months (average CSP engagement) after CSP enrollment or identification (non-participants). Population demographics were tested via a Mood's median test; ED visits per thousand members per year (PTMPY)—engaged, non-engaged, and difference in means—was tested via a 10,000-iteration bootstrap. Results: The study population included 421 members stratified as high-risk. Of those, 38% (161) enrolled in CSP. Reasons for non-enrollment included inability to reach the member (61%) and member refused (39%). There were no statistically significant differences between the groups’ demographic composition (all variables had p ≥ 0.05). Under a 10,000-iteration bootstrap, there were 2,696 ED visits PTMPY, 80% CI [2,258, 3,150] in the participant group and 3,427 ED visits PTMPY, 80% CI [2,904, 3,974] in the non-participant group. The difference in means between the groups was 730 ED visits PTMPY, 80% CI [52, 1,421]. Conclusions: Rural Medicaid members enrolled in CSP experienced lower ED visit rates, suggesting that care management may be effective at reducing ED utilization within rural populations that lack access to wraparound oncology services. Limitations of this study include small sample size and potential enrollment bias. Further analysis is underway to increase the study sample size and identify other factors that may be impacted by care management, thereby improving healthcare equity.

The Cancer Equity Compass: Interactive maps showing the association between social determinants of health and cancer disparities.

149 Background: Cancer incidence and mortality in Black, Hispanic and Native American populations is over twice that in the White population for some prevalent cancers. A new, publicly available mapping tool, the Cancer Equity Compass (CEC), was developed to inform data-driven initiatives to improve equity by identifying community factors associated with cancer disparities. The tool is comprised of interactive maps that visually reveal correlations between two variables. Development of the tool began with assembling a group of nine advisors with expertise in cancer prevention, treatment and health equity. These experts inform the strategy, data sources, variables of interest, and stakeholder value propositions for the CEC. Methods: The data source for the CEC is a national, multi-level database developed using individual, health system, and community data, aggregated by county. For the three most common cancers in the U.S., breast, prostate and lung, screening and prevalence rates were collected from 2021 Medicare 5% research identifiable files and mortality rates from 2020 SEER Medicare rates. These metrics were each mapped with a variety of social determinants of health (SDOH) variables. Population rates for minorities, education, poverty, income and unemployment, and an air quality measure were from the Area Health Resources File. Environmental risks were derived from the Environmental Justice Index and included environmental burden (ranked 0-17 for pollution, toxic sites, built environment, transportation infrastructure and water pollution), air pollution (ranked 0-4), and social vulnerability (ranked 0-14 across socioeconomic variables). Results: Each map includes one cancer metric and one SDOH variable. Each variable is stratified to show the top quartile, middle 50%, and bottom quartile. The choropleth heat maps, created on Tableau, display 9 colors representing each combination of the three levels (&gt;75%, 25-75%, &lt;25%) for both mapped variables. The CEC currently has 140 maps presenting visualizations of county SDOH associations with cancer disparities. Conclusions: The expert advisors on the project have outlined four avenues for the CEC to aid efforts to improve cancer equity: 1) Enhance diversity in clinical trial recruitment and data registries through targeted site recruitment; 2) Identify high opportunity targets for improving equity and informing solutions; 3) Identify common correlates of disparities within and across U.S. counties to direct priorities for national policy and programs for large-scale impact; and 4) Measure change to support improvement efforts and report impact of equity initiatives. The CEC will be expanded with additional measures including healthcare access. The goal is use by stakeholders and changemakers who can apply the reported data to fuel advocacy efforts and enact positive change.