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PATH Mailing address: PO Box 900922 Seattle, WA 98109 Street address: 2201 Westlake Avenue Suite 200 Seattle, WA 98121 www.path.org/cervicalcancer Association of Obstetricians and Gynaecologists of Uganda Makarere College of Health Sciences Department of Anatomy Building 2 nd Floor, Rm C4 Kampala, Uganda P.O. Box 11966 www.sogc.org/aogu Ministry of Health of Uganda Plot 6, Lourdel Road P.O. Box 7272 Kampala, Uganda www.health.go.ug For more information, please contact: PATH Email: info@path.org Suggested citation: PATH. Report of an African Regional Meeting on Cervical Cancer. Improved Cervical Cancer Prevention: Planning Now for a Better Future, September 14–15, 2010, Kampala, Uganda. Seattle: PATH. Copyright © 2010, Program for Appropriate Technology in Health (PATH). All rights reserved. The material in this document may be freely used for educational or noncommercial purposes, provided that the material is accompanied by an acknowledgment line. Report of an African Regional Meeting on Cervical Cancer: September 2010 1
Table of Contents Foreword ....................................................................................................................................................... 4 Ministry of Health of Uganda .................................................................................................................... 4 World Health Organization Regional Office for Africa .............................................................................. 4 World Health Organization Uganda Country Office ................................................................................. 5 Association of Obstetricians and Gynaecologists of Uganda .................................................................... 5 Abbreviations ................................................................................................................................................ 6 Executive Summary ....................................................................................................................................... 7 Introduction .................................................................................................................................................. 9 Objectives .................................................................................................................................................. 9 Expected Results ..................................................................................................................................... 10 Conference Opening ................................................................................................................................... 11 Welcome ................................................................................................................................................. 11 Overview of Cervical Cancer Prevention Strategies for Africa ................................................................ 12 Welcome ................................................................................................................................................. 14 Uganda HPV Vaccine Demonstration Project ............................................................................................. 16 HPV Vaccines: Evidence for Impact......................................................................................................... 16 HPV Vaccine Demonstration Project Goal, Design, and Implementation ............................................... 18 Ibanda District Experience on the Implementation of the HPV Vaccination Demonstration Project ..... 19 HPV Vaccine Immunization in Nakasongola ........................................................................................... 20 HPV Vaccine Coverage in Uganda ........................................................................................................... 21 HPV Vaccine Acceptability ....................................................................................................................... 22 Feasibility of HPV Vaccination Implementation in Uganda .................................................................... 23 Program Costs of Two Delivery Strategies for HPV Vaccination in Uganda ........................................... 24 Uganda HPV Vaccine Demonstration Project: Lessons Learned ............................................................. 25 Country Experiences in Cervical Cancer Prevention ................................................................................... 28 HPV Vaccination Dissemination and Cervical Cancer Prevention Planning: Current Situation in Cameroon ................................................................................................................................................ 28 Ghana’s Experience in Cervical Cancer Control ....................................................................................... 29 Cervical Cancer Prevention in Lesotho .................................................................................................... 30 Cervical Cancer Prevention Program: The Experience from Tanzania .................................................... 31 Overview of Strategic Plan for Cervical Cancer Prevention and Control in Uganda, 2010–2014 ........... 32 Report of an African Regional Meeting on Cervical Cancer: September 2010 2
Page 1: Report of an African Regional Meeti
Page 5 and 6: Foreword Ministry of Health of Ugan
Page 7 and 8: Abbreviations ACCP AFRO AOGU CDP EP
Page 9 and 10: Several other countries reported va
Page 11 and 12: Expected Results • Deepened knowl
Page 13 and 14: Overview of Cervical Cancer Prevent
Page 15 and 16: WHO recommendations for care for wo
Page 17 and 18: Uganda HPV Vaccine Demonstration Pr
Page 19 and 20: HPV Vaccine Demonstration Project G
Page 21 and 22: This approach also presented a numb
Page 23 and 24: The coverage survey also asked pare
Page 25 and 26: Dr. Murokora and the research team
Page 27 and 28: Questions and Answers 1. What were
Page 29 and 30: Country Experiences in Cervical Can
Page 31 and 32: e used for advocacy and communicati
Page 33 and 34: Other initiatives include the follo
Page 35 and 36: • Coordination of services - Stre
Page 37 and 38: Encouraging Results from Expanded S
Page 39 and 40: Questions and Answers 1. Why has Ug
Page 41 and 42: strategies should be compatible wit
Page 43 and 44: The Unseen Forces Guiding the Cervi
Page 45 and 46: Questions and Answers A question ab
Page 47 and 48: Essential materials have been colla
Page 49 and 50: Challenges remain for keeping cervi
Page 51 and 52: Working Groups on Cervical Cancer P
Page 53 and 54:
Group 2: Lesotho, Malawi, and Zambi
Page 55 and 56:
services. However, the infrastructu
Page 57 and 58:
Next Steps Dr. Jean-Marie Dangou Me
Page 59 and 60:
Cervical Cancer Prevention Resource
Page 61 and 62:
Annex 1: Final Agenda Improved cerv
Page 63 and 64:
Agenda Day 1, September 14 8:00 PAR
Page 65 and 66:
Agenda Day 2, September 15 8:30 REV
Page 67 and 68:
Annex 2: List of Participants Camer
Page 69 and 70:
Uganda (continued) Dr. Cecilia Banu
Page 71 and 72:
Uganda (continued) Dr. Lorna Muhirw
Page 73 and 74:
Uganda (continued) Dr. Rachel Seruy
Page 75 and 76:
Annex 3: Cervical Cancer Rates Cerv
Page 77 and 78:
Annex 4: Situation Analysis SITUATI
Page 79 and 80:
SECTION III CERVICAL CANCER PREVENT
Page 81 and 82:
4. TREATMENT AND PALLIATIVE CARE 4.
Page 83 and 84:
Annex 5: Prioritization Exercise PR
Page 85 and 86:
Annex 6: Country Priorities, Activi
Page 87 and 88:
Lesotho Priorities • Advocacy, ge
Page 89 and 90:
Rwanda Priorities • Mass sensitiz
Page 91 and 92:
Uganda Priorities • Training at v
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