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momentum going. Now is the time for country managers to urge their ministries of health to move forward, to contact GAVI and request assistance, and to ask regional WHO offices to advocate for them. Finally, the entire cervical cancer prevention community must urge prioritization of cervical cancer prevention at high-level conferences, especially the UN High Level Summit that will take place in September 2011. Lobbying for Support from African Policymakers and Parliamentarians: The Uganda Experience Honorable Sarah Nyombi Member of Parliament, Uganda As a parliamentarian herself, the Honorable Sarah Nyombi proposed a strong agenda for parliamentarians in promoting cervical cancer prevention. These elected officials are ideally placed to facilitate and support formulation of policies and management guidelines; to support allocation of resources to reproductive health and cervical cancer prevention programs; to advocate for prioritization of women’s health on the national agenda; and to mobilize resources for these programs. Especially important strategies are involving men in the planning, and reaching out to the office of the President. Cervical cancer prevention activities in Uganda have brought many members of the Ugandan Parliament on board for support. The list of achievements includes the following: • Successful walk for cervical cancer awareness. • Free screening of women members of Parliament. • Government technical advisory committee has worked to streamline all efforts into a national cervical cancer prevention program. • Guidelines for prevention of cervical cancer have been developed. • Cervical cancer prevention has been included in the Uganda Health Sector Strategic Plan. • Parliament passed the Atomic Energy Bill, including a provision for importing a radiotherapy unit. • A BBC film was produced in conjunction with the PATH HPV vaccine project. • A petition was sent to GAVI to make HPV vaccine available. • Efforts on behalf of prevention programs have involved the office of the First Lady. Sometimes unexpected information is gained through these activities. In the free screening program for women in Parliament, some women confided that they were not comfortable going for a speculum examination. This fear is not confined to uneducated or rural women. Report of an African Regional Meeting on Cervical Cancer: September 2010 47
Challenges remain for keeping cervical cancer prevention efforts high on the list for Parliament. Among these are the full schedules of policymakers, limited involvement of men so far, and competing government priorities. The strategy going forward is to work for a comprehensive approach. Because awareness of the vaccine is increasing, we must also keep the importance of screening and treatment (particularly the screen-and-treat approach) in the public eye. Beyond advocating to both Parliament and the public, we must sensitize health workers in all departments to refer women for screening, and we should Cervical cancer prevention activities in Uganda have brought many members of the Ugandan Parliament on board for support. consider alternate screening methods such as mobile clinics and camps. Finally, we must involve international partners to scale up programs to the national level. Sam Basaba Report of an African Regional Meeting on Cervical Cancer: September 2010 48
Page 1 and 2: Report of an African Regional Meeti
Page 3 and 4: Table of Contents Foreword ........
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: Essential materials have been colla
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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