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In addition to the MOH departments, ministries of finance must also be brought on board. Program
managers must learn to work with health economists, because frequently government officials in the
ministry of finance will want to have cost analyses. Crafting these messages carefully is important.
Further, managers or champions must lobby various stakeholders. One suggestion was to set up a
sensitization meeting for several members of parliament. Another recommendation was to lobby
manufacturers as a regional block, for example, an East Africa block, in order to reduce HPV vaccine
prices.
Finally, once a country has put forward a strategic plan for cervical cancer prevention, the plan must be
shared and promoted throughout the MOH, with regional hospitals, with other stakeholders, and with
colleagues in other countries.
Listed below are some “wish list” priorities from the discussions.
Kenya
• Expansion of screening services to level 2 health centers.
• Training more level 2 and 3 health workers on VIA/VILI.
• Provide rural health facilities with VIA/VILI equipment and cryotherapy machines.
• Have a national budget line on cervical cancer prevention and control.
• Improved cervical cancer registry at the national level.
Tanzania
Uganda
• Advocacy for cervical cancer prevention.
• HPV vaccination.
• Screening for cervical cancer.
• Training at various levels:
– Training of trainers
– Pre-service
– In-service
• Establish practice environment (i.e., a room, privacy, good light, basic equipment needed).
• Resource commitment/mobilization from the various stakeholders.
• Suggested catalysts to aid in mobilizing reproductive health, chronic diseases, and immunization
services: UNEPI, Save a Woman Initiative, PATH, and AOGU.
• Continued advocacy.
Report of an African Regional Meeting on Cervical Cancer: September 2010 51