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SECTION V FINANCING 1.1. Is there a specific budget for the cervical cancer prevention and control program? 1.2. Is there collaboration from international/local agencies/organizations in support of the cervical cancer prevention and control program? Yes No Yes No If yes, list those organizations/agencies and the areas in which they work: 1.3. Do women need to pay out of pocket for cervical cancer screening tests? Completely 1.4. If the screening test shows an abnormal result, are women required to pay for the diagnostic tests (colposcopy and biopsy)? Partially Free of charge Completely Partially Free of charge 1.5. Do women need to pay out of pocket for cervical cancer treatment? Completely Partially Free of charge 1.6. Do women need to pay out of pocket for access to palliative care? Completely Partially Free of charge Comments: Report of an African Regional Meeting on Cervical Cancer: September 2010 81
Annex 5: Prioritization Exercise PRIORITIZATION EXERCISE Once the analysis of the cervical cancer prevention and control program components is completed in the previous sections, conduct a general assessment of the situation. Complete the following questions by checking one of the four options: - H: High: M: Moderate; L: Low; U: Unknown - VG: Very good; G: Good; NI: Needs improvement; U: Unknown 1.1. The cervical cancer burden in your country: High = > 87.3 / 100,000 Medium = 25.8 to 87.3 / 100,000 H M L U Low = < 25.8 / 100,000 1.2. The need to improve women’s health services: Examples: screening for breast cancer, hypertension, diabetes, domestic violence… H M L U 1.3. The need to improve adolescent health services: Examples: immunization against tetanus, rubella, hepatitis B, measles; deworming; distribution of bed nets for malaria prevention; treatment for schistosomiasis, onchocerciasis, filariasis and trachoma; iron and/or iodine supplementation; education H M L U about: hand washing; alcohol, tobacco and drug use; life-skills; body-awareness; sexual health… 1.4. The potential for receiving support from external and collaborating organizations is: H M L U 1.5. How would you rate current screening policies? Do current policies support or inhibit improved screening and treatment programs? VG G NI U 1.6. The success of current screening policies is: H M L U 1.7. How would you rate the current policies on adolescent immunization? Do current policies support or inhibit adolescent vaccination programs? VG G NI U 1.8. The success of current adolescent immunization policies is: H M L U 1.9. Political interest in improving cancer control is: To what extent has the government committed to cancer control? 1.10. Political interest in improving cervical cancer control is: To what extent has the government committed to cervical cancer control? H M L U H M L U Personal assessments 1.11. What is the possibility that the government will finance the strengthening of screening services? 1.12. What is the possibility that the government will finance HPV vaccine introduction? 1.13. The feasibility of strengthening screening programs in the coming years is: 1.14. The feasibility of introducing HPV vaccination programs in the coming years is: H M L U H M L U H M L U H M L U Report of an African Regional Meeting on Cervical Cancer: September 2010 82
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Report of an African Regional Meeti
Page 3 and 4:
Table of Contents Foreword ........
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Foreword Ministry of Health of Ugan
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Abbreviations ACCP AFRO AOGU CDP EP
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Several other countries reported va
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Expected Results • Deepened knowl
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Overview of Cervical Cancer Prevent
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WHO recommendations for care for wo
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Uganda HPV Vaccine Demonstration Pr
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HPV Vaccine Demonstration Project G
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This approach also presented a numb
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The coverage survey also asked pare
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Dr. Murokora and the research team
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Questions and Answers 1. What were
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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: 4. TREATMENT AND PALLIATIVE CARE 4.
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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