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Malawi Priorities • Screening. • Management of treatment. • Referral. • HPV vaccine. • Palliative care. Activities SHORT TERM • Form a technical working group. • Sensitize policymakers and politicians. • Strengthen screening sites. • Revitalize training. MEDIUM TERM • Develop IEC materials. • Improve data management. • Intensify monitoring and evaluation activities. LONG TERM • Introduce palliative care services. • Develop a cancer policy that includes cervical cancer prevention services. • Introduce HPV vaccines through GAVI (or donor). • Establish a cancer center. • Train clinicians and doctors. • Establish histopathology. Technical support • Implementing HPV vaccination. • Establishing a cancer center. • Training clinicians and histopathologists. Challenges • Lack of cancer policy. • Inadequate human resources. • Inadequate funding. • Lack of histopathology laboratory. • Inadequate equipment. Report of an African Regional Meeting on Cervical Cancer: September 2010 87
Rwanda Priorities • Mass sensitization through community education and advocacy. • Prevention of HPV infection (primary prevention). • Screening and treatment of precancerous lesions (secondary prevention). • Treatment of cervical cancer. • Palliative care services of women with advanced cervical cancer. • Monitoring and evaluation, and operational and basic science research. Activities SHORT TERM • Adopt national cervical cancer screening treatment and prevention policy standards and guidelines, and a five-year strategic plan. • Raise awareness and advocacy for cervical cancer prevention and treatment. • Build institutional and technical capacity at district and national referral hospitals. MEDIUM TERM • Primary prevention (immunization against HPV). • Secondary prevention (screening and treatment of precancerous lesions). • Establish reporting, monitoring, and evaluation of services provided at each facility, including AEFI surveillance and injection safety. • Palliative care. LONG TERM • Increase access to cervical precancer screening and treatment services by integrating them into the routine package of clinical services. • Monitoring and evaluation by conducting research that will inform program decision-making and improvement. Technical support • Administrative (tools for advocacy, social mobilization, guidelines, policies). • Training (capacity building). • Infrastructure development. • Monitoring, evaluation, and research. Report of an African Regional Meeting on Cervical Cancer: September 2010 88
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Report of an African Regional Meeti
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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
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e used for advocacy and communicati
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Other initiatives include the follo
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• 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: Lesotho Priorities • Advocacy, ge
Page 91 and 92: Uganda Priorities • Training at v
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