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Rwanda<br />

Priorities • Mass sensitization through community education and advocacy.<br />

• Prevention of HPV infection (primary prevention).<br />

• Screening and treatment of precancerous lesions (secondary prevention).<br />

• Treatment of cervical cancer.<br />

• Palliative care services of women with advanced cervical cancer.<br />

• Monitoring and evaluation, and operational and basic science research.<br />

Activities<br />

SHORT TERM<br />

• Adopt national cervical cancer screening treatment and prevention policy standards<br />

and guidelines, and a five-year strategic plan.<br />

• Raise awareness and advocacy for cervical cancer prevention and treatment.<br />

• Build institutional and technical capacity at district and national referral hospitals.<br />

MEDIUM TERM<br />

• Primary prevention (immunization against HPV).<br />

• Secondary prevention (screening and treatment of precancerous lesions).<br />

• Establish reporting, monitoring, and evaluation of services provided at each facility,<br />

including AEFI surveillance and injection safety.<br />

• Palliative care.<br />

LONG TERM<br />

• Increase access to cervical precancer screening and treatment services by integrating<br />

them into the routine package of clinical services.<br />

• Monitoring and evaluation by conducting research that will inform program<br />

decision-making and improvement.<br />

Technical support • Administrative (tools for advocacy, social mobilization, guidelines, policies).<br />

• Training (capacity building).<br />

• Infrastructure development.<br />

• Monitoring, evaluation, and research.<br />

Report of an African Regional Meeting on Cervical Cancer: September 2010 88

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