Prrr - ethiopian female cancer initiative Cordaid Healthcare

Presentation out line Introduction Current activities Challenges Lesson learnt Future plan and sustainability

Cordaid general FACTS & FIGURES Cordaid - Catholic Organization for Relief and Development Aid Based in the Netherlands 540 129 million 34 316,000 2,000 101 STAFF WORLDWIDE euros of disposable funds countries Private donors years experience projects 92 funding partners 634 PARTNERS

Cordaid Healthcare IMPROVING ACCESS TO AND QUALITY OF HEALTHCARE Our goal: Improved health for all, specifically for women and children in marginalized areas.

Health System Strenghtening Health Investment Fund Cordaid Healthcare CORDAID HEALTHCARE UNIT - THREE PILLARS Healthcare Health System Strenghtening Health Investment Fund Women’s Health Three pillars: 1. Health System Strenghtening: Results Based Financing. Example: Zimbabwe 2. Health Investment Fund: Solar energy Loans for health facilities for facilitating solar energy. 3. Women’s Health: Maternal and newborn health in pastoralist areas.

Cordaid - Women’s health ETHIOPIAN FEMALE CANCER INITIATIVE (Vision) A Comprehensive Approach to a Nation without Female Cancer Cervical Caner Breast Cancer

ETHIOPIAN FEMALE CANCER INITIATIVE Goal:- To the national health sector plan for Ethiopia, specifically the national NCD strategy which includes cancer control Support :- BMS-F, PRRR and Cordaid Global Leaders Council. Partners:- Beza 4G, Mary Joy, AAU and FCF(Leiden University) Monitor the roll out a TELL-SEE-TREAT-CARE program Implemented:- Sidama zone and Addis Ababa Administration at 10 HCs

ETHIOPIAN FEMALE CANCER INITIATIVE EFCI KEY ACTIVITIES SO FAR Mapping Exercise on Female Cancer (Breast & Cervical) in Oromia, SNNPR and 3 Sub cities of Addis regions Extremely low levels of awareness and knowledge among the general population on female cancers, Socio-cultural barriers (including false beliefs) about screening; Health care providers, particularly nurses and health extension workers, are not adequately informed and trained about female cancers and its screening methods; Regular screenings are not organized and access to screening and treatment limited to regional hospitals; Adequate referral lines for treatment are not in place. The Black Lion Hospital is the only available;

ETHIOPIAN FEMALE CANCER INITIATIVE EFCI KEY ACTIVITIES 2. Proposal and program design for EFCI Female Cancer program with partners (TELL-SEE- TREAT-CARE) for BMSF-STF, Cordaid Global Leaders Council. 3. Project agreement signed between Cordaid and implementing partners (AAU,MJ,Beza, and FCF) 4. Midwives, Nurses, HEW and HDA trained , Cryo therapy equipment purchased ,imported and assembled. 5. TELL.SEE. TREAT & CARE started in almost all project facilities.

Accomplishment Mapping exercise dissemination organized to the RHBs and ZHOs to share the result and the following points have been accomplished. a. Shared results and findings of mapping exercise b. Provided forum to share their experiences at facility level c. Defined commitments, an action plan drawn by the regions

Accomplishment E-forum/ electronic platform development on Female cancer knowledge Sharing among stakeholders. http://www.femalecancerethiopia.org/the-evidence-on-female-cancer-care-in- ethiopia/ Referral of Non-eligible cases Early detection and referral breast cancer Community mobilization by HEWs Community-based palliative care/support

Suspicious for Cervical cancer Cont’d…Results Health outcomes/outputs Plan Achi. % Women counseled on Cervical cancer 10,000 9597 96 Women tested with VIA 6800 5212 77 Women with no cervical lesion on VIA   4653 VIA testing identified abnormalities Treated cryo 600 511 85 Not eligible 23 Suspicious for Cervical cancer 25 Referred 48 FC patients receiving palliative care 86 64 74 Women received palpation for breast examination 10000 Women referred for further breast Ca. 10

Cont’d…Health equity 168 HIV+ screened 18(14% High risk/vulnerable 18

Follow-up and Supervision Periodical supportive supervision Review meeting with stakeholders and targeted facilities

Challenges Limitation of materials, supplies… to reach large number of beneficiaries Transportation was a problem particularly, for a women coming from distant/remote villages for screening and treatment. Health professional turnover and workload Feed back for referrals

Lessons learnt Involving key-community leaders and actors Using peer to peer education On job training and FC service integration to ensure service continuation Scale up of the S&T service is essential

Sustainability Capacity building technical and facility Partner involvement and ownership Strengthen FC Integration into the existing health services and networking