Ahimsa Fund 20 rue Ernest Fabrègue Lyon – France Marlène CASTILLOUX Cytologist Québec, Canada Dr. Chantal DONNE Pathologist Lyon, France Christian NAHIMANA Coordinator of medical laboratory REMA Hospital Ruyigi, Burundi Sébastien AUDUREAU Project Manager Lyon, France Dr. Vastine TOYOTA Gynecologist REMA Hospital Ruyigi, Burundi Dr. Roland DONNE Surgeon, Health Counselor Lyon, France Prevention of Cervical Cancer in Burundi Dr. Catherine THERIAULT Pathologist Québec, Canada Dr. Omer Cimpaye Director REMA Hospital Ruyigi, Burundi

Ahimsa Fund 20 rue Ernest Fabrègue Lyon – France Cervical cancer is the second most common cancer in women worldwide. -USA: 12,000 cases (2014) -France: 2,000 cases (2014) -World: 500,000 cases and 250,000 women will die (85% of them in low and middle income countries) Cervical cancer is a largely preventable disease with simple, efficient, and fairly cost effective screening programmes. If nothing more is done, deaths due to Cervical Cancer will rise by 25% over the next 10 years (WHO). Burundi: No screening programme available Maison Shalom, Marguerite Barankitsé Hopital Rema, Ruyigi, Prevention of Cervical Cancer in Burundi

Ahimsa Fund 20 rue Ernest Fabrègue Lyon – France Prevention of Cervical Cancer in Burundi Screening and Prevention Cervical cancer is caused by HPV infection HPV (human papillomavirus) is the the most common sexually transmitted infection. In some countries, HPV+HIV put women at risk of developing cancer at a younger age. HPV INFECTION No lesion detected Follow-up A lesion detected BenignTreatmentSevereTreatmentCancer 10 years

Ahimsa Fund 20 rue Ernest Fabrègue Lyon – France : To finish the teaching program and firmly establish organized screening program. Prevention of Cervical Cancer in Burundi REMA Hospital, Ruyigi, Burundi Our work in the field May 2012: Assessment of the feasibility of this project September 2013: Ahimsa Fund investment set up equipment, materials and conducted preliminary tests August 2014: A Burundian student underwent a training in France and Switzerland to expand his knowledge February 2014: Ahimsa Fund invested in microscope with camera for remote screening May 2014: Program of teaching gynecology cytology and official beginning of screening Fall 2014: Continued teaching and screening New clinic was added to our project, HIV+ patients First statistics and few interesting results

Ahimsa Fund 20 rue Ernest Fabrègue Lyon – France Prevention of Cervical Cancer in Burundi Our business model: EXTERNAL FUNDING (International organizations, foundations, philantropists..) LOCAL FUNDINGS, innovative sustainable models TodayTomorrowYesterday The reverse pyramid model

Ahimsa Fund 20 rue Ernest Fabrègue Lyon – France Prevention of Cervical Cancer in Burundi Challenge: Sustainability of the business model Replication of the projects with experienced teams APICULTURE INITIATIVE COOPERATIVE INITIATIVE Mutual Health Funds … of which HPV prevention % % REMA Hospital, Ruyigi, Burundi

Ahimsa Fund 20 rue Ernest Fabrègue Lyon – France Prevention of Cervical Cancer in Burundi Challenge: Women’s awareness Education Media: Film, Articles, TV,… Mobile Clinics Satellite centers Cervical Cancer Prevention Week Challenge: Empowerment Building capacity of local partners Involvement of national health authorities Recognition of the project by international organizations National Center of Cervical Cancer

Ahimsa Fund 20 rue Ernest Fabrègue Lyon – France Prevention of Cervical Cancer in Burundi Thank you to our sponsors Urakoze! “It is not because things are difficult that we do not dare, it is because we do not dare that things are difficult” Seneca