1. Prrr - ethiopian female cancer initiative
Cordaid Healthcare

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

3. 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

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

5. 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.

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

7. 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

8. 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;

9. 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.

10. 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

11. Accomplishment
E-forum/ electronic platform development on Female cancer knowledge Sharing among stakeholders.
ethiopia/
Referral of Non-eligible cases
Early detection and referral breast cancer
Community mobilization by HEWs
Community-based palliative care/support

12. 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

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

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

15. 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

16. 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

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