1. Ahimsa Fund 20 rue Ernest Fabrègue 69009 Lyon – France www.ahimsa-fund.com Screening for cervical cancer in Burundi Dr. Françoise Baylet-Vincent, Pathologist - Fribourg, Switzerland Dr. Chantal Donné, Pathologist - Lyon, France

2. Ahimsa Fund 20 rue Ernest Fabrègue 69009 Lyon – France www.ahimsa-fund.com Screening for cervical cancer in Burundi Key facts about cervical cancer: 500.000 new cases of cervical cancer each year 270.000 women will die and more than 85% of these deaths are in low and middle income countries. These deaths can be avoided Cervical cancer is caused by sexually acquired infection with HPV (Human PapillomaVirus). Most people are infected with HPV shortly after the outset of sexual activity. Around the world, a woman dies every two minutes from cervical cancer.

3. Ahimsa Fund 20 rue Ernest Fabrègue 69009 Lyon – France www.ahimsa-fund.com Screening for cervical cancer in Burundi Solutions: Prevention of the infection by vaccination against HPV: in girls between the age 9 – 12, before any sexual activity. VIA*: a simple cost effective method that detects abnormal areas in the cervix followed by cryotherapy to eradicate the lesion detected. HPV testing: detects the presence of high risk HPV types (16, 18) but doesn’t necessarily detect a lesion. Screening by cytology “Pap smears” has been the standard screening procedure for nearly 50 years in developed countries and has proven efficient in reducing the incidence and mortality of cervical cancer. Cytology detects lesions and allows for a precise diagnosis.

4. Ahimsa Fund 20 rue Ernest Fabrègue 69009 Lyon – France www.ahimsa-fund.com Screening for cervical cancer in Burundi WHO guidelines:

5. Ahimsa Fund 20 rue Ernest Fabrègue 69009 Lyon – France www.ahimsa-fund.com Screening for cervical cancer in Burundi 1) Local partner: HEALTH CENTER LABORATORY OPERATING ROOM 2) Local infrastructures: Jocelyne Ninganza Psychologist Health Center - Ruyigi, Burundi Doctor Vastine Toyota Gynecologist REMA Hospital - Ruyigi, Burundi Richard Nijimbere Deputy Coordinator Maison Shalom - Ruyigi, Burundi Christian Nahimana Biochemical Technician REMA Hospital - Ruyigi, Burundi 3) Local team: Dr. Françoise Baylet-Vincent Pathologist - Fribourg, Switzerland Dr. Chantal Donné Pathologist - Lyon, France Sébastien Audureau Ahimsa Fund Project Manager - Lyon, France Marguerite Barankitse 4) Support team:

6. Ahimsa Fund 20 rue Ernest Fabrègue 69009 Lyon – France www.ahimsa-fund.com Screening for cervical cancer in Burundi Others projects around the world, developed by Dr. Françoise Baylet-Vincent, India 2001-2002 Morocco 2009-2010 Burundi 2012-2014 Cameroun 1991-1992