1. Cervix Cancer Screening Evolving a New Methodology A Life Saving Initiative of the Chennai Corporation Rajesh Lakhani IAS

2. Cancer Cervix- Are you at risk ?

3. Cervical Cancer Highest Prevalence and Mortality Gradual development (10 yrs) from Pre- Cancer Prognosis 80-90% stage 1 diagnosis; Stage 2 diagnosis 50-65% High Mortality – Late Detection

4. Detection A swab of table top Vinegar A Magnifying Lens Training of Para Medical Staff Visual Inspection with Acetic Acid (vinegar) Cost almost nothing

5. VIA Compared with other alternatives TestSensitivity/Reliability No of Visits Replicable Cost Cost VaccineScreening Is still required 1VisitNoExtreme 6000 / woman Biopsy 66-100%> 3 VisitsNo Require High Cost equipment High Pap Smear 47-62%>2 VisitsRequire Lab nad Gynecologists High VIA67-79%Single VisitEasy and THE ONLY OPTION Very Low Rs 1/test

6. Program Largest Trial in the world- Single visit From 2 Health post was increased to 30 Focus from Gynecologists to MPHW (Multi Purpose Health Worker) ◦ Modules for integration with their existence anti natal mother care ◦ Motivation & Oblivion to Glory Creating Demand Women Welfare Camps ◦ All women affair ◦ Inaugurated by Mayor, Ministers Training of private Doctors Made part of Curriculum of Para medical Field training modules

7. Program Strategy 5 C Program Strategy 5 C C ounseling about Cervical Cancer. C ervical Screening – VIA. C ryo therapy C omprehensive treatment, referral & follow-up C ontrol of Cancer Cervix.

8. Innovation & Equipments Innovation & Equipments

9. Conquering Problems

10. Cancer Early Detection Project - Lives saved -Continuing Particulars Apr 08 -Mar 09 Apr 09 -Nov 09 Total Total Mothers Screened 10219671490173689 VIA +ve 10834961579

11. Life is beautiful

12. Why VIA is a Practical Alternative to Pap Smear Affordable @ Replicable Can be learned by all types of healthcare professionals with Cheap Locally available equipment and with Vinegar Safe, easy to perform( 2 Minutes) and inexpensive Single Visit Screening & Treatment Results are available immediately Accurate Good sensitivity-especially for higher grade lesions

13. Message- A ray of hope for Indian women Every woman (Even vaccinated) needs to be screened every 5 years after the age of 25. Chennai Corporation Model packaged in Single visit approach is the RAY OF HOPE

14. Vinegar Test -2013

15. Thank you …