Reproductive Health and Cervical Cancer Prevention Training in Rural Kenya https://grants.dudleytdoughertyfoundation.org/proposals-2013/reproductive-health-and-cervical-cancer-prevention-training-in-rural-kenya https://grants.dudleytdoughertyfoundation.org/@@site-logo/sitelogo-75x75.png

Reproductive Health and Cervical Cancer Prevention Training in Rural Kenya

Additional Information
Used for	PINCC will train the medical staff of two rural Catholic clinics/hospitals in Kenya to screen and treat women for precancers of the cervix. We will carry out three campaigns, every 6 months, to ensure their competence and confidence in the VIA and cryotherapy methods recommended by the World Health organization. We will donate equipment for examinations and treatment, so the medical centers will be self-sustaining, continuing to offer these services after training is complete.
Benefits	Cervical cancer is the most preventable cancer in the world, yet in Kenya and other developing countries, it is the number one cancer killer of women. Only 2% of women in Kenya have ever had screening, yet 10% will be positive. PINCC trains local health educators, doctors and nurses to find and treat the precursor lesions, in a single visit, using the WHO-approved, effective and affordable VIA/ cryotherapy method, and supplies needed equipment, leaving a self-sufficient ongoing screening and treatment clinic.
Proposal Description	In the Western section of Kenya, there are two rural Catholic hospitals who want to establish permanent cervical cancer screening and treatment clinics. They are Nyabondo Hospital, in Nyabondo, and St. Vincent de Paul Hospital, in Muhoroni. The two sites are rural villages, about 3 hours apart, and several hours from PINCC's other trained sites at Kisii and Bungoma. Each has a staff of 5 or 6 doctors and nurses, who would be trained in performing Visual Inspection with Acetic Acid (VIA), and cryotherapy for women with precancerous cervical lesions. PINCC will also provide educational flipbooks and train community health workers to raise awareness, dispel myths, and encourage women of the area to come to the hospital for screening. PINCC brings training teams to work for a week with each site, giving both didactic and hands-on training, every six months. The trainees continue to examine women during the interims, bringing positive women back for the next campaign, to have corroboration and treatment. We carry out 3 to 4 campaigns, donating needed examination and treatment equipment each visit as needed. This method assures a thorough and complete education. PINCC also helps to establish budgets for needed supplies, liaisons with pathology and referral sources for severe or invasive cancer. We help centers to set up good record-keeping and follow-up systems. By the third visit, our centers are holding cervical screening clinics at least weekly. We place a specific focus on women with HIV/AIDS, as they are at higher risk for cervical cancer, and need more frequent examinations. Most AIDS programs do not carry out cervical screening or treatment. About 1,000 women will be examined in each location, each year, so 3,000 women will benefit during training, and 2,000 yearly thereafter. PINCC is requesting $12,000 from the Dudley Dougherty Foundation to help carry out these two site trainings and equipment during 2014-15. Only the direct in-country costs paid by PINCC are included, as most of our training teams volunteer and pay their own transportation, room and board. BUDGET for Requested Funds: Transportation, room/ board, PINCC's Program Director and Medical Director, 3 weeks: $3,000 6 sets of educational flipbooks and teaching materials: $ 800 Examination equipment (speculums, biopsy forceps, headlamps): $1,200 Supplies and medications: $2,000 Cryotherapy equipment (2 cryoguns with tips, 2 large cryogas cylinders) $5,000