Tanzania has the 6 th highest rates of cervical cancer (CACX) with an incidence of 30.6 per 100,000 versus 9 per 100,000 in the US 1 . According to WHO,
CACX mortality rate is 52% globally with the majority of deaths occurring in LMIC. Limited access to screening in LMIC means that most CACX is diagnosed at a late stage when curative treatment is not available. Although nearly 81% of countries have CACX prevention strategies,
only 48% have an operational plan that includes funding. Through an...
UVM global women’s health program director established a relationship with Wasso District Hospital.
At this time a needs assessment was performed.
The following year (2015) on a return visit,
joint priority goals were established and plans for a longitudinal capacity building program were confirmed.
Bilateral cultural exchanges took place where the USA providers received training on Tanzanian patient care and health care delivery.An in-country referral network was strengthened as all...
Cervical cancer (CACX) is preventable and treatable when detected early.
Screening women is the best way to prevent CACX progressing to a life threatening disease.
The Human Papillomavirus (HPV) is associated with most CACX however the HPV vaccine is not widely available in Tanzania. Through our partnership,
we have embarked on a capacity building project to increase CACX screening that is embedded in Tanzanian culture.
We describe our capacity building program,
the lessons learned and...
Preventative Health Screening (PHS): April,
2016: 344 women attended first PHS at Wasso Hopsital Patients were unfamiliar with cervical exam.
Maasai providers were largely underrepresented.
Cultural and language barriers prevented comprehensive patient education. April 2017: PHS expanded to include outreach locations in Endulen and Ololosokwan.
A total of 359 women attended,
less than anticipated. Maasai,
English interpreter employed who bridged cultural and language barriers....
We developed a longitudinal capacity building program divided into the following phases: Partnership development & augmentation of local infrastructure Bilateral education exchange: Convocation of key stakeholders from both the District and Referral Hospitals and professional development for Tanzanian partners. In-country working relationships strengthened.
Tanzanian providers from the referral hospital demonstrated local customs and patient-provider exchanges. Preventative Health Screening...
Tanzanian women need access to CACX and PHS services. Creating a PHS clinic embedded in local culture and collaborating with local trainers was a vital component to the expansion of services available to women. Clear communication is key to maintaining a partnership; preventing misunderstandings saves time,
money and negative outcomes. Although preventing mortality and morbidity is our goal,
for the patient who is accustomed to associating the hospital with death and severe illness,
Cervical Cancer Action.
Progress in Cervical Cancer Prevention: The CCA Report Card,
Accessed January 29,
Available from http:// www.cervicalcanceraction.org/pubs/CCA_reportcard_low-res.pdf Ferlay J,
GLOBOCAN 2012 v1.1,
Cancer Incidence and Mortality Worldwide: IARC CancerBase No.
France: International Agency for Research on Cancer;2014.
Short Bio (max. 100 words or less)
Daudi Pius and Emmanula Mallange MD.
of Wasso Hospital,
were invaluable to this project. We would like to thank the generous support from the Eleanor B Daniels Fund. Anne Dougherty MD is an Assistant Professor OBGYN and Director of the Global Women's Health Program at the Larner College of Medicine at the University of Vermont (LCOM UVM). She serves on the APGO Global Health Committee now a part of the Committee on Diversity and Inclusion. She is currently active in...