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Global Health Catalyst Cancer Summit at Harvard V7

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Global Health Catalyst Cancer Summit at Harvard V7

  1. 1. : Global Health Catalyst Cancer Summit @Harvard Medical School Public-Private Partnerships: Advancing Women’s Cancer Care in sub-Saharan Africa Doyin Oluwole, MD. MRCP, FRCP, FWACP Executive Director, Pink Ribbon Red Ribbon
  2. 2. Total: 35.0 million [33.2 million – 37.2 million] Middle East & North Africa 230 000 [160 000 – 330 000] Sub-Saharan Africa 24.7 million [23.5 million – 26.1 million] Eastern Europe & Central Asia 1.1 million [980 000– 1.3 million] Asia and the Pacific 4.8 million [4.1 million – 5.5 million] North America and Western and Central Europe 2.3 million [2.0 million – 3.0 million] Latin America 1.6 million [1.4 million – 2.1 million] Caribbean 250 000 [230 000 – 280 000] The Challenge: HIV/AIDS Adults and Children Estimated to be Living with HIV I 2013
  3. 3. The Challenge: Women are now surviving a diagnosis of HIV because of anti-retroviral drugs, but dying of a preventable disease – cervical cancer. The Opportunity: Antiretroviral Treatment and the Lazarus Effect
  4. 4. The Challenge: Inequity of Cervical Cancer 85% of 528,000 cervical cancer cases per year occur in the developing world.
  5. 5. It’s not acceptable to save a woman’s life from HIV/AIDS and watch her die from cervical cancer. -PRESIDENT GEORGE W. BUSH
  6. 6. Pink Ribbon Red Ribbon Zambia: 2011| Botswana: 2012|Tanzania: 2013| Ethiopia: 2015| Namibia: 2015 The leading public-private partnership aimed at catalyzing the global community to reduce deaths from cervical and breast cancer in sub- Saharan Africa and Latin America through: raising awareness of these diseases and increasing access to quality services to detect and treat them. A global catalyst Launched: 2011 Founded by the George W. Bush Institute, the United States Government through the U.S. Emergency Plan for AIDS Relief (PEPFAR), Susan G. Komen, and the Joint United Nations Programme on HIV/AIDS (UNAIDS). Work in 5 countries With plans to expand to Latin America Namibia Botswana Zambia Tanzania Ethiopia
  7. 7. Primary Prevention  HPV vaccine Secondary Prevention/S creening  CBE  VIA  HPV  Cytology Treat (if abnormal):  Cryotherapy  Refer Referral  Colposcopy  LEEP  Biopsy  Labs Cancer Rx  Surgery  Chemo  Radiation Palliative Care Awareness Raising/Community Education Continuum of Cancer Control and Care
  8. 8. Transitioning programs to national governments with an enabling policy environment and budget to sustain them. Goals deaths from cervical cancer by 25% among women screened and treated in partner countries. Achieve at least 80% coverage of vaccination against HPV. Screen at least 80% of the appropriate target populations for pre-invasive cervical cancer, and treat those found with lesions. awareness reduce stigma about breast and cervical cancer, and promote the early detection of the disease. Create and test innovative approaches to sustainability, financing, service-delivery, and laboratory and data systems that can be scaled-up and used globally.
  10. 10. Partners’ Roles---The Continuum of Cancer Care Primary Prevention Secondary Prevention: Screening Secondary Prevention: Treatment Referral Diagnosis: Treatment Palliative Care & Hospice Data/Registry
  11. 11. HOW WE WORK How We Work with Countries
  12. 12. A Diagonal Program PRRR mobilizes resources from governments, foundations, corporate and philanthropic organizations and individuals  Starting from the HIV platform, integrates women’s cancers;  Strengthens countries’ capacities to deliver comprehensive cancer control & address other chronic diseases;  PRRR activities are aligned with country plans & responsive to the national needs & priorities: 3 Tiers of engagement;  Partners fill countries’ prioritized gaps to ensure comprehensive service delivery;  Commitments are publicly made & periodically reported on to promote accountability.
  14. 14. Results Through Partnerships
  15. 15. Results from Zambia (since 2011), Botswana (since 2012) and Tanzania (since 2013) Partnerships + Access = Results HPV Vaccine 42,045 Number of girls who have received all three doses of HPV vaccine Basic Cervical Screening 153,670 Number of women screened for cervical cancer. Basic Treatment 14,089 Number of women treated with cryotherapy or LEEP. Breast Cancer Screening 5,228 Number of women screened for breast cancer in Tanzania.
  16. 16. Challenges: Cancer Care • 33,991 women are diagnosed with cervical and breast cancer annually in the five Pink Ribbon Red Ribbon-supported countries; • This number is under-reported, as many do not seek care in hospitals; • Unfortunately data on the percentage that receive advanced treatment is unknown; • A significant percentage of women present with late-stage disease not amenable to treatment.
  17. 17. 5,000 new cancer patients each year 2,500 are breast and cervical cancer patients Ocean Road Cancer Institute 2,000 come from outside of Dar es Salaam 500 need a place to stay during cancer treatment CaseStudy:Tanzania
  18. 18. The Story of Evelyn https://www.youtube.com/watch?v=gUbxGwbANgU
  19. 19. • Information and knowledge of the disease • HPV vaccination • Screening, early detection and treatment services • Funds to pay for health care services • Advanced cancer care close to home— geographic access • Strong healthcare system Evelyn died because she lacked access to:
  20. 20. The Way Forward
  21. 21. The Future Fewer Evelyns!  Prevention: one-dose HPV vaccine  Innovative solutions to reach more women more quickly o HPV DNA testing will reduce number of women needing VIA o Cryopen: gasless cryotherapy o Mobile services models to augment fixed facilities o Improved data management & tracking systems: IT and mobile devices  Integration of screening and treatment services with existing health services such as family planning and post-natal care  Decentralized, functional cancer centers to provide quality care as near to the population as possible: human capital; equipment; maintenance and standards of practice.
  22. 22. CONNECT WITH PINK RIBBON RED RIBBON Doyin Oluwole Executive Director 214.751.4318 doluwole@bushcenter.org www.pinkribbonredribbon.org @pinkredribbon