The document summarizes group work activities at a meeting on cervical cancer prevention and control programs in UNFPA EECARO and ASRO countries. Participants were divided into regional teams to identify challenges, opportunities, and priority actions for their countries' programs. The goals were to improve existing programs or design new ones. Sessions included discussing success stories and challenges, then identifying four priority actions and how to operationalize them. Challenges and opportunities were identified for advocacy, vaccination, and screening/treatment. Presentations after lunch would showcase each team's findings. The objective was collaborative work to strengthen cervical cancer prevention efforts in the participating countries.
My challenge Day 15 - Network Marketing Today Is All About These 3 Life Chang...Kevin Lau
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http://youtu.be/f8WCkbt0KWA
My challenge Day 15 - Network Marketing Today Is All About These 3 Life Chang...Kevin Lau
http://bit.ly/Z2Chzk Network marketing today is so much different from the old days. Yet some fundamentals continue to be true even after all this time. In today's post I discuss 3 life changing principles that, if you adopt in your life, will drastically transform your business.
Network marketing today doesn't have to be difficult and in fact, you can find the latest resources for building your business everyday with my blog: http://KevinKLau.com
http://youtu.be/f8WCkbt0KWA
Lauren VanEnk of the Institute for Reproductive Health discusses the partnership with the Christian Health Association of Kenya enabling community health workers to play a larger role in delivering family planning.
Key findings from the OECD West African Papers study on "Integrating gender analysis into food & nutrition security early warning systems in West Africa", presented by Analee Pepper.
• Atsu Seake-Kwawu (ICHD presents a study done in four West-African countries in 2012. The study aims at a better understanding of the organisational features of effective and efficient PHC delivery, including the identification and analysis of contextual variables as underlying causes & factors for successful service delivery and key health system bottle-necks to the delivery and scaling up of high impact interventions (HII).
Emilie Robert Observatory of free healthcare in Mali 2012Emilie Robert
This presentation was given at the 2nd global symposium on health systems research, in a panel on knowledge translation strategies in West Africa to promote access to healthcare. This panel which I organized was chaired by Valéry Ridde. The symposium took place in Beijing (China) in November 2012.
Women’s Health in Crisis Settings: Focus on EC and Local PartnershipsJSI
Presented by Melissa Sharer as part a panel discussion, "Addressing Maternal Health and Gender-Based Violence during Times of Crisis," at the Wilson Center, Washington, D.C. on November 20, 2014.
Building a WEAI for project use: Overview of GAAP2 for pro-WEAIIFPRI Gender
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In this presentation, Nancy Johnson of IFPRI discusses how the project level WEAI (pro-WEAI) will be constructed in GAAP2 and talks about the structure of GAAP2 and the different components of the project.
Women's Health in Crisis Settings: Focus on Emergency Contraceptives and Loca...JSI
By Melissa Sharer, JSI. Millions of women are refugees, displaced persons or in some other way are in insecure settings, and they are vulnerable to sexual assault. The presentation covers several related topics including where women in crisis tend to seek out emergency contraception, barriers to access, and logistical challenges in ensuring a full supply of EC commodities. From a panel discussion November, 2014 at the Wilson Center, Washington, DC.
The USAID-funded Madagascar Community-Based Integrated Health Project (CBIHP), known locally as MAHEFA, is a five-year program (2011-2016) implemented by JSI that provides basic, quality health care to isolated populations in six of Madagascar’s most remote regions.
In October 2013, the project launched an SMS-based data management system to track stock status of essential medicines and health supplies; stocks are recorded and sent via SMS by community health workers.
The results of this #mHealth #logistics innovation were presented at the Digital Health Conference (#D4Africa), held in Malawi, May 13th, 2015.
Lauren VanEnk of the Institute for Reproductive Health discusses the partnership with the Christian Health Association of Kenya enabling community health workers to play a larger role in delivering family planning.
Key findings from the OECD West African Papers study on "Integrating gender analysis into food & nutrition security early warning systems in West Africa", presented by Analee Pepper.
• Atsu Seake-Kwawu (ICHD presents a study done in four West-African countries in 2012. The study aims at a better understanding of the organisational features of effective and efficient PHC delivery, including the identification and analysis of contextual variables as underlying causes & factors for successful service delivery and key health system bottle-necks to the delivery and scaling up of high impact interventions (HII).
Emilie Robert Observatory of free healthcare in Mali 2012Emilie Robert
This presentation was given at the 2nd global symposium on health systems research, in a panel on knowledge translation strategies in West Africa to promote access to healthcare. This panel which I organized was chaired by Valéry Ridde. The symposium took place in Beijing (China) in November 2012.
Women’s Health in Crisis Settings: Focus on EC and Local PartnershipsJSI
Presented by Melissa Sharer as part a panel discussion, "Addressing Maternal Health and Gender-Based Violence during Times of Crisis," at the Wilson Center, Washington, D.C. on November 20, 2014.
Building a WEAI for project use: Overview of GAAP2 for pro-WEAIIFPRI Gender
An inception workshop for the Gender, Agriculture & Assets Project Phase 2 (GAAP2) titled Developing Project-Level Indicators to Measure Women’s Empowerment was held in January 2016.
In this presentation, Nancy Johnson of IFPRI discusses how the project level WEAI (pro-WEAI) will be constructed in GAAP2 and talks about the structure of GAAP2 and the different components of the project.
Women's Health in Crisis Settings: Focus on Emergency Contraceptives and Loca...JSI
By Melissa Sharer, JSI. Millions of women are refugees, displaced persons or in some other way are in insecure settings, and they are vulnerable to sexual assault. The presentation covers several related topics including where women in crisis tend to seek out emergency contraception, barriers to access, and logistical challenges in ensuring a full supply of EC commodities. From a panel discussion November, 2014 at the Wilson Center, Washington, DC.
The USAID-funded Madagascar Community-Based Integrated Health Project (CBIHP), known locally as MAHEFA, is a five-year program (2011-2016) implemented by JSI that provides basic, quality health care to isolated populations in six of Madagascar’s most remote regions.
In October 2013, the project launched an SMS-based data management system to track stock status of essential medicines and health supplies; stocks are recorded and sent via SMS by community health workers.
The results of this #mHealth #logistics innovation were presented at the Digital Health Conference (#D4Africa), held in Malawi, May 13th, 2015.
Working meeting on Comprehensive Cervical Cancer Prevention and Control in UNFPA EECARo and ASRO Countries
Implementation of CxCa Screening program in UZbekistan
1. GROUP WORK
Working Meeting on Comprehensive Cervical Cancer Prevention and Control in UNFPA
EECARO and ASRO countries
Antalya, Turkey
May 18-20
2. Group work by teams of countries
OBJECTIVE
To identify 4 priority actions to improve existing programmes or
design a new programme (if there is not any cervical cancer
prevention and control programme in the country).
3 STEPS/ GROUP WORK SESSIONS
I) Success stories and challenges****
II) Four priority actions
III) Operationalization of the actions****
3. Group work by teams of countries
1) Use what we learned yesterday
2) Use the Programme Guidance for Countries- English,
French, Russian
3) COMPREHENSIVE programme
4) Pay particular attention to disadvantage groups
4. Group work by teams of countries
Session I: Success stories and challenges
1) ADVOCACY
i)Target groups?
ii) Key messages for each target group?
iii) How can messages be delivered?
iv) How can we mobilize communities?
v) Challenges?
vi) Opportunities?
2) VACCINES
Challenges and opportunities to introduce/sustain HPV vaccination in your
country
3) SCREENING AND TREATMENT
I)Challenges and opportunıtıes to have national population based screening
programmes and early treatment precancerous lesions.
II)Type of screening methodology and treatment modalities than can be
used in the country.
5. Group work by teams of countries
Session I: Success stories and challenges
Albania, BiH, Kosovo, Macedonia,
CHALLENGES OPPORTUNITIES
BiH: Funding
Macedonia: Coverage, proper targetting
Kosovo: no health insuranc at all
All:
-Readiness and willingness of civil
- Lack of data for evidence-based advocacy (lack of quality
society to support the issue
baseline data);
-- RH on the political agenda
- Lacking Cx Ca information system;
-Readiness of UNFPA and donor
- Lack of technical expertise for tailored campaigns,
community to support the issue
- Right timing
-Reginal cooperation /initiative
- Lack of understanding of the community practices
-- The existance of some advocacy
- Lack of BCC targeted campaign approach; Lack of adequate
materials of relevance for the whole
ADVOC comprehensive services
region, with some adaptation (song,
ACY - Values and cultural factors to advocacte for SRH issues
pamphlets..)
- Ad hoc-activities
--Many commonalities that would
- Funding health is not a priority under EU integration
justify sub-regional approach for
processes, amongs other more pressing issues
advocacy and expecting positive
- Political context that interferes with health priorities
raction by the stakeholders
- Grass-roots mobilisation
-Existing advocacy: condom use
-Focus target on women only
promotion as entry point into
-Lack of experience in targetting men: how to target them
advocacy for men
-Lack of evidence, especially for how HPV affects men, to use
as advocacy tool
- Targetting vulnerable groups (ie: Roma)
6. Group work by teams of countries
Session I: Success stories and challenges
Albania, BiH, Kosovo, Macedonia,
CHALLENGES OPPORTUNITIES
-Financial resources
-- Models of integration in the current systems
- Cultural beleifs: the vaccine “encourages girls to
have sex” “encourages promiscuity”
-New vaccine: lacking evidence for the impact
-Duration of vaccine effect: 8 years only -It prevents the infection
-Vaccine only targets girls (lack of understanding: --The region has a good tradition in
VACCINATION why not vaccinate men, as the carriers and effective vaccination
transmitters of HPV) -
-- Unlcear messeges to pass to the parents
- Vaccine not introduces systematicly in the PHS ,
except in Macedonia.
7. Group work by teams of countries
Session I: Success stories and challenges
Albania, BiH, Kosovo, Macedonia,
CHALLENGES OPPORTUNITIES
- Preparedness of the health system
- Existing of a screening pattern may pose a barrier for transforming it into a more
efficient one (PAP test screening) - instead of primary health care systemised
visual inspection as screening method that could be much more effective
-- Functional healht systems
- Demanding logistical and administr. arrangements (repeat visits..)
and relatively good
-Opportunistic screenings mostly in place (gynecologica lcheck up, and as a part of
infrastructure to build upon.
it „maybe‟ HPV check.
(Health insurance covering
-Monitoring and evaluation of efficiency of the programme is still weak
treatment in most countries
-Various stages of developing the clinical protocols for the comprehensive
except Kosovo).
screening and treatment programmes; various stages of financial coverage..
- Good evidence to
- Various levels of functioning of referral systems
demostrate that other
- There are gups in public health system financing of services needed
screening methodologoes
-Human resources an issue for proper PAP smear reading
can work and other
SCREENING - The structure of the health system itself (family medicine; ongoing reforms..) –
programmatic approaches
confusing.
AND -Not enough trained nurses
can work.
TREATMENT -The willingness of civil
-Health information system have gaps : quality of the date an issue, largely health
society to put pressure on the
facility based, not population based register
government to deliver
-Gaps and delays between check ups and follow ups
services for Ca Cx prevention
-Unevean situation relating to clinical protocols and their application and quality
-Opportunity for links
control
between MoHs and CSOs .
-- Situation variable relating to treatment of pre-canot lesions standardissation
-CaCx inclded in wider
- Public health system does not perform HPV DNA testing, only in the private
strategic contexts for RH
sector and in ad-hoc manner
-Similarities in the countries
-Health system not supported by community involvement, is very oriented towards
that favou experience sharing
specialised care
.
-Gynecologists often resistant to empowering nurses more in engaging preventive
activites in primary health care.
--
8. Group work by teams of countries
OBJECTIVE
To identify 4 priority actions to improve existing programmes or
design a new programme (if there is not any cervical cancer
prevention and control programme in the country).
3 STEPS/ GROUP WORK SESSIONS
I) Success stories and challenges****
II) Four priority actions
III) Operationalization of the actions****
9. TEAMS OF COUNTRIES
EECARO ASRO
Kazakhstan
Egypt
Kyrgyzstan
Lebanon
Tajikistan
Syria
Turkmenistan
Uzbekistan
Facilitator: Magdy Khaled
Facilitator: Rita Columbia
Armenia
Algeria
Azerbaijan
Morocco
Georgia
Tunisia
Turkey
Facilitator: Mohammed Lardi
Facilitator: Philip Davies
Moldova
Russia
Ukraine
Facilitator: Tamar Khomasuridze
Albania Regional and global participants join teams
Bosnia and Herzegovina
Kosovo
Macedonia
Facilitator: Tatjana Shikoska
10. Group work by teams of countries
Group work until lunch time (-13:00)
EECARO teams in Ball Room III
ASRO teams in Plaza Room (-3 floor)
PRESENTATIONS AFTER LUNCH (14:00-15:30)
10 MINUTES PER TEAM