Kesho Conference 2014

1. Dr Kamal Hamed
FFRRCSI,DMRT,DSN
Assoc. Prof of Oncology
Faculty of Medicine
Univ. of Khartoum

2. Epidemiology :
 Breast Ca is the leading Female Cancer since 1967.
 It ranged between 29 and 34.5% of all Female Cancers.
 The majority of Patients are from Central and North
Sudan.
 Ca Cervix, 13 – 16 %.
 Male Breast Ca forms 4 % of all Breast Ca.

3. 90
80
70
60
50
40
30
20
10
0
<20 Years
6 2
21 – 30
33 11
31-- 40
84 28
41 – 50
60 20
Age Distribution,300 Patients
51 – 60
51 17
61 – 70
36 12
>70
30 10
Number

4. RICK Breast Ca Stage Distribution
1967 -- 2010:
Stage 1 = 5 – 13%
Stage 2 = 7 – 17 %
Stage 3 = 34 – 45%
Stage 4 = 15 – 25 %

9. Our Main Aim is :
To increase awareness about Cancer.
Train Medical Doctors , Medical Students
para medicals , and Community Health
Workers.
 Include Early detection of Cancer in the
Primary Health System.

10. Capacity Building Activities :
 Training of Doctors = 212
 Community Health Doctors = 25
 Training of Medical Assistances = 49
 Training of Nurses and Midwives = 406
 Training of Community Health Workers = 38 +

11. Training of Trainers:
 There are 34 Medical Schools in Sudan.
 6 Has Oncology Consultants staff.
 Training of trainers course, for instructors
from 12 Medical Schools , for one week May
13. Syllabus, network, continuous a
assessment.

12. Health Education about Cancer :
Public Lectures, 2 mobile Units
,WIG
TV, Radio, Campaigns, Posters
,News papers , booklets.

13. Early Detection Clinics:
 In 5 Cities and Towns.
 4 Clinics in Khartoum.
 2 Mobile Units
 One Mammography Unit

14. Early Detection Surveys :
 5 Main Surveys.
North and East Sudan Surveys :
 Total of 2284 Women
 19 Cases of Early Breast Ca were detected, and 49
Fibro adenomas.
 Only 1 woman was doing regular BSE, non had a
pap Smear.
 5– 15% didn’t know Cancer.

15. Early Detection Surveys :
 Suba ESO Multicentre Study:
 Controlled Study in Sudan, Egypt, Yemen and
Kurdistan Iraq.
 Traget 4000 Study Group ,and a similar
Control Group.
 750 Examined, 844 Controls

16. Suba ESO Study :
4 Early Cases Diagnosed and 16
Fibro adenomas

17. Merowi Karima , Study
 May 2011,19 – 22
 Training of 20 Doctors, 79 Medical assistances, Nurses
and Midwives
 39 Nursing Academy School
 19 Community Health Workers
 5 Public lectures were given
 Questionnaires before and after the course
 2 early Detection Clinics + a network
 8 New Early Breast ca were referred after the course.

18. Dongula :
Training of : 24 Primary Health Care
Doctors.
 23 Medical Assistances.
 48 Nurses
 18 Community Health Workers
Medical Students Faculty of Medicine ,
lecture.
 4 public lectures.
 13 Early Breast cancers were detcted after
this.

30. شكرا...