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PREVENTORIUM
  FELIX BAUTISTA MD

     Coalición Multisectorial
    “Perú Contra el Cáncer”
Demographics Considerations
 Superf. Aprox.
 1’300,000 Km2
 Polit. : 25 Regions, 194
 Provinces y 1828
 Districts
 Censo 2005: 27’219,264
 habitants.
 Lima: 30% of the
 population
 Urban Population 72.2%
 and rural 27.8%
Against Cancer Strategic Plan
      Perú 2006-2016
National Plan for Prevention and
       Cancer Control in
             Perú :
FIRST PREVENTORIUM
                 FROM PERU
                    2005




AMERICAN CÁNCER SOCIETY (ACS)
CAPITAL TECHNOLOGY INFORMATION SERVICES, INC (CTIS)
HOSPITAL NACIONAL DANIEL ALCIDES CARRIÓN DEL CALLAO
INSTITUTO NACIONAL DE ENFERMEDADES NEOPLASICAS
Preventorium
        Objective
Beginning the “Preventorium” in
Perú with the proposal to set a
connection within the
asymptomatic people with the
health public system.
Methodology I
This pilot project has been implemented in Callao
(Mean Seaport of Lima, 2005) promoting healthier
lifestyles on poverty population, throughout:

  Health education and counselling
  Identifying risk factors of cancer and chronical
diseases.
  Applying screening tests for early cancer detection
(gyn,breast, etc.)
  Diagnosis of chronical diseases
  Campaigns in the facilities
  preventorium.
Since the beginning of program , all
the events have been recorded giving
a invaluable information, and its
fundamental part for our cancer
control plan.
Results
Since April 2005, a total of 2272 people were
attended:
80.33% female.
The majority age group was between 45 to 64
years old .
63% of obesity and overweight were observed in
females and 64% in males.

A smoking population of
 17.86% in females and
35.12% in males.
Results
–1336 PAP tests samples : 1.05% being positive.
- A total of 1037 mammographies were required,
  Only carried out 25.55%,
Results:
BI RADS 4 1.51%
BI RADS 5. 1.13%
The positive Thevenon test results:
            - 5.7 % females
            -17.7 % males.
positive
          Hallazgos        Número de
                             casos
Papanicolaou anormal           14
Cáncer de cervix clínico      01
Cáncer de mama (Mamog)        02
Cáncer de colon               01
Linfoma                       01
Total                         18
Positive: Benign disease
 Cardiopatías (HTA)                        16
 Intolerancia a la glucosa-diabetes        05
 Dislipidemias                             13
 Tumor benigno de mama                     06
 Pólipo endocervical                       05
 Patología benigna de próstata             07
 Patología benigna de epidídimo            04
 Quiste de ovario                          03
 Otros                                     10



                        TOTAL         74
Reasons: ¿how you to know about
preventorium ?
       Distribucion de pacientes de acuerdo a la forma como se enteraron
                     del Preventorio (Mayo - Diciembre 2005)

160

140

120

100                                                             AM ISTAD

 80                                                             ENFERM ERA

 60                                                             M EDIOS DE
                                                                COM UNICACION
                                                                PROM OTORES
 40
                                                                OTROS
 20

  0
      MAY   JUN   JUL   AGO   SEP    OCT   NOV    DIC


             Massive Media Comunication Program
Conclusion
It has been demonstrated
that the “Preventorium” is a
community well accepted
program:
   - It depends of the
coherent, consistent and
constant diffusion by
massive media.
   - Cheaper costs increase
participation of the people.
   - The health campaigns by
itinerants team      increase
the participation of people to
this service.
“Preventorium” program is part of the
Cancer Control National Plan, promoted by
INEN and Coalition and approved by
Health Minister.
  At the first trimester 2008, a national
guide for implementation and monitoring
results will be available.
  This program has been accepted by the
the authorities like a part of local health
plans
Acknowledgments
 Luis Pinillos    Elmer Huerta
 Luis Távara      Marco Uriol
 Gustavo Sarria   Mercedes
 Ruby Cotrina     Quesquen
 Abel Limache     Nancy Córdova,
 Miguel Ruiz      Felix Bautista,
 ACS
                  Paul Rosales
 CTIS
Thank You

  Coalición Multisectorial
 “Perú Contra el Cáncer”
fbautista@inen.sld.pe,
felixmbg@yahoo.com

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Felixbautistamd

  • 1.
  • 2. PREVENTORIUM FELIX BAUTISTA MD Coalición Multisectorial “Perú Contra el Cáncer”
  • 3. Demographics Considerations Superf. Aprox. 1’300,000 Km2 Polit. : 25 Regions, 194 Provinces y 1828 Districts Censo 2005: 27’219,264 habitants. Lima: 30% of the population Urban Population 72.2% and rural 27.8%
  • 4.
  • 5. Against Cancer Strategic Plan Perú 2006-2016
  • 6. National Plan for Prevention and Cancer Control in Perú :
  • 7. FIRST PREVENTORIUM FROM PERU 2005 AMERICAN CÁNCER SOCIETY (ACS) CAPITAL TECHNOLOGY INFORMATION SERVICES, INC (CTIS) HOSPITAL NACIONAL DANIEL ALCIDES CARRIÓN DEL CALLAO INSTITUTO NACIONAL DE ENFERMEDADES NEOPLASICAS
  • 8. Preventorium Objective Beginning the “Preventorium” in Perú with the proposal to set a connection within the asymptomatic people with the health public system.
  • 9. Methodology I This pilot project has been implemented in Callao (Mean Seaport of Lima, 2005) promoting healthier lifestyles on poverty population, throughout: Health education and counselling Identifying risk factors of cancer and chronical diseases. Applying screening tests for early cancer detection (gyn,breast, etc.) Diagnosis of chronical diseases Campaigns in the facilities preventorium.
  • 10. Since the beginning of program , all the events have been recorded giving a invaluable information, and its fundamental part for our cancer control plan.
  • 11. Results Since April 2005, a total of 2272 people were attended: 80.33% female. The majority age group was between 45 to 64 years old . 63% of obesity and overweight were observed in females and 64% in males. A smoking population of 17.86% in females and 35.12% in males.
  • 12. Results –1336 PAP tests samples : 1.05% being positive. - A total of 1037 mammographies were required, Only carried out 25.55%, Results: BI RADS 4 1.51% BI RADS 5. 1.13% The positive Thevenon test results: - 5.7 % females -17.7 % males.
  • 13. positive Hallazgos Número de casos Papanicolaou anormal 14 Cáncer de cervix clínico 01 Cáncer de mama (Mamog) 02 Cáncer de colon 01 Linfoma 01 Total 18
  • 14. Positive: Benign disease Cardiopatías (HTA) 16 Intolerancia a la glucosa-diabetes 05 Dislipidemias 13 Tumor benigno de mama 06 Pólipo endocervical 05 Patología benigna de próstata 07 Patología benigna de epidídimo 04 Quiste de ovario 03 Otros 10 TOTAL 74
  • 15. Reasons: ¿how you to know about preventorium ? Distribucion de pacientes de acuerdo a la forma como se enteraron del Preventorio (Mayo - Diciembre 2005) 160 140 120 100 AM ISTAD 80 ENFERM ERA 60 M EDIOS DE COM UNICACION PROM OTORES 40 OTROS 20 0 MAY JUN JUL AGO SEP OCT NOV DIC Massive Media Comunication Program
  • 16. Conclusion It has been demonstrated that the “Preventorium” is a community well accepted program: - It depends of the coherent, consistent and constant diffusion by massive media. - Cheaper costs increase participation of the people. - The health campaigns by itinerants team increase the participation of people to this service.
  • 17. “Preventorium” program is part of the Cancer Control National Plan, promoted by INEN and Coalition and approved by Health Minister. At the first trimester 2008, a national guide for implementation and monitoring results will be available. This program has been accepted by the the authorities like a part of local health plans
  • 18. Acknowledgments Luis Pinillos Elmer Huerta Luis Távara Marco Uriol Gustavo Sarria Mercedes Ruby Cotrina Quesquen Abel Limache Nancy Córdova, Miguel Ruiz Felix Bautista, ACS Paul Rosales CTIS
  • 19. Thank You Coalición Multisectorial “Perú Contra el Cáncer”