Participate In Our Training Program

Dr. Mulindi Mwanahamuntu, program co-director, working with trainees from China

       

“A SYSTEMS APPROACH TO SECONDARY CERVICAL CANCER PREVENTION IN

RESOURCE-CONSTRAINED ENVIRONMENTS”

 A practicum offered through Women’s Cancer Control Programme

 

PURPOSE

The purpose of this course is to teach trainees the theory and technical skills involved in using the single-visit “screen-and-treat” approach to cervical cancer prevention in resource-constrained environments. Participants will be familiarized with the administrative, quality improvement, and community awareness components that must be put in place for a program to function as an effective “system,” i.e., data collection, supply chain management, human resource administration, quality control/assurance, and community education. Screening is performed using visual inspection of the cervix following the application of 5% acetic acid (vinegar) and digital cervicography (photography). Treatment of pre-invasive lesions is carried out using cryotherapy and Loop Electrosurgical Excision Procedure (LEEP).

TRAINEE PREREQUISITIES

  1. Trainee must be a physician, nurse, clinical officer or other healthcare provider with similar credentials.
  2. Basic computer literacy required.

TRAINING COMPONENTS

Didactic  (1 and 1/2 days)

The didactic component of the course consists of lectures on the following topics:

  • Epidemiology and natural history of cervical cancer
  • The relationship between HIV and HPV
  • Prevention of cervical cancer through screening
  • Visual inspection with acetic acid (VIA)
  • Digital cervicography
  • Management of cervical cancer precursors
  • Cryotherapy
  • Loop Electrical Excision Procedure (LEEP)
  • Staging and management of invasive cervical cancer
  • Identification and syndromic management of sexually transmitted diseases (STDs)
  • Infection prevention in the clinic
  • Program management
  • Data collection and management
  • Community education and advocacy
  • Quality control/quality assurance

Practicum (8 and 1/2 days)

During the practicum, trainees will collaborate with clinicians, program managers, community educators, data managers, and information technology experts, and attend cervical cancer prevention clinics to observe and work alongside our healthcare providers and peer educators to learn the following skills:

  • Patient intake and interview
  • Patient education and counseling
  • Performing the pelvic examination
  • Screening with VIA and digital cervicography
  • Cryotherapy
  • Distance consultation
  • Syndromic management of sexually transmitted diseases
  • Patient referral
  • Sterilization and infection control in the clinics
  • Electronic data collection

Those desirous of learning LEEP will attend the Gynecologic Cancer Prevention Unit at University Teaching Hospital.

COURSE OBJECTIVES

Upon completion of the course each trainee should be able to successfully:

  • Sensitize the target community around the issue of cervical cancer prevention
  • Interview and counsel individual patients and partners
  • Set up a clinic with appropriate supplies and equipment
  • Conduct VIA (visual inspection with acetic acid)
  • Conduct digital cervicography
  • Properly triage patients depending on the results of VIA and digital cervicography
  • Monitor and evaluate treatment decisions and outcomes
  • Carry out electronic distance consultation
  • Perform cryotherapy
  • Perform LEEP (if requested)
  • Inform patients of the potential complications of cryotherapy and LEEP
  • Identify and treat common cervical/vaginal infectious diseases
  • Perform clinic infection prevention procedures
  • Interpret pathology reports of cervical biopsies and LEEPs

ONGOING SUPPORT

Following training, we will provide ongoing consultation for trainees relative to the logistics of establishing clinic operations in their settings. We will also provide oversight of the quality of their services through web-based monitoring and evaluation of their digital photographs (cervigrams) and clinical decisions.

ASSISTANCE

Our office will provide the following:

  • Assistance with travel and accommodation
  • Provide information on licensing requirements (doctors)
  • Provision of daily transportation from our central headquarters to the local training sites (clinics)
  • Equipment and supplies utilized during teaching
  • Administrative time of lecturers
  • Practical instruction provided by screening nurses in the clinics
  • Practical instruction provided by physicians in LEEP clinic
  • Practical instruction during the weekly quality control meeting
  • Printing and binding of training materials
  • Certificates of completion of the course

For information regarding fees and other matters please contact:

Chintu Kalebe
Administrative Assistant

Chintu.Kalebe@cidrz.org