CERVICAL CANCER SCREENING

Transcription

1 CERVICAL CANCER SCREENING Mixco, Guatemala

2 Project Goal Reduce the number of cases of cervical cancer in women in Guatemala through early detection strategies and health education. Project Description Preventing cervical cancer remains a priority in global health especially in developing countries which provide 82% of new cases annually. In Guatemala, cervical cancer represents the leading cause of cancer deaths in women, with a mortality rate of 11 deaths per 100,000 women. In the majority of cases, 80% of these women never received a medical checkup or an early diagnosis. Because of this medical crisis, Food For The Poor, in conjunction with the Guatemalan Association of the Sovereign Order of Malta, have created the Cervical Cancer Screening project. This project proposes to reduce the number of cases of cervical cancer in Guatemala by increasing early diagnoses of the disease by 10%, ultimately reducing the rate of preventable death for women in this region. This initiative seeks to establish a mobile clinic for preventative education of cervical cancer, as well as to establish Cytology Days workshops for the preforming of PAP smear tests for 3,000 women in Mixco and its surrounding municipalities. These events will be supported by volunteers from local committees, as well as from the Order of Malta, the municipality, and the health services of the Ministry of Public Health and Social Assistance in Guatemala. The PAP smear tests will be sent to a pathologist for analysis and results, and those requiring it will receive hospitalization, surgery, and treatment according to their diagnoses. The direct beneficiaries of this project will be the 3,000 women who receive the PAP smear testing and necessary treatments. The project will also indirectly benefit the half million women of Guatemala who can benefit from the preventative education and early detection strategies implemented by the clinic. Total Project Cost: $39, U (2/16) Page 2

3 An Overview of Guatemala and Mixco The largest country in Central America, Guatemala is home to 15 million people. An estimated 75% of all Guatemalans live in poverty. A sad result of this widespread poverty is that Guatemala has one of the highest rates of chronic child malnutrition in the world. Less than half of rural Guatemalans have access to running water, only a quarter have access to electricity and less than one in ten have access to modern sanitation facilities. Infant, child and maternal mortality rates are among the highest in Latin America. Mixco is a combined urban and rural area extended west of Guatemala City. Separated from the city by canyons, the poor village of Mixco is accessible by bridges only. The population of Mixco is approximately 403,689, which equals to about 3,058 inhabitants per square kilometer. The distribution of land and wealth is very uneven in this region, and so the residents are typically very poor. Consequently, this poverty denies them access to many necessities and prevents them from accessing many important services, especially medical care. In Guatemala there are eight to ten new cases of cervical cancer diagnosed every day, and about five women die from this disease on a daily basis. Tragically, 75% of these cases are diagnosed too late, and worse, about 80% of these women never received a medical checkup whatsoever. The rate of cervical cancer diagnoses in Guatemala is 22 women per 100,000 inhabitants, with peak incidences occurring between the ages of 35 to 54 years old. However, incidences in women as young as 20 are not uncommon. As a result, cervical cancer is the leading cause of cancer death for women in this country. The number of malignant cases of cervical cancer has shown an increase of 11% per year. The situation is worse for Guatemala s poor because of the social and economic constraints that withhold them from access to proper medical attention and treatments. This signifies a major problem for public health. What is even worse is that many cases can be prevented through early detection strategies, preventative education, and public awareness. In other words, many cases of death from this disease can be prevented entirely if the proper measures are implemented, including access to medical care for Guatemala s impoverished women. It is because of this need that the Cervical Cancer Screening project has been developed. With your help, we can improve the health of these poor women, and increase early detection and preventative care strategies. We hope you will join us as we seek to help these deserving women, regardless of religious, political or social predispositions or affiliations. 1515U (2/16) Page 3

4 Mixco GPS Coordinates: 14º 37' 59" N 90 36' 23" W 1515U (2/16) Page 4

5 Logical Framework Matrix presented by the Order of Malta Proposal: Implementation of a Medical Clinic For The Prevention of Cervical Cancer in Women and Cytology Study Days for the Detection of Cervical Cancer (12 Months) General Objective: Contribute to early diagnosis and opportune treatment for women with cervical cancer. Result Activity Necessary Resources 1. Implementation Lease premises for Exfoliate supplies for cytology of the service clinic Supplies for Colposcopy Equipment and implementation of Rent the clinic Fees for medical services (pathologists - PAP tests, biopsies, Hiring of human resources cancer surgeons, anesthetists, assists in surgery, radiology) Work schedule Fees for nursing services 2. Detection of Medical Days for cases PAP tests (cytology) clinical records, referrals to pathologists) 3. Treatment of Referral of cases cases needing specialized diagnosis, Colposcopy Referral and counter referral of cases requiring surgery and other specialized exams 4. Conclusion and Monitoring and case follow up evaluation Fees for support services (secretarial, administrative, clean up) Hospitalization costs (medicines, recommended exams, blood analysis, urine, X-Rays, ultrasounds pelvic and abdominal areas), radiotherapy, chemotherapy, among others Post-operative expenses (transportation, supervision, management, direction, coordination, administration) 1515U (2/16) Page 5

6 Indigenous women of Mixco and the surrounding region 1515U (2/16) Page 6

7 The health service centers in Guatemala are often rundown or inadequate, with little to no access for the poor The rugged geography of this region is uneven and full of canyons 1515U (2/16) Page 7

8 Through the generosity of our donors, Food For The Poor has been able to establish other medical facilities and clinics like the ones featured below. Together, we can provide this blessing to the women of Guatemala! 1515U (2/16) Page 8

9 Budget QTY DESCRIPTION AMOUNT TOTAL (Resources needed) Consumables for exfoliative Cytology and PAP test 3,000 diagnosis evaluated by a pathologist (3000 PAP tests) $ 7.50 $ 22, Colposcopies with biopsies requested according to 750 max diagnosis $ $ 46, mths Rent for premises $ $ 4, mths Fees for cancer surgeon and assistants $ 2, $ 28, mths Fees for anesthetist $ 1, $ 14, mths Fees for nurses and support services $ $ 7, Hospital expenses (estimated 6 surgeries a month, 12 mths maximum of 72) $ $ 23, mths Ultrasounds for patients that require surgery (max of 72) $ $ 1, Total Project Cost $ 149, Less contributions and donations from the Order of Malta $ (115,206.56) Subtotal $ 34, Order of Malta Contingency $ 1, Subtotal $ 35, Food For The Poor Supervision and Reporting Expense $ 3, Grand total $ 39, The funds that you have generously contributed to Food For The Poor will be used toward completion of the project that you have chosen to support. If any of your kind donation exceeds budget cost, rest assured that it will be used to fund other Food For The Poor projects designed to meet the urgent needs of the poor. 1515U (2/16) Page 9

10 About Food For The Poor Food For The Poor, one of the largest international relief and development organizations in the nation, does much more than feed millions of the hungry poor primarily in 17 countries of the Caribbean and Latin America. This interdenominational Christian ministry provides emergency relief assistance, clean water, medicine, educational materials, homes, support for orphans and the aged, skills training and micro-enterprise development assistance. For more information, please visit U (2/16) Page 10