The Cervical cancer prevention project is part of the Boresha project.

The priority of this project is to reach to 80% of eligible PLHIV women with Cervical screening services. By December 2017, cervical cancer screening was conducted in 29 health facilities, till March 2019 there are 60 health facilities supported. All these facilities have cryotherapy machine provided by AGPAHI. All clients found to have cervical lesions are treated with cryotherapy on the same day (SVA).

Clients with large cervical lesions are treated with leep machines; these services are available at district, regional and referral hospitals supported by AGPAHI ( up to MAY 2019 there are seven facilities providing Leep services supported by AGPAHI. Clients suspicious for cervical cancer are taken biopsy, samples transported to Bugando medical center and results brought back to clients under AGPAHI support.

In the year 2017, AGPAHI supported training of 23 health care providers from Mwanza and Geita regions on cervical cancer screening and treatment. In 2019 AGPAHI conducted on job training to 58 health care providers for VIA and cryotherapy and trained 15 clinicians for Leep services. In addition, AGPAHI procured Nine cryo machines, 69 Carbon dioxide cylinders to facilitate treatment to clients with cervical lesions and also procured supplies and equipment to 60 health facilities providing cervical cancer screening in all supported regions.

Other activities conducted in the year include:

  • Capacity strengthening including supportive supervision and mentorship to service providers.
  • On Job training to Service providers
  • Initiation of cecap services to three new health facilities
  • Facilitated experience sharing meetings among CECAP providers to share achievements and challenges during project implementation.
  • Supported community sensitization and CECAP campaigns to 60 health facilities of all agpahi supported regions.
  • Procurement of 30 cryo machines, two Leep machines, supplies and other equipment for VIA, CRYO and Leep services

By May 2019, there are 60 health facilities implementing cervical cancer prevention services in Mwanza, Mara, Shinyanga and Simiyu Regions. The table below indicates the names of facilities that offer CECAP services, districts and regions.

 

Table 1: showing distribution of CECAP services by May 2019

 

S/N

NAME

District

Region

1

1

Maswa DH

Maswa DC

Simiyu

2

2

Malampaka HC

3

3

Lukungu HC

Busega DC

4

4

Nassa HC

5

5

Bariadi DH

Bariadi TC

6

6

Muungano hc

 

7

7

Nkoma hc

Itilima dc

8

8

Meatu dh

Meatu  DC

 

 

 

 

 

1

9

Shinyanga RH

Shinyanga MC

Shinyanga

2

10

Kolandoto Hosp

3

11

Kambarage HC

4

12

Kahama Hosp

Kahama TC

5

13

Kagongwa Disp

6

14

Nindo HC

Shinyanga DC

7

15

Bugisi HC

8

16

Ushetu HC

Ushetu DC

9

17

Ukune HC

10

18

Bulungwa hc

11

19

Chambo HC

12

20

Idahina disp

13

21

Mwabomba disp

14

22

Segese Disp

Msalala DC

15

23

Bugarama HC

16

24

Kishapu hc

Kishapu DC

 

 

 

 

 

 

1

25

Kakobe dis

Buchosa DC

Mara

2

26

Kome HC

3

27

Nyehunge HC

4

28

Buzuruga HC

Ilemela DC

5

29

Bugando Medical center

Nyamagana DC

6

30

Seuk Toure Hosp

7

31

Nyamagana Hosp

8

32

Makongoro HC

9

33

Igoma disp

10

34

Kisesa A

Magu DC

11

35

Kabila

12

36

Magu DH

13

37

Misasi HC

Misungwi DC

14

38

Bukumbi Hosp

15

39

Misungwi DH

16

40

Sumve DDH

Kwimba DC

17

41

Ngudu Hosp

18

42

Katungulu HC

Sengerema DC

19

43

Kirumba Disp

20

44

Nansio DH

21

45

Sengerema DDH

 

 

 

 

 

1

46

Mara RH

Musoma MC

Mara

2

47

Murangi HC

Musoma DC

3

48

Masanga Disp

Tarime DC

4

49

Nyangoto HC

5

50

Bunda DDH

Bunda DC

6

51

Kisorya HC

7

52

Mugeta HC

8

53

Ikizu HC

9

54

Natta HC

Serengeti DC

10

55

Nyerere DDH

11

56

Kinesi HC

Rorya DC

12

57

Utegi HC

13

58

Shirati Hosp

14

59

Changuge HC

15

60

Butiama DH

Butiama DC

16

61

Tarime Hosp

Tarime TC

 

 

 The target is to reach 80% of eligible PLHIV women with Cervical screening services.

 

Table 2: showing CECAP performance OCT 2016 up to MARCH 2019

Indicators

Total Achievement

Cascade %

Clients Screened through VIA

134,207

 

Clients with VIA +ve results

7037

5 %  (of Clients Screened through VIA)

Clients suspected to have cancer

1594

 

Clients with large lesions

457

6.4 % of VIA Positive

Clients with VIA + and received Cryotherapy services

5719

87 % (of clients  eligible for cryo therapy)

Clients received LEEP services

313

68 % (of clients with large lesions )

HIV + clients benefited from CECAP services

62213

46% (of screened through VIA)

 

 

 

 A total of 62213 of HIV positive women benefited from CECAP services. There is still low awareness of CECAP services at the community level and even among PLHIV. Among 7037 clients with VIA positive only 5719 received Cryotherapy services. A total of 457 women had large lesions, 313 of them received LEEP services. Plans to reach more women access cervical cancer services are such as awareness and education through radio, community outreach and healthcare provider initiatives.

 

What We Do

  • Provision of Comprehensive HIV Care +

    The purpose of** Boresha Project** is to support comprehensive facility-based HIV testing, care, treatment and support service provision in 9 scale-up and 25 sustained districts in the five lake zone regions of Geita, Mara, Mwanza, Simiyu and Shinyanga. .

  • TB in the Mining Sector Programme +

    TB in mining sector (TIMS) project is funded by Global fund through Development Aid from People to People (ADPP - Mozambique). AGPAHI is a sub-recipient of ADPP Mozambique.The project target is to screen TB to approximately 30,000 mine workers and their families.

  • CIFF Reprogramming +

    Project Goal is to improve health services to prevent HIV transmission, increase identification of adolescents with HIV infection, and improve HIV care and treatment and retention for ALHIV in Tanzania.

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