NNCTR/INCTR Nepal Report 2010

At the beginning of March 2010, NNCTR/INCTR Nepal moved its offices to a newly constructed building. This new building serves as a center for cervical cancer screening and provides referrals for the necessary follow up tests and treatment for non-malignant abnormalities detected during screening. The center holds a clinic for the administration of HPV vaccine and clinical breast cancer screening is also offered. General information about cancer is made available to the public. In addition, the center offers training for health personnel in the organization of cervical and breast cancer screening programs. A community-based palliative care program will be established there in the near future.

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The NNCTR team, which currently includes 4 full time staff members, occupies 233.50 square meters of space within the building. Additional office space is rented to local shopkeepers in order to collect funds to support the costs of the expansion of the building as well as the maintenance costs.

Activities and Achievements

  • Cancer Education
    • Cancer Educational Session for Training the Trainers (TOT) was conducted from September 30th to October 6th, 2010. The participants represented 10 districts in Nepal and included 20 individuals involved with health care from 17 NGOs.
    • Cancer Education TOT Refresher Training: A one day refresher training course was held for local cancer trainers on October 5th, 2010 in which 19 trainers from 7 districts took part.
    • District Level Coordination Meeting and Networking: On October 6th, 2010, NNCTRI INCTR Nepal held a meeting for representatives of Nepalese districts who coordinate NNCTR activities and cancer education trainees in order to review progress in present activities and future activities of NNCTR. This was considered necessary in order to mobilize local resources and facilities and to coordinate efforts supporting cancer prevention, treatment and research programs conducted by local governmental organizations, NGOs and hospitals.
    • School and Community Level Cancer Education program: During the year, 28,095 individuals from 138 schools and 168 communities have benefited from community based cancer education programs in various districts.
    • Certificate in Palliative Nursing Training: Four nurses went to Hyderabad for 4 weeks training and received a certificate in palliative nursing care. Support was provided by
  • Cervical And Breast Cancer Screening and Prevention
    • This program, supported by the Direct Aid small grant program (DAP), the Australian Embassy in Nepal, and the Australian Himalayan Foundation, NSW Australia, has the goal of screening 3000 healthy married women between the age of 30 and 60 years for cervical cancer and 1500 women for breast cancer. Screen positive women are referred to appropriate hospitals for follow up. The program was also designed to undertake cervical and breast cancer awareness and cancer education for at least 3,000 individuals in the targeted areas.
    • Between December 2009 and Dec 2010, NNCTR, in collaboration with the Nepal Australian Cervical Cancer Foundation (NACCF) provided cancer education and cervical and breast screening to 3,783 individuals. In addition, 32 nurses received specialist training in screening practices of cervical or breast cancer. A total of 1750 individuals from 16 communities participated in the NNCTR community orientation program, which provides cancer awareness education and also explains to the public the importance of prevention and treatment of cervical and breast cancer.
    • NNCTR organized two technical skill transfer workshops to provide nurses with specialist training in cervical cancer and breast cancer screening. A total of 21 nurses received specialist cervical cancer screening training, and 11 nurses were trained in the technique of breast cancer screening, including training in breast self examination, which the nurses teach to individuals attending the screening camps.
  • HPV Vaccination Programme. This program is supported by the Australian Cervical Cancer Foundation (ACCF), Brisbane, Australia (operating costs) and the Axios Gardasil Access Program (provision of vaccine). The program has been implemented, by the Nepal Australian Cervical Cancer Foundation (NACCF), and NNCTR/INCTR. The Nepalese Ministry of Health and Population (MoHP) has given permission to NNCTR to vaccinate young girls and requested Health and Education offices at district levels to provide support for delivering the vaccine.
    • In 2010, NNCTR and NACCF received 9,618 vials of Gardasil vaccine under this program, which is sufficient to vaccinate over 3000 11-13 year old girls (schoolgirls in grades 6-8) in Kathmandu, Lalitpur, Bhaktapur and Kabhre. Working together, NNCTR and NACCF have delivered two doses of vaccine, to date, to 3,206 girls in 54 schools of those districts and the third dose is now being delivered. The cost of the vaccine was quoted as US $ 1,243,411.00. Cold storage facilities for the vaccine were provided free of charge by Yetichem Distributors Pvt. Ltd of Kathmandu.
    • NNCTR, and CREAPA, a well established research organization, have agreed to work together to undertake a research project funded by PATH in the course of a year (April 15, 2010 to April 14, 2011). The objective of the project is to identify attitudes towards cervical vaccination. Three tiers of stakeholders, national, district and community levels have been identified as target groups. Six districts, based on geographical and community have been identified, two from the Himalayan area, two from mid-hilly areas and two from lowland areas (Terai). Semi-structured questionnaires were designed for interviewing the national and district levels stakeholders and consensus-building workshops organized at the national level and also at the district level have been held. It is anticipated that the findings will lead to the development of educational programs that should be provided prior to the initiation of future vaccination programs in other parts of the country.
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