|Integrated Mobile Cervical Cancer Screening and HIV Testing Program: Partnership with Airborne Lifeline Foundation|
|Report on the May 2015 tour|
|May 3 – May 24 2015|
Since August 2011, PCI with support from the United States Defense HIV/AIDS Prevention Program (DHAPP)and the Pink Ribbon Red Ribbon (PRRR) Initiative has been supporting the Zambia Defence Force (ZDF) Defence Force Medical Services (DFMS) to integrate cervical cancer screening services into an existing DFMS mobile HIV counseling and testing (HTC) program.
Every year, PCI supports DFMS to implement integrated cervical cancer screening and HIV testing interventions in prioritized ZDF units scattered across the country with a majority of them located in remote and hard-to-reach areas of rural Zambia. During the first three years of the project, PCI relied on two vehicles allocated to the project to deliver staff, medical equipment and supplies to project sites. The two vehicles were not sufficient to carry all the equipment, supplies and personnel needed to effectively and efficiently reach the targeted beneficiaries and the usually impassable roads in remote areas affected the timely delivery of equipment and supplies to the sites.
In August 2014, PCI partnered with Airbourne Lifeline Foundation (ALF) on the integrated mobile cervical cancer screening and HIV testing program. Through the partnership, ALF provides air transport services to deliver medical equipment and supplies used in the program to remote project sites.
May 3 – May 24 2015 Tour
PCI signed a new two year agreement (February 2015-January 2017) with DHAPP for the continued implementation of capacity building HIV/AIDS prevention, care and support interventions, including integrated mobile cervical cancer screening and HIV testing in selected ZDF units and surrounding units across Zambia. As part of the FY 2015 implementation plan, PCI conducted mobile cervical cancer screening and HIV testing tours in 6 ZDF rural and remote sites located in the Central and Northern Provinces of Zambia.
Airbourne lifeline Foundation transporting supplies and equipment to rural sites
Airbourne Lifeline Foundation provided air transport services as follows:
|Site||District||Flight date||Equipment and suppliers delivered|
|Zambia Army (ZA) Mupepetwa Mecco Campa||Serenje||3 May 2015||24 X750ml acetic acid (vinegar)
360 sanitary pads
3000 latex examination gloves
800 HIV test kits (determine)
160 HIV test kits (unigold)
20X 100ml hand sanitizer
6 X 500g cotton wool
10m Speculum sterilizing material
3 large tents
Program stationery : enrollment forms, referral forms, registers, and box files
|ZAF Mbala||Mbala||10 May 2015||36 X750ml acetic acid
15 X2.5ml battery water
2000 latex examination gloves
Program stationery : box files, registers, and pens
|ZNS Mbala Munyezi)|
|ZNS Kasama||Kasama||24 May 2015||2 boxes vacuum blood collectors
1 box disinfectant
20X2.5ml battery water
48 X750ml acetic acid
2000 latex examination gloves
360 sanitary pads
1 X 500g cotton wool
10X 100ml hand sanitizer
2 waste bins
Program stationery : documentation and referral materials
As a result of the partnership between PCI and ALF:
- The program conducted activities efficiently and effectively as all equipment needed for the screening tour were delivered on time to the project sites and the program did not run out of supplies. PCI was able to reach all targeted beneficiaries without a break in service delivery
- The freed up space in vehicles enabled PCI to include additional key personnel on the tour. As a result screening activities were conducted efficiently with screening and treatment turnaround time reduced.
- During the tour 1056 women were screened for cervical cancer and tested for HIV. Of these, 37 (3.5%) had precancerous lesions (VIA positive) and they were treated on site and those not eligible for on-site treatment were referred to nearby district or provincial hospitals.
- Because of ALF, more clients were reached efficiently with life-serving cervical cancer screening and HIV testing services than would have been reached if Airbourne Lifeline did not provide the air transportation services.
Table 1: Number of women reached with integrated HIV testing and cervical cancer screening services by district
|District||Total Women Screened||Tested HIV Positive||VIA Positive|
The partnership with ALF has eased transportation challenges that the program faced prior to the partnership. The timely transportation of equipment and supplies to rural and remote areas of Zambia has enabled the provision of timely and efficient services to women who without mobile services could not be reached because they were unable to walk long distances to access services in a few centralized hospitals.
Women queueing up for cervical cancer screening services in a rural site and cervical cancer screening procedure