Project Concern International May 2015 report – Zambia

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

staravia pci

Background

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.

staravia3pci                                                      staravia2 pci

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

10 speculums

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

 

ZA Kasama
ZNS Mpika Mpila

Results

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
n n % n %
Kasama 276 45 16 12 4
Mbala 519 54 10 14 3
Serenje 178 27 15 7 4
Mpika 83 8 22 4 4
Total 1056 134 12.6 37 3.5

Conclusion

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.

pci2 PCI1

Women queueing up for cervical cancer screening services in a rural site and cervical cancer screening procedure

Leave a Reply

Your email address will not be published. Required fields are marked *