G-1321

Cancer Screening and Treatment

Description

Financing

Documents

Photos

History Logs

Project Description

Region: Other

Country: Afghanistan

Location: Jalalabad

Total Budget: $35,000

Area of Focus: Disease prevention and treatment



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Proposal Form

Program Background

As reported by ICO's Center for Cancer Research December 15, 2016 publication, cervical cancer ranks as the 2nd most frequent cancer among women in Afghanistan. To address this concern La Jolla Golden Triangle Rotarians, Brown and Moini, researched screening options and became aware of a colposcope developed by Mobile ODT (ODT). This scope when connected with a smartphone facilitates cervical cancer screening. Brown and Moini met with Dr. Bruce Kahn, a San Diego based OB/GYN using this scope in his private practice. He encouraged Brown and Moini to consider training medical professionals at Nangarhar Public Hospital and Nangarhar University Teaching Hospital on use of this scope and offered his ongoing professional assistance. Thereafter, Moini traveled to ODT's headquarters in Tel Aviv, Israel and received training on use of the scope. (Moini holds a Bachelor's Degree in nursing from the University of Tehran in Iran.) Moini thereafter traveled to Adana, Turkey and participated in training of four female Afghan OB/GYNs on the use of the scope as well as other training activities.

Following the training sessions Brown and Moini again met with Dr. Kahn in San Diego then to explore treatment options for once cervical cancer symptoms are detected. ODT representatives and Dr. Kahn suggested considering a device that is simple to use in a developing country known as a cold coagulator manufactured by WiSAP based in Germany. Two of these devices have now been purchased and put in use at the two Jalalabad hospitals where the trained OB/GYNs work. Dr. Khan holds ongoing Skype training calls with the Afghan OB\GYNs doctors on use of the scopes and treatment devices. This includes his evaluating the doctors' diagnoses of images posted securely on the web and also training regarding treatment when called for. To date, 179 women have been screened using the scopes. 37 have been treated with the cold coagulator and several patients have had hysterectomies or were referred to Pakistan for further evaluation. Through the Foundation's early efforts in this program, there is a clear need for a public awareness campaign regarding screening for not only cervical cancer but also self- examination for breast cancer. Dr. Kahn, has offered his services for ongoing training if we expand the screening and treatment program to include additional doctors from public hospitals in additional cities and one of his professional colleagues has agreed to assist in this training as well. Accordingly the Foundation proposes expanding the program.

Expanding the Program through a TRF Global Grant

The La Jolla Golden Triangle Rotarians and Jalalabad Rotarians, working with their current contacts at the Afghan Ministry of Public Health, will identify six additional public hospitals outside of Jalalabad for training and implementation of cervical cancer screening and treatment building from the successful model presently in place in Jalalabad. This will involve purchasing one scope and six treatment devices and providing training of two OB/GYNs from each of the six. (The La Jolla Golden Triangle Rotary Club has five scopes and related accessories in inventory for use at these additional hospitals.) The training will take place in Jalalabad under the supervision of two of the Jalalabad doctors previously trained on the scope and treatment device-- one of whom is a Jalalabad Rotarian. An Afghan technician who is a Jalalabad Rotarian was previously trained on the scopes and will participate in the training a well. The La Jolla Golden Triangle Rotarians will coordinate Dr. Kahn's participation in the training session via Skype and Dr. Kahn's and his colleague Dr. Susan Cu-Uvin's, participation in ongoing training sessions to the newly trained doctors upon their return to their local hospitals. The La Jolla Golden Triangle Rotarians will coordinate participation by ODT's representatives in the initial training as well and in some of the ongoing training thereafter.

The Host and International Clubs recognize that the need for cervical cancer screening and breast cancer screening is not well understood among the population in Afghanistan. Accordingly as part of this program, these clubs working together will create a substantial "awareness campaign" regarding these two topics. This can be carried out through presentations in all of the female public high schools in Jalalabad. The Jalalabad Rotarians have a close relationship with each of the female principals of these schools and with the Nangarhar Director of Education. Further the Jalalabad Rotarians have a close relationship with the IT trainers working in the computer labs of all of these schools. These network contacts can be used as platform for public education regarding the need for screening and self-examination. The Jalalabad Rotarians also have contacts with female students at Nangarhar University Faculty of Education as well as female students in midwifery programs in Jalalabad. These contacts can be used for the public awareness campaign as well. Further as part of the training of the OB/GYNs from the additional cities, a public awareness component can be built in for these doctors to assist with the implementation in their respective cities. The Jalalabad networking model can be provided as an example for replicating.

Project funds will be used to purchase screening and treatment equipment and costs associated with the training itself—transportation, lodging and stipend all as specified in the budget.

Equipment will be procured and delivered to Jalalabad within three months of receipt of funds and training will take place within three months thereafter.

Cervical Cancer screening and treatment training budget--see document downloaded

This grant has been approved by TRF and fully funded Nov. 6, 2017

Primary Host Partner

District: 2430

Rotary Club of: Jalalabad

Primary Contact: Almas Qaum

Email: qaum.almas@gmail.com

Primary International Partner

District: 5340

Rotary Club of: La Jolla Golden Triangle

Primary Contact: Steve Brown

Email: stephenrbrown@att.net

Project Status

Paid
This project is "Paid". This means the funds have been received and the project is being implemented.

Project listed for the 2018-19 Rotary Year.

The TRF Grant application number is #1860842.

Proposed Financing

Existing Contributions Towards This Project

Date

Cash

DDF

Total

District 5340 DDF

20-Mar-17

-

-

-

District 5340 DDF

20-Mar-17

-

-

-

Camp Pendleton (5340)

27-Mar-17

$10,000

$10,000

$20,000

Amount Requested from The Rotary Foundation

$5,000

$10,000

$15,000

Total

$35,000

DDF contributions in grey are pending approval of the corresponding district committee.

Note: as of July 1, 2015 there is a 5% additional support fee for cash contributions. This fee does not appear in the financials above because it does not apply if the funds are sent directly to the project account (without going through TRF, and therefore without Paul Harris credit). Clubs sending their cash contribution to TRF must be aware they will have to send an additional 5%.

Project Supporting Documents


[20-Mar-17]
Cancer training budget


[17-Apr-17]
Documenting Success

 

Project Photos


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History Log Entries

20-Mar-17

System Entry

System Entry: Creation of project page.

20-Mar-17

by Steve Brown

System Entry: Pledge of $10,000 with $10,000 DDF by Steve Brown of the Rotary Club of La Jolla Golden Triangle, District 5340.

27-Mar-17

by Linda Sundram

System Entry: Pledge of $10,500 with $10,000 DDF by Linda Sundram of the Rotary Club of Camp Pendleton, District 5340.

27-Mar-17

by Linda Sundram

System Entry: Project is now "Fully Pledged".

10-Apr-17

by Steve Brown

April 10 2017--DRFC Janice Kurth advised that District Foundation Committee approved allocation of $10,000 DDF for this grant from RC Camp Pendleton's allotment.

17-Apr-17

by Steve Brown

Final Report suthorized and submitted March 31, 2017

17-Aug-17

by Steve Brown

The application has been prepared but not yet submitted. It presently is undergoing final internal review before submission

2-Dec-17

by Steve Brown

Funds have been received from TRF. Awaiting receipt of medical equipment. Working on shipping arrangements for equipment to go the the Bagram military base in Afghanistan.

2-May-18

by Steve Brown

Fary will travel to Afghanistan this fall 920180 for training sessions.

16-Sep-18

by Steve Brown

Fary Moini will travel to Afghanistan for implementation of this project in the next few months. Waiting for equipment to be released from Bagram Base in Afghanistan for project implementation.

16-Sep-18

by Janice Kurth

System Entry: Application Sent to The Rotary Foundation through Member Access.

16-Sep-18

by Janice Kurth

System Entry: Application approved by The Rotary Foundation.

16-Sep-18

by Janice Kurth

System Entry: Payment has been issued by The Rotary Foundation.

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