Strategic planning has been the process by which IPROSARUDE officials have developed the general objectives, policies and strategies that will facilitate the acquisition, use and allocation of ressources. Faced with an ever-changing environment and capacities, IPROSARUDE adopted a process of updating its 2017-2020 strategic plan, which allowed it to re-analyze the organization’s vision and mission, its fundamental values, its key objectives, its areas of specialization, its strengths and weaknesses, its opportunities and threats, its activities and, in addition its short-and medium-term subjects or areas of decision making.
In this way, IPROSARUDE intends to better align itself with this logic of contribution to health for all, with an emphasis on rural health, by updating its strategic plan.
Gitega is the province with a very high population at the national level with around 900 000 people with a series of public and private health structures (60health facilities, 8 hospital and 4 health district). However, despite this important device, the services provided are backward; then IPROSARUDE has set up the NGO called Polyclinique Espoir de Gitega (PEGI) in order to increase the access to Specialist healthcare.
It’s a project to promote clinical services among population in rural areas, especially among vulnerable people. The present project aims to the establishment of specialized services not available on the spot. Thus, the different services have been opened. The services that have been opened include:
ophthalmology, dentistry, general medicine, laboratory, emergency.
It’s a project to promote clinical services among population in rural areas, especially among vulnerable people. The present project aims to the establishment of specialized services not available on the spot. Thus, the different services have been opened. The services that have been opened include: ophthalmology, dentistry, general medicine, laboratory, emergency.
In partnership with CARE International-Burundi, IPROSARUDE (Initiative pour la Promotion de la Santé Rurale et le Développement) contributed to the implementation of the BIRATURABA project in the provinces of Gitega, Muyinga, Kirundo Ngozi, Kayanza, Bujumbura Mairie, Bujumbura Rural, Bubanza and Cibitoke.A project to promote SRH in adolescents and youth. Its implementation has included raising awareness among youth in the field of SRH/HIV, strengthening the capacity of providers of health centers in the above mentioned provinces with a view to health centers youth friendly and development of a networking system between various actors in the field of teenagers and youth SRH.
Iand rights (SRHR). Key challenges include limited access to correct information and services about SRHR, as well as limited support from important people in their lives. Gender inequity, deeply rooted in society, exacerbates the vulnerability of girls and boys.
The vision of the program: Adolescents and young people in Burundi are empowered and enjoy good sexual and reproductive health.
As part of the implementation of the SR-AMAGARA MEZA projec (Establishing and managing VSLAs in the province of Mwaro project) implemented in the province of MWARO in the area of promoting sexual and reproductive health among adolescents and girls and women of childbearing age, IPROSARUDE has signed a memorandum of understanding with GLID. The objective of the agreement is to support IPROSARUDE in the creation and supervision of savings and credit solidarity groups in the municipalities of Kayokwe, Bisoro and Gisozi in the province of Mwaro.
The synergy of the actions of these two partners has been profitable for the beneficiary community according to the declarations of the local administrators
In the World, cervical cancer is the second most common cancer in women with nearly 500,000 new cases in 2005. In 2005, it caused nearly 260,000 deaths, of which nearly 95% occurred in countries developing, in which this cancer is the leading cause of cancer mortality in the female population. This cancer becomes the first most common cancer in countries sends development.
In Burundi, precancerous lesions accounted for 10% of women in routine gynecological consultations in 2000 compared to 16% in 2008. Cervical cancer is the leading gynecological cancer and the leading cause of cancer death in women. Cervical cancer accounted for 34.9% of all cancer-related deaths with 1429 deaths according to the 2014 WHO report. In our country, the lack of the screening program and adequate management of cancer cases make that morbidity and mortality related to cervical cancer is the most important (more than 70% of women consult at the inoperable stage).
According to the study conducted by IPROSARUDE in 2016 in the Gitega health district, revealed that 53% of respondents had heard the word cancer, of which 6.3% knew the cause (HPV), 26.3% had an idea about screening services, of which only 6.3% had attended screening services,
It is in this context that IPROSARUDE organized sensitization, training and screening activities on cervical cancer screening.
II.OBJECTIVES OF THE PROGRAM
1. General objective
Contribute to reducing cervical cancer mortality by screening for cervical cancer in Burundi
2. Specific objectives
-To sensitize the Gitega and Mwaro women for screening of cervical cancer
-To strengthen the capacity of 23 providers for cervical cancer screening
-Offer screening services for at least 400 women in indication according to WHO standards
-women in Gitega and Mwaro provinces sensitized for cervical screening
-23 Providers Strengthened on Cervical Cancer Screening
-400 women in indication according to WHO standards are screened
IV . ACTIVITIES DESCRIPTION
The elements of this report concern the activities carried out between May 1st to July 31st.
The sensitization was organized on several channels:
-The mass awareness using a local radio (HUMURIZA FM)
-The sensitization in the health education session in the different clinics
-The sensitization of supervisory agents of savings and credit groups (Nawe Nuze) supervised by IPROSARUDE divided into 205 solidarity groups of 25 people each.
Information session on cervical cancer
The training was organized in 2 groups and in 2 different sites (Gitega at the Hope Polyclinic of Gitega and Mwaro at the Mwaro Hope Clinic.
The first group was constituted by providers on cervical cancer screening will be organized for 2 doctors and 10 nurses Polyginique Hope Gitega.
The second group consisted of 1 doctor and 9 nurses from Mwaro Hope Clinic and IPROSARUDE volunteers.
These trainings were given by the gynecologist of IPROSARUDE and its Executive Director respectively Dr Dieudonné NIYONGABO and Dr Jean Pierre NDAYIRUKIYE who had already been trained on visual inspection techniques with lugol or acetic acid (IVA-IVL ) following the recommendations of WHO in developing countries.
The training focused on the theoretical notions of cervical cancer, the principles of screening, the biochemical basis of screening tests, the quality control of screening tests, etc.
Then, there is a description of the tests and the possible results followed by the demonstrations on the practical cases at first of the images captured in advance. Then, practical sessions on cervical cancer screening were organized.
Speech of Dr. Clarisse GIRINCUTI at the opening of the training session
Participants in cervical cancer training
3. Screening for cervical cancer
Once the theoretical training was completed, the screenings were organized in these health centers with supervision by the trainers.
N.B: Before any screening, individualized cervical cancer counseling will be done.
Suspicious cases will be referred to the referral center for further investigation and management.
V. Results achieved
3 doctors and 19 nurses were trained on pap tests (using lugol and 6% acetic acid ) according to WHO guidelines in countries sending development. After to this training, 493 women have just been screened, including 14 women with suspicious lesions (2.36% of the positive cases) who have been referred to the treatment centers. An epidemiological study of the determinants is under way.
During the same period, 8561 people were sensitized on the pathology of cervical cancer through different channels.
VI. Constraints encountered on the ground
ü Despite awareness; many women remain reluctant to join screening programs
ü Lack of global on-site care unit limits access to services
ü The limited number of partners who support the cervical cancer management activity
ü Insufficient equipment and training on cryotherapy, colposcopy, electrocoagulation and other related equipment is becoming one of the challenges.
The youth volunteer program is an indispensable instrument for youth mobilization and engagement in development and peace initiatives. Young people will be mobilized and engaged in national priorities through IPROSARUDE programs.
The Volunteers Program is a joint program that aims to promote the voluntary participation of Burundian youth in development and social cohesion activities at the community level coordinated by the Government.
This project aims to integrate young people into the world of employment: IPROSARUDE will take advantage of the opportunity to gain experience in the world of employment.
The young volunteers will work with the more experienced employees and with this experience; they will have facilities for integration into the world of job search. A part will be integrated into the IPROSARUDE structures themselves or into the partner structures. IPROSARUDE will work mainly with the UNDP National Youth Volunteer Program, the Ministry of Youth, Culture and Sports, youth associations such as REJA, etc.
In addition, through this project, IPROSARUDE will set up the saving program which will enable these young people to take charge of their own lives via the entrepreneurship micro-projects.
At least ,through this project,15 young volunteers have been supported 30% of young volunteers integrated in IPROSARUDE staffs.
In the context of strengthening access to specialized services in rural areas IPROSARUDE, in collaboration with RAYMOND’s Rotary Club, has planned to increase the technical capacity to provide quality dentistry services in rural areas. Thus, IPROSARUDE was able to receive medical equipment and planning meetings were held with the local authorities and the INSP to set up a dental school.
In rural areas, access to HIV / AIDS care services is limited, HIV / AIDS care services are concentrated in urban areas, the MEDICAL CENTER ESPOIR DE KAYOGORO wanted to decentralize the services of care in France. HIV / AIDS by partnering with CNLS and PATA whose partnership is defined as follows: KAYOGORO MEDICAL CENTER ESPOIR provides care services and reports to the MAKAMBA District Health Office and MAKAMBA CPLS while CNLS gives HIV / AIDS care drugs to KAYOGORO MEDICAL HOPE center and PATA helps to train staff.
Through this project, the staff of the Kayogoro Medical Center has been trained on HIV / AIDS Care and the setting up of the twenty community health workers who help to sensitize the community about the HIV / AIDS treatment center. AIDS of KAYOGORO.