APPROACH AND METHODOLOGY
The 'Avon Cancer Care in Haiti' program will provide twelve clinics in Haiti with expert clinicians to train community health workers to perform clinical breast screening exams. The clinicians will conduct clinical breast exams as well as train local community health workers to further reach into local communities. Through the trainer-trainee efforts, thousands of Haitian women will access early detection programs for the first time. These clinics will also be provided with handheld ultrasound machines for follow up diagnostics. Expert U.S.-based clinicians will train local Haiti-based medical providers on how to conduct sterile, ultrasound-guided biopsy procedures. Women with suspicious screening exams will be able to have local guided biopsy procedures and specimens will be shipped to Boston for state-of-the art pathology evaluation through partners in the US. Future phases of this program could empower local clinics to conduct their own pathology. Also, future phases could work to improve treatments through training local experts on breast surgery and providing access to therapy. The goal of the initial two-year program is to train local experts to conduct clinical breast exams and diagnostic procedures to improve the early detection of breast cancer.
IMPLEMENTATION, TIMELINE, AND DELIVERABLES
September 2010: finalize partner organization and launch program in Q4 2010.
Education and awareness of local women on the importance of breast cancer screening
Training and education of local providers on how to complete clinical breast exams at 12 clinics in Central Haiti
Purchasing mobile ultrasound equipment for 12 clinics and train local medical providers on ultrasound-guided biopsy procedure
Wide-scale program of clinical breast exam screening in communities (through community health workers, beyond the 'walls' of the twelve clinic sites).
Local medical providers conduct their own ultra-sound guided, core biopsy procedures. Collect and prepare samples for shipping to US pathology lab.
Cancer is increasingly recognized as a significant health, social and economic problem in the developing world. The majority of international aid in developing countries has been focused on infectious disease and maternal and child health, despite the fact that women in poor countries are just as affected by chronic and noninfectious diseases such as breast cancer. A breast cancer program must be developed in the context of the overall local health system as well as general cancer infrastructure. The role of the Avon Foundation for Women is to identify credible medical partners and to fund the start up of this program for two years.