Home / LAGOS STATE CERVICAL CANCER AWARENESS AND SCREENING PROGRAMME

LAGOS STATE CERVICAL CANCER AWARENESS AND SCREENING PROGRAMME

LAGOS STATE CERVICAL CANCER AWARENESS AND SCREENING PROGRAMME
INTRODUCTION/BACKGROUND

Globally, every 2 minutes a woman dies from cervical cancer. Cervical cancer is the commonest genital cancer killing women especially in sub-Saharan Africa. It is the 2nd commonest cancer affecting women in Nigeria. It is prevalent but not exclusive to the sexually active women in the reproductive (childbearing) years. Cervical cancer is fatal if left unrecognized and untreated. As a result of the high mortality from the condition due to late presentations at the secondary health facilities, the State Government commenced massive public awareness and screening of women aged between 25 – 60 years in order to diagnose women during the long pre-cancerous phase.

Several studies have proven that certain types of a virus called Human Papilloma Virus (HPV) are the necessary cause of cervical cancer. There is scientific evidence that the virus has been detected in up to 99.7% of all cervical cancers worldwide. The virus can be transmitted during sex or even sometimes during intimate genital skin contact. About 80% of the women will be infected with some type of the HPV at some time in their lifetime. This is why it is very important for every woman to undergo regular cervical screening to detect abnormalities. Regular cervical smear testing through pap’s test or screening with low cost methods using Visual Inspection with Acetic Acid (VIA) are the most effective ways of detecting cervical abnormalities, which may be the early signs of the disease. The prevention of cervical cancer using this low cost method is simple, effective, technologically friendly and affordable.
The Lagos State Government through the Ministry of Health from the year 2008 conducted Free Cervical Cancer Screening program as “stand-alone” awareness and screening programs until 2012. Of note is that these held at different times of the year. In 2012, the Ministry commenced thecombined breast and cervical awareness and screening program in realization of the fact that the clients for both programs are essentially same i.e. women in their reproductive ages. Arising from this was the lesson learnt in implementation efficiency, effectiveness and curtailing of missed opportunities which was the case in the stand-alone screening as a woman who presented for cancer of the breast screening would sometimes not show up for that of the cervix.

In recognition of risk factors of unhealthy diet, alcohol, tobacco, and lack of physical exercise common to the aforementioned diseases under the NCD awareness and screening program, the Ministry commenced in 2013 an integrated health screening package referred to as theStatewide Wellness Week of which two rounds have been successfully implemented (2013 and 2014). The program involved creating awareness and screening for hypertension and diabetes as well as screenings for cancers of the breast, cervix and prostate. Hypertension and diabetes screening took place simultaneously in all the 57 LGAs and LCDAs while screenings for cancer of the breast, cervix and prostate took place in one (1) LGA per senatorial district alongside their respective LCDA(s).

Evidence from the 1st and 2nd Rounds of the Statewide Wellness Week is supportive of the delivery of a higher social impact and substantial reduction in missed opportunities as the same clients that presented for the hypertension and diabetes screening were simultaneously screened for the cancers as applicable between the male and female genders. The resultant effect was thus greater efficiency as return on each naira spent was potentiated. This paradigm shift is also in consonance with the cardio-metabolic and cancer screening system being institutionalized in the Flagship PHC centres under the Primary Health Care Revitalization Program.

Statistics
The State Government has on record conducted 13 rounds of Cervical Cancer Awareness and screening since inception in 2008 with 16,088 women screened.

ACTIVITIES
• The State developed and printed IEC materials (fliers, handbills and posters) which were distributed to the women during the screening campaigns.
• Group and individual counseling were provided before and after the cervical screening exercise.
• Cervical screening using VIA was conducted FREE OF CHARGE for women aged 25 – 60 years.
• Treatment of the identified precancerous lesions with cryotherapy machine was also done FREE OF CHARGE.
• Clients with signs and symptoms suggestive of Sexually Transmitted Infection (STI) were managed using Syndromic Management of STIs.
• Referral services for those with suspicious cancer were also provided. The designated referral health facility is Lagos Island Maternity Hospital.
Key Achievements: With the support of the Her Excellency, the First Lady of Lagos State, Mrs Abimbola Fashola, thirteen (13) rounds of the cervical awareness and screening campaigns have been conducted in the State.
SUMMARY OF LSMOH STATISTICS

DATA GENERATED FROM FREE LAGOS STATE FREE CERVICAL CANCER SCREENING FROM INCEPTION TILL DATE
ROUND LGA DATE TOTAL NO OF CLIENTS SCREENED FOR CERVICAL CANCERTH VISA FOR CERVICAL D WITH VIA FOR CERVICAL CANCER TOTAL CLIENTS TREATED WITH CRYOTHERAPY CLIENTS SEEN WITH CERVICAL CANCER TOTAL TREATED FOR STIs
1 IKEJA DEC08 1,004 14 (1.00%) 2(0.19%) 231(23%)
2 IKORODU NOV09 1,006 4 (0.39%) 1 (0.09%) 82 (8.15%)
3 MUSHIN DEC09 952 15(1.57%) 5 (0.52%) 68 (7.14%)
4 SURULERE SEPT10 951 12 (1.26%) 0 (0.00%) 286 (30.07%)
5 AMUWO DEC10 906 8 (0.88%) 1 (0.11%) 267 (29.47%)
6 OJO JULY11 978 15 (1.53%) 4 (0.40%) 80 (8.17%)
7 IFAKO AUG 11 1,221 6 (0.49%) 3 (0.24%) 28 (2.29%)
8 OSHODI FEB 12 1,227 3 (0.24%) 3 (0.24%) 195 (15.89%)
9 ETI OSA JUNE 12 1,263 7 (0.55%) 0 (0.00%) 253 (20.03%)
10 EPE SEPT 12 1,130 5 (0.44%) 2 (0.17%) 198 (17.52%)
11 SECRETARIAT DEC 12 1,306 16 (1.22%) 3 (0.22%) 205 (15.69%)
SUB-TOTAL 11,944 105 (0.87%) 24 (0.20%) 1,893 (15.84%)

LAGOS STATE WELLNESS WEEK
12 ALIMOSHO, SHOMOLU, L/ISLAND 1STROUND NOV 13 2,919 14 (0.47%) 7(0.76%) 204 (6.98%)
13 IBEJU LEKKI, IKEJA AND LAGOS MAINLAND 2NDROUND DEC 14 1,225 13 (10.6%) (0.00%) 69
GRAND TOTAL 16,088 132 (1.00%) 31 2,166 (13.46%)
STIs = SEXUALLY TRANSMITTED INFECTIONS
First Round
• Date: 15 – 21st December, 2008
• Location – Ikeja division (Ikeja, Oshodi-Isolo, Agege, Ifako-Ijaiye, Alimosho LGAs and LCDAs). Screening site – Sango PHC, Agege LGA
• Total No of women screened – 989 (100%)
• Total No of women with defined aceto-white lesions – 14 (1.4%)
• Total No of women treated with Cryotherapy – 14 (1.4%)
• Total No of women treated for STIs – 231 (23.0%)
• Total No of women with suspicious cervix – 2 (0.2%)
Second Round
• Date: 15 – 21st November, 2009
• Location – Ikorodu division (Ikorodu, Somolu, Kosofe LGAs and LCDAs). Screening site – Ikosi PHC, Ikosi/Isheri LGA
• Total No of women screened – 1006 (100%)
• Total No of women with defined aceto-white lesions – 4 (0.4%)
• Total No of women treated with Cryotherapy – 4 (0.4%)
• Total No of women treated for STIs – 82 (8.2%)
• Total No of women with suspicious cervix – 1 (0.1%)
Third Round
• Date: 15 – 19th December, 2009
• Location – Mushin LGA (Mushin LGA and Odi/Olowo –Ojuwoye). Screening site – Palm Avenue PHC, Mushin LGA
• Total No of women screened – 952 (100%)
• Total No of women with defined aceto-white lesions – 15 (1.6%)
• Total No of women treated with Cryotherapy – 15 (1.6%)
• Total No of women treated for STIs – 68 (7.1%)
• Total No of women with suspicious cervix – 5 (0.5%)
Fourth Round
• Date 28 September – 1st October 2010.
• Location – Surulere LGA (Surulere, Coker Aguda LGA and Itire Ikate). Screening site – Coker Aguda PHC in Surulere.
• Total No of women screened – 951 (100%)
• Total No of women with defined aceto-white lesions – 12 (1.26%)
• Total No of women treated with Cryotherapy – 12 (1.26%)
• Total No of women treated for STIs – 286 (30.07%)
• Total No of women with suspicious cervix – Nil
Fifth Round
• Date 1st – 4th December 2010
• Location – Amuwo – Odofin LGA (Amuwo Odofin and Oriade LCDA). Screening site – FESTAC PHC in Amuwo – Odofin
• Total No of women screened – 906 (100%)
• Total No of women with defined aceto-white lesions – 8 (0.8%)
• Total No of women treated with Cryotherapy – 8 (0.8%)
• Total No of women treated for STIs – 267 (29.4%)
• Total No of women with suspicious cervix – 1 (0.1%)
• Capacity building for 80 family planning managers and providers from PHCs and General Hospitals
Sixth round
• Date july 2011
• Held in ojo lga
• Total no of women screened -978
• No of women with defined aceto white lesions -15
• Total No of women treated with Cryotherapy – 15
• No treated for STIs- 80
• No of women with frank cancer – 4
Seventh Round
• Date August 2011
• Location – ifako ijaiye LGA
• Total No of women screened -1221
• Total No of women with defined aceto-white lesions – 62
• Total No of women treated with Cryotherapy – 6
• Total No of women treated for STIs – 28
• Total No of women with suspicious cervix – 3
Eighth Round
• Date 30th January to 3rd February 2012
• Location – OSHODI-ISOLO LGA (Oshodi ,isolo, and Ejigbo LCDA). Screening site – Oshodi PHC in Oshodi LGA
• Total No of women screened – 1227 (100%)
• Total No of women with defined aceto-white lesions – 98
• Total No of women treated with Cryotherapy – 8 (0.8%)
• Total No of women treated for STIs – 195
• Total No of women with suspicious cervix – 3
Ninth Round
• Date 4th to 8th June 2012
• Location – Eti Osa LGA (Eti Osa ,Eti Osa East, Ikoyi/ Obalende and IIru/Victoria Island LCDA). Screening site – Obalende PHC in Ikoyi/Obalende LCDA and Badore PHC in Eti Osa East LCDA
• Total No of women screened – 1264 (100%)
• Total No of women with defined aceto-white lesions – 7
• Total No of women treated with Cryotherapy – 7 (0.8%)
• Total No of women treated for STIs – 125
• Total No of women with suspicious cervix – NIL
Tenth Round
• Date 24th to 28th September 2012
• Location – Epe LGA (Epe, Eredo, and Ikosi Ejirin LCDA). Screening site – Afuye PHC, Noforija PHC in Eredo LCDA and Agbowa PHC in Ikosi Ejirin LCDA
• Total No of women screened – 1130 (100%)
• Total No of women with defined aceto-white lesions -5
• Total No of women treated with Cryotherapy – 5
• Total No of women treated for STIs – 198
• Total No of women with suspicious cervix – 2
Eleventh Round
• Date 17th to 21st December 2012
• Location – Drivers’ pavilion, State Secetariat, Alausa
• Total No of women screened – 1306 (100%)
• Total No of women with defined aceto-white lesions -16
• Total No of women treated with Cryotherapy – 16
• Total No of women treated for STIs – 205
• Total No of women with suspicious cervix – 3
Twelfth Round
• Date 25th to 29th November 2013
• Location – Alimosho, Lagos Island and Shomolu LGA
• Total No of women screened – 2,919 (100%)
• Total No of women with defined aceto-white lesions -14
• Total No of women treated with Cryotherapy – 14
• Total No of women treated for STIs – 204
• Total No of women with suspicious cervix – 7
Thirteenth Round
• Date 16th to 20th December 2014
• Location – Ibeju- Lekki, Ikeja and Lagos Mainland LGA
• Total No of women screened – 1225 (100%)
• Total No of women with defined aceto-white lesions -13
• Total No of women treated with Cryotherapy – 13
• Total No of women treated for STIs – 69
• Total No of women with suspicious cervix – nil

Copyright Reserved 2016 Lagos State Government | Powered by Ministry of Science & Technology