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Sentrong Aruga Para sa Kababaihan (SAK)

Sentrong Aruga Para sa Kababaihan (SAK), a premier model center, nationally recognized, trusted, and respected in reproductive health, with holistic quality services (diagnostic, treatment, and preventive services), pro-poor, health policy for all, especially for Muntinlupa women in need, empowering the community to be productive citizens and save women’s lives.

Click on the images to read more about SAK.

ILIVE

I LIVE – An STC Support Group

I LIVE is a support group where cervical cancer survivors and carers come together to share, support, bond, and advocate that there is life in spite of cancer. The friendship among survivors started with spreading awareness on cervical cancer through the informative website and video thesis of De La Salle-College of St. Benilde students which goal is to promote early cervical cancer detection through screening, healthy lifestyle, and vaccination, and is now its own group supported by the Save the Cervix (STC) Advocacy and CECAP in collaboration with Jhpiego, affiliate of Johns Hopkins University.


MISSION

  • To serve as a model for hope that cancer can be treated and prevented.
  • To assist women, their families, and communities through networking, collaborating on appropriate programs by partnering with like-minded governments, organizations, and individuals to achieve health outcomes that will uplift low-resource grassroots communities, and contribute in developing a stronger society.
  • To assist families and carers, teaching them how to support cancer patients physically and psychologically, adjust their lifestyle, and uplift their spirit with hope that there is cure for their loved ones; and providing them with support if ever they may face the eventuality of loss.
  • To assist organizations’ programs of prevention and education with information campaigns and diverse communications that will supply women (especially those in areas without access to health care) with the knowledge and attitude towards early cancer screening and detection, and healthy lifestyle for increased immunity to fight diseases.


VALUES  

  • Intelligence; The Proper knowledge on cervical cancer prevention and control in order to save women’s lives. This Know-how includes the ability to use that knowledge to protect oneself and prevent the disease to occur or progress.
  • Love; A deep feeling of endearment that makes you care for a person.
  • Integrity; The Sincerity in caring for the sick so that you win their trust.
  • Valor; The Courage in the face of sickness inspite of the disease, and ability to endure.
  • Empathy; The ability to understand and share the feelings of another.


MILESTONES

  • First bonding Event
    November 18,2016 | Palms Country Club
    The group met together to get to know each other with the aim to share hope and joy with each other that they are well and alive.
  • Intimacy Lecture
    2017
    A lecture for cervical cancer survivors and their carers was done at the Cancer Institute of Asian Hospital and was attended by doctors, nurses, paramedics, and cancer survivors including those who came on the first bonding event.
  • I LIVE and Save the Cervix Project
    2017-2018
    Several cervical cancer patients and survivors who are now members of I LIVE! helped in making The Save the Cervix (STC) project possible through taking part in research and interviews wherein they shared their cervical cancer story and how it affected their family life, social life, and career. They welcomed the STC proponents, Jang and Lea, in their homes and workplaces, to give a glimpse of their lives during and/or after cervical cancer.
  • ACCF Interview
    November 16, 2018 | Asian Hospital Medical Center
    The group collaborated with the Australian Cervical Cancer Foundation (ACCF) and came up with an information video with a question and answer portion that is intended to empower women with the knowledge in preventing cancer and disease and living a healthy life.
AOFOGFEAT

Empowering Obstetrician Gynecologists in Asia-Oceania for Cervical Cancer Prevention

In line with the program of WHO through APEC and the Department of Health of the Philippines, AOFOG joined the Philippines Obstetrical and Gynecologic Society (POGS) in the 26th Asia and Oceania Federation of Obstetrics and Gynecology International Congress for its call to action for cervical cancer elimination.

Multiple stakeholders from all Asia Oceania regions pledged to commit towards programs and activities that will save women’s lives–including WHO’s flagship program that’s eliminating cervical cancer. Countries which joined the cause include Australia, Bangladesh, Cambodia, China, Egypt, Fiji, Hong Kong, India, Indonesia, Israel, Japan, Korea, Laos, Macau, Malaysia, Mongolia, Myanmar, Nepal, New Zealand, Pakistan, Philippines, Papua New Guinea, Saudi, Singapore, Sri Lanka, Taiwan, Thailand, and Vietnam.

Pictured above in The AOFOG Manila Declaration: a Call to Action Against Cervical Cancer, Signing of the Collaboration is AOFOG incoming and outgoing President Kazunori Ochiai and Ravi Chandran respectively, DOH Secretary of Health, Francisco Duque, POGS incoming and outgoing President Christia Padolina and Mario Bernardino respectively, and Cervical Cancer Prevention Network Philippines’ Cecilia A. Ladines Llave.

Following the event’s goal, the workshop session Empowering Obstetricians and Gynecologists for
Cervical Cancer Prevention and Control
 was organized by AOFOG and POGS in collaboration with Cervical Cancer Prevention Network Philippines (cecapph.com), Society of Gynecologic Oncology of the Philippines (SGOP), Philippine Society of Cervical Pathology and Colposcopy (PSCPC), Philippine Infectious Disease Society of Gynecologists (PIDSOG), and Asia-Oceania Genital Infection and Neoplasia Society of the Philippines (AOGIN).

Its objectives were to:

  1. Educate and update medical practitioners for quality assurance
  2. Empower and orient participants on the standardized procedures for early cancer detection and treatment (sessions for doctors, nurses, midwives)

The quality assurance and standardization of procedures will ensure effective service access to eliminate cervical cancer.

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Lila-MSF in Tondo, Manila

The District of Tondo, an urban poor municipality is situated North-west of Manila, Philippines, known for its slum area where people are at a high risk of contracting diseases including HPV and cervical cancer. 
The Medecins Sans Frontieres (MSF) or “Doctors Without Borders” teamed up with Likhaan: Center for Women’s Health Inc., now called Lila, a non-government organizationwhich provides direct health care services to women in marginalized communities. 

MSF is an international, independent medical humanitarian organization that provides medical assistance to people affected by conflict, epidemics, disasters, or exclusion from healthcare. Together, the organizations has mobilized a comprehensive cervical cancer prevention program, with the mentorship of CECAP Philippines and Jhpiego – affiliate of Johns Hopkins University to provide better vaccination, screening (SVA) and treatments in the district. The clinic is focused on reproductive health  services and a learning center that will improve access and increase utilization of quality comprehensive women’s care especially for prevention to save more women’s lives.

In collaboration with the Manila Health Department and the Department of Health, vaccination services against HPV was initiated by MSF on February 2017. With help from the barangay, people were made aware of this program through SMS messaging, house visits, public announcements, tarpaulin posting, education session in barangay hall. The results were
25127 Vaccinated girls (1st dose) and 22096Vaccinated girls (2nd dose, 87.93%).

To better reach women in need for screening and treatment, the groups arranged SVA trainings, and launched a mobile clinic to visit the district’s barangay. The Clinical Skills Mentorship Training for SVA by CECAP Philippines was held on September 2016, November 2017 and October 23-27, 2018. Other trainings (SSVs & Skype training) mentored by a Jhpiego accredited trainer also took place on October 2016. So far, three batches have been trained with an accredited staff to do stand alone activity. Through the site supervisory visit (SSV) the center and the trainees are regularly monitored quarterly and audited for quality assurance.Meanwhile, the mobile clinic service drove its way around different barangays in Tondo on a bi-weekly basis. By May 2018, it was upgraded to 3 times a week. 

 
In Summary, since starting services in October 2016, until 30 June 2018, CECAP has performed:

  • 407 Education Sessions with 17,885 women reached, in collaboration with MSD/POGS
  • 3,442 Screenings (2,924 VIA + 518 Pap smear)
  • 150 Cryotherapies (5% of all screenings)
  • 11 Treatment referred to PGH
  • 6 Referrals ongoing in PGH for further follow-up.


With the impact of the program in the district, most especially its mobile services, Lila and MSF plan to increase the number of mobile clinic activities in Tondo in the future. There will be continued cervical cancer prevention activities in Tondo and San Andres Clinic, SSV for all batches of trainees, and HPV vaccination for girls aged 9-13 years old. 

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Save the Cervix – The First Step

The Save the Cervix project is an informational website, developed by multimedia artists Lea Llave, and Janielle Sabio, that seeks to educate people about cervical cancer, the burden it brings to women in different aspects of their lives, and to emphasize the need for prevention, promoting methods such as HPV vaccination and cervical cancer screening.  It provides general knowledge on cervical cancer such as its cause, statistics, symptoms, stages, prevention, and treatment. The website also has a list of health facilities where people can get screened or vaccinated. Aside from word content, it has 3 episodes of videos featuring stories of women who have or had cervical cancer. 

On the 30th of May, 2018, the project launching event Save the Cervix: The First Step, was held at the Grand Ballroom A, Palms Country Club, Alabang, Muntinlupa, with the goal of opening the website for public use, and tackling cervical cancer awareness and prevention.

The event was sponsored by the Cervical Cancer Prevention Network (CECAP), and had more than 60 attendees, including potential sponsors, doctors, cervical cancer patients, survivors, and their families and friends. It  was hosted by the proponents of the project themselves – Lea Llave, and Janielle Sabio, and had key speakers namely CECAP chairperson, Dr. Cecilia Llave; Australian Cervical Cancer Foundation (ACCF) Director, Mr. Graeme Lade; and Cervical Cancer Survivor and prominent advocate, Mrs. Josephine De La Cruz.

Registration for the event started at 6pm, and attendees were encouraged to write their messages at the commitment booth managed by Dr. Stephanie Dimatatac. The program started with a doxology, followed by a “getting-to-know” portion headed by Dr. Martha Parocco. After was the Dinner accompanied with singing. When the program resumed, Dr. Llave took the stage to discuss the disease, CECAP’s advocacy and its efforts towards a cervical cancer-free Philippines. Consecutively, The Save the Cervix project was introduced to the crowd through a demo reel of the website, and the presentation of all 3 videos about a cervical cancer patient/survivors’ family life, work life, and social life. Doctor and cervical cancer patient/survivors interviewees involved in the project were acknowledged, and given a certificate, and a simple gift as a token of appreciation. In between, ACCF Director Graeme Lade, and cervical cancer survivor/advocate  Josephine De La Cruz, gave their speeches. The event concluded with the proponents expressing their gratitude towards those who made Save the Cervix and its launching possible.

ACCF

ACCF in Catarman, Northern Samar

The Australian Cervical Cancer Foundation or ACCF is an organization dedicated to eliminating cervical cancer in Australia and in developing countries such as the Philippines. Its mission is to minimize the incidence and burden of cervical cancer and related women’s health issues, and help their families and communities by developing practical and appropriate programs while partnering with like-minded governments, organizations, and individuals to achieve their aims.

With ACCF’s goal and CECAP’s vision to have a cervical cancer free Philippines, both made an agreement on July 14, 2015 to further their advocacy. An ocular visit and community capability assessment stakeholders meeting involving local health officials was conducted in Catarman, Northern Samar on November 13, 2012 prior the agreement and as a result, Catarman was chosen as one of the beneficiaries of ACCF to implement a cervical cancer screening and prevention program in the Province.

Northern Samar is one of the three provinces comprising Samar Island, and is classified as a second class province. Based on the 2010 National Census, the province has a total population of 589,013 and a household population of 94,410. Catarman is the capital town of the province where most political and economic activities take place. It is the seat of administration and the center of trade and commerce as well as industry. It is the best place to start the pilot projects to serve as the model care delivery systems which can be replicated and expanded to other barangays all over the province. Moreover, it fits CECAP’s criteria for a pilot site with

  1. Political Commitment
  2. Management Support
  3. Identification of key personnel to train
  4. Availabillity of infrastraucture for the program5.) Established data for women at risk.

After the signing of the memorandum of agreement, the team who will champion and implement the program in Catarman was formed; healthcare providers (doctors, nurses, midwives) were trained, and the site was given the necessary tools such as cryomachines, CO2 tanks, and vinegar. There were also barangay health workers (BHW) workshops on cervical cancer prevention, and lay forums for women empowerment, and awareness.

On 2016, the second year of the program, the initial target coverage of 500 women screened a year was achieved. 1,223 women were screened, with adjustment on the SVA target coverage. Aside from providing preventive services, 6 Continuing Medical Education (CME) with supportive supervisory visits (SSV) were done to assure proficiency of health workers on identifying VIA classification, diagnosis and treatment. Moreover, donation of tools, training, lay forums, and meetings continued.

On November 13-14, 2017, to mark the end of the 2-year program, ACCF and CECAP went to Catarman to paint Catarman orange in celebration of cervical cancer awareness. This program coincided with the commencement of the Cervical Cancer Awareness Week in Australia. (pictures)

In Summary, by November 2017 the program achievements were

  • 1,642 screened with VIA, of which 35 women were VIA positive.
  • 29 Cryotherapies, 23 of which were done on the same day of screening, while 6 done on other days.
  • 2 Referrals involving large lesions for management; 2 suspected for cancer, 1 underwent surgery but refused chemotherapy, 1 lost to follow up.
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The Real Awards

Each year the Real Awards is given to distinguished experts in the healthcare industry in the following fields: Fitness, Mental Health, Doctors, Meditation, Skin Health, and Cosmetics.

This award recognizes authentic voices in mental and physical health that are genuinely helping people 1) Look better, feel better, and live a healthier lifestyle; 2)Lead better relationships at work, and with friends and family; and 3) Take control of their health, and improve their mental and physical performance across the board. The winner is based on the following criteria: creativity, impact, interactivity, and usability.

In 2012 – 2013, a local health government midwife Gloria-Academia Llegunas (pictured above) from Minglanilla Cebu won the Real Awards, as the best healthcare provider of the CECAP Single Visit Approach advocacy to save women’s lives. She had the most number of women screened for the CECAP sites in the Philippines.

mdi

Mother-Daughter Initiative

The Mother-Daughter Initiative (MDI) is a research collaboration by Jhpiego – affiliate of Johns Hopkins University with the Philippines and Thailand that test the feasibility and acceptability of a strategy to deliver comprehensive cervical cancer prevention services by integrating the HPV vaccine for girls ages 9-13 into already successful screening and treatment programs for mothers.

In the Philippines, the goal was to: 1) vaccinate 50% of 9-13-year-old girls in 3 established CECAP sites namely Los Banos, Laguna; Minglanilla, Cebu; and Pagbilao, Quezon;2) Assess the mothers’ acceptability of their daughter receiving all 3 doses after the mothers are screened or treated for cervical pre-cancer; and3) Share the information and experiences from this research that would encourage women to bring their daughters for vaccination while undergoing cancer screening.

The study started in September 2010, and finalized in November 2012.The number of girls given the 1st dose was  – 4000 (1,333 in Los Banos, 1,334 in Mingnallia and 1,333 in Pagbilao); 3,847 girls for the second dose (1,301 in Los Banos, 1,334 in Mingnallia and 1,212in Pagbilao) 96.18% of the first batch vaccinated, and 3,524 or 88.1% for the third dose (1,278 in Los Banos, 1,334in Mingnallia and 912 in Pagbilao). 

Meanwhile, screening, treatment and participation on other activities for women took place from February 2011 to June 2012. The number of Women screened for cervical cancer were 7,310 in total – 3,867 in Los Banos, 1,747 in Minglanilla, and 1,696 in Pagbilao. 10, 5 and 5 women in Los Banos, Minglanilla and Pagbilao respectively were treated for pre cancerous lesion. For other CECAP promotion activities, 13,674, 1,858, 2,441 people participated in Los Banos, Minglanilla and Pagbilao respectively – with 17,973 participants in all.

Over the duration of the MDI project, the challenges faced were 1) the existence of myths and misconceptions (such as rumours that HPV vaccines were an abortifacient and could cause infertility) causing hesitation on the part of potential participants;  2) the securing of consent from legal guardians especially when the parents were not present; 3) the coinciding HPV vaccination and school schedules; 4) the heavy workload of providers; 5) the accessibility for girls in geographically isolated areas; 6) severe weather conditions; and 7) adverse events or pregnancy cases.

Despite the challenges, the MDI implementation phase in the Philippines was satisfactorily completed; 4,000 young girls received HPV vaccines. With 88% of the girls that received the first dose also completing the full three dose schedule; 300 HPV Knowledge and Intention Interview and 400 Post Dose HPV Vaccine Interview were conducted and completed; 17,973 individuals participated in CECAP awareness campaign activities; and 7,310 women aged 25-45 went for cervical cancer screening and 20 received treatment for precancerous lesion.

gcta-03

Moving as One – Global Call to Action

The DOH’s Center for Excellence for Public and Private Partnerships in Health (PPP), UP-PGH, Chevron Geothermal Philippines Holdings, Inc., and the Cancer Institute Foundation for Cancer Prevention Center with the support of the Union for International Cancer Control, JHPIEGO – an affiliate of the Johns Hopkins University, and the Philippine Cancer Society, joined the international community in celebrating World Cancer Day through Moving As One, A Global Call to Action: Preventing Cancer to Save Lives last February 3, 2012 at the Diamond Hotel – Manila.   

Two hundred forty-eight Filipino and international experts in the prevention, early detection and treatment of malignant diseases came together with leaders from several government agencies and non-government organizations to develop important networks and share their best practices crucial to the ongoing fight against cancer. 

The global burden of cancer, Philippine government’s thrust in cancer care and control and the UICC’s 11 key targets by 2020 were the highlights of the event. Four panel sessions followed focusing on the roles of government, non-government organizations, healthcare workers and patient groups in cancer care and control, covering the broad and general spectrum of control programme as well as the specific issues related to cancer. 

During the event, the participants signed the World Cancer Declaration and together they are led to a pledge of commitment to move as one in the global fight against cancer

Targets by 2020

  1. Sustainable delivery systems will be in place to ensure that effective cancer control programmes are available in all countries
  2. The measurement of the global cancer burden and the impact of cancer control interventions will have improved significantly
  3. Global tobacco consumption, obesity and alcohol intake levels will have fallen significantly
  4. Populations in the areas affected by HPV and HBV will be covered by universal vaccination programmes
  5. Public attitudes towards cancer will improve and damaging myths and misconceptions about the disease will be dispelled
  6. Many more cancers will be diagnosed when still localised through the provision of screening and early detection programmes and high levels of public and professional awareness about important cancer warning signs
  7. Access to accurate cancer diagnosis, appropriate cancer treatments, supportive care, rehabilitation services and palliative care will have improved for all patients worldwide
  8. Effective pain control measures will be available universally to all cancer patients in pain
  9. The number of training opportunities available for health professionals in different aspects of cancer control will have improved significantly
  10. Emigration of health workers with specialist training in cancer control will have reduced dramatically
  11. There will be major improvements in cancer survival rates in all countries