mardi 21 janvier 2014
Dr Mateus from Agir Ensemble/Hope Medical Center has attended the AORTIC 2013 Conference to presente the abstract below: Author(s): Dr Mateus Kambale Sahani1,2, Dr Roger P. Hamuli2, Mr Désiré Tshombe2 Institute(s):1Health Department, AGIR ENSEMBLE, 2Hope Medical Center-GOMA, The Democratic Republic of the Congo. Background and justification Cervical cancer is the most common cancer in DRC and the first cause of death by cancer in the country. As the service is not available in almost whole the country, people are not aware of it and arrive at the hospital at the very advanced stage of the disease. Methodology We have initiated a colposcopy center in Goma city, east of the country which is the first in this part and we have proceeded to raising awareness to let women being informed of the relevance of this service. This study is prospective and descriptive for 52 women screened at Hope Medical Center (n = 52). The women screened have age between 25 to 45 years old. Results In 2 months (August and September), we have screened 52 women among them 1 has advanced cervical cancer (1.92%), 3 have carcinoma in situ (5.77%), 3 have LSIL (5.77%) and 5 have HSIL (9.62%) and 40 have negative results (76.92%). Among all the women screened, only 10 were totaly healthy (19.23%), 42 consulted because they had one or more signs and symptoms (80.77%). When we compare these percentages, we find that the difference is statistically significant; X2 =39.38 and p = 0.000001. This means that more women come to colposcopy when there is an alarm sign. The most common sign that alarm women for colposcopy is hypogastric and lower back pain (29/42, 69.05%) and the second is dysparenia (8/42, 19.05%) ; other signs (5 people, 11.90%). When we compare these percentages, we find that the difference is statistically significant; X2 =36.64 and p = 0.000001. This means that the most sign that motivate women to come to colposcopy is hypogastric and lower back pain. All women screened positive with CIN have accepted to be treated. This means that when women are aware of their health status regarding cervical cancer/precancer, they are adherent to colposcopy program. Conclusion Awareness program is important for adherence of women to colposcopy program, we should publish a list of warning signs to allow women coming to colposcopy clinic very early. Colposcopy will allow women to be diagnosed very early.
lundi 20 janvier 2014
Agir Ensemble has been honored by the award offered to its director of health department, Dr Mateus Kambale Sahani, by the University of Chicago/USA to attend the AORTIC 2013 conference and the ACLI program in Durban/Africa. There were 12 ACLI recipients from different countries in Africa among which 1 francophone country, Democratic Republic of Congo, represented by, Dr Mateus of Agir Ensemble. ACLI is the African Cancer Leaders Institute and has the aims to develop and improve leadership for young oncologists in Africa The selection was very competitive and only the best could be selected. For this first class, 67 applications were submitted and only 12 were selected. A number of mentors were appointed for the recipients and this award allows recipients to remain in permanent contact with their mentors and develop a long friendship and their career in oncology. This to say it is just a beginning and many things are coming in the future. Career development in this field, especially in our country, needs efforts from every one, stakeholders and political commitments. Many topics have been developed at the conference among them how to disseminate skills gained and how to improve program in the respective countries. At the end of the ACLI Meeting certificates were awarded to the 12 members. A lot of things have been learnt and it can be useful for people in Democratic Republic of Congo. Six African countries represented by 12 oncologists have attended the program activities. The delegates were from the following countries: 1. Nigeria: 5 delegates 2. D.R.Congo: 1 delegate 3. Kenya: 2 delegates 4. Zambia: 1 delegate 5. Ghana: 1 delegate 6. South Africa: 2 delegates Done in Goma, January 20, 2014. Mateus Kambale Sahani, M.D. Agir Ensemble/Health Department/Hope Medical Center Goma-D.R.Congo, Tel: +243-998625635/+250-788884503, Email: email@example.com or firstname.lastname@example.org, Blog: http://agirensemblerdc.blogspot.com
jeudi 10 octobre 2013
AGIR ENSEMBLE/HOPE MEDICAL CENTER: GLOBE ATHON EVENT IN GOMA On October 5, 2013 Agir Ensemble has hold the Globe-athon event which consists of a 2 hours meeting with women who brought kids at vaccination at Virunga Health Center and cervical cancer screening for 20 women free of charge at Hope Medical Center. The objectives of the event were: 1. To gather 40 women for the meeting 2. To get commitment of proceeding to BSE of 90% of attendees 3. To do cervical cancer screening for 20 women free of charge at Hope Medical center. We have gathered 53 women at Virunga health center and we taught them how to do Breast Self Examination (BSE) for breast cancer early detection. Almost all women (51) found this information very important for their life and have committed to proceed to the BSE every day and to consult doctor for any change to their breasts. All attendees (53) committed to leverage the message to their friend. After this meeting we went to the Hope Medical Center and we got a round table with 10 women before beginning the cervical cancer screening. During this round table we explained to women the relevance of colposcopy to prevent cervical cancer screening and all of them committed to spread the message to their friends. Then we begun colposcopy and other women arrived progressively during the day and in total we screened 18 women among them: 15 had negative results (83.33%), 1 has LSIL (5.56%) and 2 have HSIL (11.11%). Indicators of success: 1. Attendees: 53/ 40 expected => 132.5% 2. We have got commitment of 51 women/53 attendees to practice BSE in their life => 96.23% 3. All women who attended the event (100%) committed to leverage the message to their friends. 4. Screened women: 18/20 expected => 90%. This event was a valuable day to allow us raising awareness of women cancer, especially cervical cancer and breast cancer to let women know what can be done for prevention and early detection. Done in Goma, October 9, 2013. Mateus Kambale Sahani, MD Agir Ensemble/Hope Medical Center.
lundi 3 juin 2013
Agir Ensemble and its medical clinic, Hope Medical Center (HMC) is please to announce to all that it has been able to launch the Colposcopy service this month of May 2013. It is clearly known that cervical cancer is the most common cancer in prevalence and in mortality in D.R.Congo and the second one is breast cancer. For a very long period no colposcopy could be done in Congo and Agir Ensemble took this program in mind as its first priority for women of Congo. I had assisted to unnecessary deaths by cervical cancer, a fully preventable disease, in many hospitals in the country and no body could stop it happen. No one could imagine that colposcopy could be possible in this country; no one could help women getting access to this service in the country ! But we did it! We have begun this fight against cancer, especially cervical cancer and breast cancer since 2004 (there are now 11 years), a fight for a long period and we went slowly but surely towards our goal to make available prevention and early detection services for cancers. And now colposcopy is possible in D.R. Congo, city of GOMA at the east of the republic. The coloposcopy center was launched on May 2, 2013 and this there we have got 5 women attending the service among them 1 has advanced cervical, 1 has precancer (CIN) and 3 have negative results. The main challenge we have is that people in our country are not aware of what is colposcopy and what is its relevance, that is why women didn’t begin coming to this service. We have begun awareness campaign for women in the city to increase the number of people who consult for colposcopy. The second challenge is that most of them don’t have possibility of paying for their colposcopy examination and they need a service free of charge. It could be better to begin with a pilot project for a specific number of women and this could let people aware of the service and then they can pay for it while they are aware of its relevance. Personnaly, I’m very pleased and proud to be the first person to initiate colposcopy in the Democratic Republic of Congo and I’m sure that in the coming days this service will serve also other neighbor countries like Rwanda, Burundi, etc. I would like to thank greatly the IFCPCP for the training provided to me, especially prof Walter Prendiville, prof Lynnette Denny, Patrick Walker, Fidelma and others. I would like to thank also prof Walter for the donation of the colposcope and other materials. Many thanks to Mrs. Robin Glazer in New York for her contribution, many thanks also to prof Linus Chuang in New York at Mount Sinai School of Medicine for the additional training in colposcopy and mammography. The women seen here is the one who has inaugurate our colposcopy service at HOPE MEDICAL CENTER (HMC). The date of June 1, 2013 will be a historical date for me, for all the team and for our organization because it is the date that we get the first women with positive result on colposcopy (CIN) after examination of 5 women during the month. Our young service needs sustainability and strength, support, help and donations from evry one to be more effective to help women in the region. We have a long road ahead of us to let women adhere to it and to increase service utilisation indicators for colposcopy. Done in Goma, June 3, 2013. Mateus Kambale Sahani, M.D. Director of Health Department/Agir Ensemble Medical director of Hope Medical Center (HMC).
mercredi 20 juin 2012
Agir Ensemble has been honored by the award offered to its director of health department, Dr Mateus Kambale Sahani, by ASCO to cover airfare, accommodation, food, transportation to attend the ASCO Annual Meeting in Chicago and an extension for practical course in New York at Mount Sinai School of Medicine in gynecological oncology. There were 24 IDEA recipients from different countries among which 1 francophone country, Democratic Republic of Congo, represented by, Dr Mateus of Agir Ensemble. On Mai 31, 2012, all IDEA (International Development and Education Award) recipients had a visit tour of a cancer center in Chicago, the Northwestern University cancer centre and after the visit scientific presentations were scheduled by staffs of ASCO and of the Northwestern Hospital. ASCO Annual Meeting is the first great and fabulous conference in the world and there were a lot of things to learn in each aspect of clinical oncology. Among the 24 recipients, 20 were for IDEA program and 4 for IDEA-Palliative care program. The selection was very competitive and only the best could be selected. For IDEA program, 100 applications were submitted and only 20 were selected. We have to note that Dr Mateus is the first from Democratic Republic of Congo to receive this award and has been honored accordingly at the award ceremony at the meeting and mentored by Prof Dr Linus Chuang and Dr David Fishman of Mount Sinai School of Medicine of New York. This award allows recipients to remain in permanent contact with their mentors and develop a long friendship and their career in oncology. This to say it is just a beginning and many things are coming in the future. Career development in this field, especially in our country needs efforts from every one, stakeholders and political commitments. Many topics have been developed at the conference among them how to disseminate skills gained and how to improve program in the respective countries. At the end of the ASCO Annual Meeting on June 5, 2012 every IDEA recipient went to the chosen site for ETA (Extended Tour Award) in different cities of USA. Dr Mateus has been placed in New York for 3 days of practical courses from June 6-9, 2012. A lot of things have been learnt and it can be useful for people in Democratic Republic of Congo. I got many skills in mammography (how it is performed and how to read the results), I’ve assisted to 2 cases of radical hysterectomy under laparoscopy and many cases of colposcopy. This is a lot to help people in DRC but assistance is really needed to allow us setting this program. Fifteen countries from every where in the world represented by 24 oncologists have attended the IDEA and IDEA-PC program activities. The delegates were from the following countries: 1. Nepal: 2 delegates 2. Georgia: 1 delegate 3. Honduras: 1 delegate 4. Russia: 2 delegates 5. Jordan: 1 delegate 6. India: 5 delegates 7. Argentina: 1 delegates 8. China: 2 delegates 9. Pakistan: 1 delegate 10. Brazil: 1 delegate 11. Nigeria: 3 delegates 12. D.R.Congo: 1 delegate 13. Kenya: 1 delegate 14. Zambia: 1 delegate 15. Egypt: 1 delegate Done in Goma, June 20, 2012. Mateus Kambale Sahani, M.D. Agir Ensemble/Goma-D.R.Congo, Tel: +243-998625635/+250-788884503, Email: email@example.com or firstname.lastname@example.org, Blog: http://agirensemblerdc.blogspot.com
samedi 12 mai 2012
Partnership Agir Ensemble, D.R.Congo and Solutions4Health, UK Agir Ensemble is a NGO based in the city of Goma, Democratic Republic of Congo which is involved in cancer control and tobacco control since 2004. It is member of UICC, ALIAM, partner with AORTIC, member of FCA, ATCA and has realized a lot of actions against tobacco, cancer, palliative care. We have demonstrated an international involvement in the fight against NCDs. During the Afro WHO consultation meeting in Brazzaville April 4-6, 2011, Agir Ensemble has given a delegate as a representative of UICC to discuss the declaration that was adopted at the UN High level summit in September 2011 in New York. Agir Ensemble has been represented by its director of Health Department at the 15th World Conference on Tobacco Or Health in Singapore from March 20-24, 2012 and before the conference, we have been in contact with Solutions4Health of UK to build a partnership in smoking cessation with our medical clinic to help people in D.R.Congo have access to tobacco control service with technical support from Solutions4Health. During the conference, we met with delegates from Solutions4Health to see how we can improve our partnership and setup strategies to look for funding for our health link. So, THET program was one of opportunities to strengthen our link. Mateus Kambale Sahani, M.D. Director of Health Department Agir Ensemble.
mardi 24 avril 2012
Singapore Conference (15th WCTOH) urges UN, Governments to incorporate tobacco Control in Development Agenda, MDGs
Singapore Conference (15th WCTOH) urges UN, Governments to incorporate tobacco Control in Development Agenda, MDGs
Delegates from across the globe that participated at the 15th World Conference on Tobacco or Health (15th WCTOH) which was held March 20-24, 2012 in Singapore have called on the United Nations and national governments to incorporate tobacco control into the development agenda at national and global levels and at the next round of the Millennium Development Goals (MDGs).
In the declaration at the end of the convergence, delegates reaffirmed that the tobacco industry continues to develop new tobacco products and obstruct effective tobacco control measures and demanded that tobacco should be incorporated in future UN development indicators and the UN Development Assistance Framework (UNDAF).
They recognised that tobacco use is the leading preventable risk factor for non-communicable diseases and that all forms of tobacco products (including new and emerging tobacco products) and their by-products are harmful and noted that to improve the quality of life, enhance human development, and reduce the social, environmental, economic, and healthcare burdens of countries, the global tobacco control community must increase the scope and intensity of tobacco control efforts.
A comprehensive collaboration and coordination at the global, regional, and national levels between tobacco control communities as well as sectors outside health were recommended as essential to move tobacco control efforts forward.
They reaffirmed that the WHO Framework Convention on Tobacco Control (FCTC) is an effective and cost-effective tool for tobacco control and recommend that by 2015 all new bilateral and multilateral agreements and treaties should have a clause that allows governments to take any measures necessary to protect human life or health, provided that such measures are not used for trade protectionist purposes.
National governments were urged to incorporate tobacco control as a core item in country-level NCDs national plans, while partners (academics, NGOs, government’s agencies) are urged to initiate a study on the economic effects of tobacco.
Specific recommendations were also made on Articles 7 to 12 of the WHO FCTC. On Article 5.3, delegates recommended that by incorporating tobacco in development initiatives, by 2025 all parties will have adopted measures to address tobacco industry interference in public health policies.
Many things should be done by governments if they are really responsible and have commitment to protect their population but commitments and willing of donors and partners are very important to move forward all efforts done by tobacco control activists and advocates. Things to be done are very well known but there is lack of financial support for activists and local NGO. Apart of the Bloomberg Initiative Fund, no other donors are committed to fund tobacco control efforts. This is a big challenge to be solved.
Even the Bloomberg fund is not used equitably for all countries; only a small number of countries benefit of this fund. This is a second challenge to be solved.
Thanks for your attention.
Goma, April 24th, 2012.
Mateus Kambale Sahani, M.D.