WHO Regional Consultation on the preparation for the Moscow Ministerial Meeting and the UN High Level Summit on Non Communicable Diseases.

WHO Regional Consultation on the preparation for the Moscow Ministerial Meeting and the UN High Level Summit on Non Communicable Diseases.

Event: AFRO Consultation meeting
Place: Brazzaville, Republic of Congo
Date: April 4-6, 2011.
Slogan: Uniting against NCDs, the time to act is now.

The meeting has been held as planned, all attendees arrived in Brazzaville on April 3, 2011. The meeting was scheduled in 2 phases:
1. The first two days (4-5 April 2011) were dedicated to a technical meeting whose focus was to prepare the Ministerial meeting which took place on 6 April 2011.
2. The Ministerial meeting which has been attended also by all the experts of the technical meeting.

At the second day of the technical meeting, a round table has been conducted by civil society organizations including American cancer society, UICC, ATCA for cancers and other organizations for other fields of NCDs. We have defended our position and the voice of cancer has been head. (See details in the meeting report pages 26-30).

At the end of all sessions, the Brazzaville declaration has been adopted and has 11 points:

1. In WHO African Region, cardiovascular diseases, diabetes, cancers, chronic respiratory diseases, haemoglobinopathies (in particular sickle cell disease), mental disorders, violence and injuries represent a significant development challenge;

2. Though not currently specified in the MDGs, NCDs form an essential part of the global, regional and national health and development agendas;

3. Heads of states and Government shall provide leadership through the participation of all government sectors, as well as partnership with civil society and community in NCDs prevention and control. The Heads of state and government should also promote good governance to prevent conflict and disruption of health services;

4. National health information systems should be strengthened and standardized to generate disaggregated data on NCDs, their risk factors and determinants and monitor their magnitude, trends, and impact;

5. Information sharing on NCDs using all appropriate means including information and communication technologies should be promoted and intensified to increase health awareness and empowerment of individuals, families and communities;

6. NCDs prevention and control strategies, guidelines, legislations, regulatory frameworks including the WHO FCTC, shall be developed and implemented to protect individuals, families and communities from unhealthy diets, harmful use of alcohol, tobacco use and exposure to tobacco smoke, food safety, prevention of violence and injuries and advertising of unhealthy products;

7. National health systems should be oriented towards the promotion and support of healthy lifestyles by individuals, families and communities within the primary health care context in order to effectively respond to complex social, cultural and behavioral aspects associated with NCDs;

8. Health systems should be further strengthened with appropriate attention to inter alia: health financing, training and retention of the health workforces; procurement and distribution of medicines, vaccines, medical supplies and equipment; improving infrastructure; and, evidence-based and cost-effective service delivery for NCDs. There is need to advocate for the integration of health in all policies across sectors in order to address NCD risk factors and determinants;

9. The management of communicable diseases in many countries including Global health initiatives can provide ample opportunities to accelerate prevention and control of NCDs. Such opportunities should be identified and harnessed to address integrated care in the context of primary health care and health systems strengthening;

10. Partnership, alliances and networks bringing together national, regional and global players including academic and research institutions, public and private sectors, and civil society shall be encouraged and supported in order to collaborate in NCD prevention and control and to conduct innovative research relevant to the African context;

11. Financial resources that are commensurate to the burden of NCD should be allocated from the national budgets to support NCD primary prevention and case management using primary health care approach and establish sustainable innovative and new financing mechanisms at national and international levels.

PARTICIPANTS HAVE COMMITTED;

12. To develop integrated national NCD actions plans and strengthen institutional capacities for NCD prevention and control;

URGE;
13. The United Nations to include NCDs prevention and management in all future Global development goals;

14. World Health Organization, partners and civil society organizations to provide technical support to Member states, for implementation, monitoring and evaluation of recommendations contained in this Declaration, and to support a process of peer review and experience sharing among member states;

15. Development partners and civil society organizations to provide new and substantive financial resources to address NCDs, while not jeopardizing current and future funding of communicable diseases;

16. Heads of state and government of the WHO Africa region to endorse this deflation and to present it at the United Nations High Level Summit on NCDs as the position of Region on NCDs;

17. The United Nations Secretary General to establish a mechanism to monitor progress of the commitments to be made at the United Nations High Level Summit in September 2011;

18. The Regional Director of WHO in the African region to include in the agenda of the Regional Committee of 2012 discussion on the regional NCDs strategic plan and report on the progress made on the implementation of this declaration to the Regional Committee in 2014.

Done in Brazzaville, Republic of Congo
April 6th, 2011.

Dr Mateus Kambale Sahani
AGIR ENSEMBLE/DRC

Reduction de la consommation du tabac conduit a la reduction des crises d'asthme chez les enfants

Une étude révèle que, suite à la mise en œuvre de la loi antitabac, le nombre d'hospitalisations d'enfants pour asthme a diminué

Depuis le 26 mars 2006, le Smoking, Health and Social Care Act, la loi écossaise sur le tabac, la santé et la protection sociale, interdit de fumer dans tous les lieux publics et de travail. Des études menées précédemment ont montré que, suite à l’adoption de la loi d’interdiction totale de fumer, les troubles respiratoires chez les employés de bars ont diminué. Une étude publiée récemment dans le New England Journal of Medicine a étudié d’impact de cette législation sur les enfants en examinant la tendance, avant et après l'entrée en vigueur de la loi, en matière d'hospitalisations d’enfants pour asthme. Pour cela, l’étude a utilisé les registres d’admissions entre janvier 2000 et octobre 2009 afin de déterminer les taux d’hospitalisation pour asthme des enfants âgés de moins de 15 ans.

Les principaux résultats:

·Avant la mise en œuvre de la loi antitabac, le taux d’hospitalisation pour asthme augmentait en moyenne de 4,4 % par an. Après son entrée en vigueur, on a observé une réduction moyenne du taux d’hospitalisation de 15,1 % par an.

·La baisse du nombre d’hospitalisations d’enfants pour asthme est survenue aussi bien chez les enfants d’âge préscolaire que d’âge scolaire.

Avant l'adoption de la loi écossaise, on craignait que celle-ci n'augmente le tabagisme à la maison, ce qui aurait augmenté de fait l’exposition des enfants à la fumée de tabac environnementale. Les études relatives à l’exposition des adultes et des enfants n’ont apporté aucune preuve que le tabagisme ne se soit déplacé dans les foyers. Au contraire, la législation s’est accompagnée d’une augmentation des restrictions volontaires à la maison. Ces dernières réduisent l’exposition des enfants à la fumée de tabac environnementale. D’ailleurs, depuis l’entrée en vigueur de la loi écossaise, l’exposition globale des enfants à la fumée secondaire a diminué.

Messages clés :
·Depuis la mise en œuvre de la loi écossaise, l'exposition des enfants à la fumée de tabac environnementale a diminué, ce qui s’est traduit par une baisse du nombre d’hospitalisations pour asthme.

·Les lois d’interdiction totale de fumer, qui permettent de réduire l'exposition à la fumée secondaire, ne bénéficient pas uniquement aux travailleurs mais également aux enfants.

Le résumé [en anglais uniquement] de ce rapport est disponible à l’adresse suivante :http://www.nejm.org/doi/pdf/10.1056/NEJMoa1002861

Autres ressources:

·Pour accéder aux directives pour l'application de l'article 8 de la CCLAT sur la protection contre l'exposition à la fumée du tabac :

[français] : http://www.who.int/fctc/cop/art%208%20guidelines_french.pdf

·Pour accéder aux Points sur les faits relatifs aux lois antitabac

[français], notamment un Point sur les faits relatif aux effets sanitaires de la fumée secondaire, allez à : http://tobaccofreecenter.org/fr/resources/smoke_free_laws/fact_sheets

Citation complète : Mackay D, Haw S, Ayres J, Fischbacher C, Pell J. Smoke-free Legislation and Hospitalizations for Childhood Asthma. New England Journal of Medicine Vol. 363:1139-45, 2010.

Le New England Journal of Medicine est la plus ancienne revue médicale publiée sans interruption. Fondée en 1811, elle a recours à processus d’évaluation par les pairs et de révision afin de déterminer l’exactitude, l’innovation et l’importance scientifiques des manuscrits.

Pour toute question concernant ces documents ou la façon dont vous pouvez les utiliser dans le cadre de vos efforts de lutte antitabac, n’hésitez pas à contacter research@tobaccofreecenter.org.

Study Finds Decreases in Childhood Asthma Hospitalizations after Smoke-free Law Implementation

Scotland’s Smoking, Health and Social Care Act banned smoking in all public places and workplaces as of March 26, 2006. Previous studies have shown that adoption of the comprehensive smoke-free law has been associated with reduced respiratory symptoms among workers in bars. A recent study published in the New England Journal of Medicine examines the impact of the legislation on children by looking at trends in childhood asthma hospitalization admissions before and after the law went into effect. The study used hospital admissions records between January 2000 and October 2009 to determine asthma hospitalization rates for children under the age of 15 years.

Key findings:

·Admissions for asthma before the implementation of the smoke-free legislation increased at an average rate of 4.4% per year. After implementation, there was an average reduction in admission rates of 15.1% per year.

·The reduction in childhood asthma hospitalization admissions occurred for both preschool and school-age children.

Before implementation of the Scottish legislation, there was concern that it might increase smoking activity to homes, leading to an increase in exposure to environmental tobacco smoke among children. Studies of exposure among both adults and children have shown no evidence of displacement of smoking to the home. Instead, the legislation has been followed by an increase in voluntary restrictions in the home. Household smoking restrictions reduce the exposure of children to environmental tobacco smoke, and the overall exposure of children to environmental tobacco smoke has fallen since the implementation of the Scottish legislation.

Key messages:

·The exposure of children to environmental tobacco smoke has fallen since the implementation of the Scottish legislation, resulting in fewer hospital admissions for asthma.

·In addition to workers, children also benefit from comprehensive smoke-free legislation through reduced exposure to environmental tobacco smoke.

A link to the abstract [English only] can be found at: http://www.nejm.org/doi/pdf/10.1056/NEJMoa1002861

Additional Resources:

·To access FCTC Article 8 Guidelines on protection from exposure to secondhand smoke [English]: http://www.who.int/fctc/cop/art%208%20guidelines_english.pdf

·To access fact sheets on smoke-free policies [English] including a fact sheet on health effects of secondhand smoke, go to: http://tobaccofreecenter.org/resources/smoke_free_laws/fact_sheets

Full Citation: Mackay D, Haw S, Ayres J, Fischbacher C, Pell J. Smoke-free Legislation and Hospitalizations for Childhood Asthma. New England Journal of Medicine Vol. 363:1139-45, 2010.

The New England Journal of Medicine is the oldest continuously published medical periodical. Established in 1811, it employs a rigorous peer-review and editing process to evaluate manuscripts for scientific accuracy, novelty, and importance.

If you have any questions about the materials or how you may use them in your advocacy efforts, please e-mail research@tobaccofreecenter.org

****************************************
Campaign for Tobacco-Free Kids

1400 Eye Street, NW, Suite 1200

Washington, DC 20005

(202) 296-5469

(202) 296-5427 fax

www.tobaccofreecenter.org

www.tobaccofreekids.org

LIVESTRONG DAY IN GOMA/DRC, October 2, 2009

0. Content of report
- Introduction
- Objectives the event
- Organization background
- Progress of the event
- Participants
- Evaluation of the event
- Questions asked and recommendations
- Conclusions

1. Introduction

On October 2nd, 2009, AGIR ENSEMBLE, planned to organize a Raising Awareness Session (RAS) on cancer with a group of 15 couples in the city of Goma. At first, we had planned a scientific debate with doctors and nurses of the city of Goma, but considering the not availability of doctors for a working day (Friday), we saw have changed the target of our meeting. So we invited 15 couples of parents to attend the meeting this to mean a total of 30 persons among whom 15 men and 15 women.

This session took place normally as expected supporting the activities of Lance Armstrong foundation the day of anniversary of the diagnosis of Lance Armstrong and the month of raising awareness on the breast cancer, the month of October.
The duration of the event was 3 hours from 1:00 pm to 4:00 pm.

2. Objective of the session

On October 2 of every year is a historic date for LAF and for Lance Armstrong and finally for the whole world generally.
October is also a month of raising awareness on breast cancer. So AGIR ENSEMBLE wanted to join other partners of the world acting in the FIGHT AGAINST CANCER and supporting activities of LAF to make our contribution and commitment in spreading information which can save lives and maintain the health of population in the world.
For this session, AGIR ENSEMBLE settled following goals:
- Bring together a group of 30 relatives (parents) gathered in 15 couples who can receive the message that the cancer is a global priority of public health,
- To teach to the group how to proceed to the Breast Self Examination (BSE) for early detection and at the end of the session at least 95 % of participants will know correctly this technic and the importance of the BSE.

3. Context of organization

Considering the financial difficulty, the event was held in one of the classrooms of Mont Goma Institute just after the courses from 1:00 pm till 4:20 pm. The event has been attended by 23 persons among whom 6 females and 17males. We have made T-SHIRTS (in yellow) for the participants.

4. Progress of the event

The event took place around these subjects:
"The cancer, a global priority ", "The Prevention of the breast cancer ", “Integrate good food customs for the prevention of the cancer ". The moderator of the session was Mr Alphonse KAVWIRWA, president of the board of AGIR ENSEMBLE and the organizing committee was composed by Mr. Paul LUGHEMBE and Mr Jonathan VALIHANO.
The main speaker of the session was Dr Mateus KAMBALE SAHANI, the director of the Health Department of AGIR ENSEMBLE.
The session began with the allocution of the president of AGIR ENSEMBLE, Mr Alphonse KAVWIRWA who has welcomed all participants to the session of the day and presented the missions of AGIR ENSEMBLE.
Then Dr Mateus SAHANI began explaining the background of the event and presented the relevance of the LIVESTRONG Day. “October 2 is the date that Lance Armstrong got his diagnosis of cancer and he begun the battle for life and founder the Lance Armstrong Foundation. It’s a historical date celebrated by LAF and its partners worldwide. Our event is one of thousands of events around the globe. This year there are events on every continent (even Antarctica!) and in all 50 states in the U.S. LIVESTRONG Day is a day to celebrate, it is a day to educate and it is a day to advocate. But most importantly, it is the day our collective voice will show the world that cancer must be a global priority” he said.
After this, the speaker began the session “Cancer, a global priority” in which he gave the place held by cancer as a big public health threat and the cancer burden worldwide. “Cancer will be soon, in some year, the leading cause of death worldwide. We know that cancer kills 7.9 million people each year and if nothing is done by now cancer will kill 11.5 million of people. Every one may act by now if you want to save the 28 million of people living with cancer in the world and if you want to address the cancer burden worldwide. The voice of each one is needed for the fight”, he said.
The speaker explained also the role of bad habits in developing countries, the habits of not consulting early when people are sick. He asked to people who were listened to him to abandon these bag habits to help the world becoming “a world without cancer”. This will allows early detection and screening for cervical cancer and breast cancer.
As it’s the month of October, a session on “Prevention of Breast cancer and early detection” has been developed. The speaker gave more detailed explanation of the method of Breast Self Examination (BSE), its advantages, technic and warning signs, etc. Some factors of risk for breast cancer have been given and now the speaker concluded the session by showing some pictures of sicks treated surgically for breast cancer and who developed metastasis and are taking palliative care.
Then some questions were asked and answered by the speaker. All participants were interested by the sessions of the day and 20 questions have been received. Almost all questions were answered with satisfaction of the attendees except one which was: a woman with breast cancer can continue breasting the baby with sick breast? Now the speaker proceeded to an exercise of question-answer to the public to evaluate the degree of understanding of the lesson by participants especially concerning the technic of Breast Self Examination (BSE) and this was satisfactory.
After this a cocktail was offered to participants and during the cocktail a module on “Healthy eating and energetic balance” was developed by Mr. Alphonse KAVWIRWA. A sery of 3 questions were asked and answered.
During the session, 2 walking people passed in front of the meeting room and were also interested by our message and now the president asked them to join us in the room because the voice and action of every one are needed. See 2 gentle men in black T-SHIRTS on photos.
5. Participants
In total 23 people attend the meeting among whom 6 females and 17 males and were interested by the activities of the day.
6. Evaluation of the session.
We expected 30 people for the meeting and brought together 23. This objective was reached in 76.66%. The second objective was reached in 100%. In all our performance was 88.33%. The main barriers for us to reach our maximum of goals were the background of the organization of the event, the moment and missing financial support. Doctors didn’t find time to join us because of their job at hospitals and we didn’t be able to organize transport for participants.
7. Questions and recommendations
Questions
- What is cancer ?
- What is the cause of cancer?
- Is there a link between sexual course and the disease? Does exist a sexual transmission of cancer?
- A woman with breast cancer can continue feeding her baby with the sick breast? Is there a transmission to child?
- From when are statistics of 7.9 millions of deaths/year by cancer and 5.4 millions of deaths/year by tobacco?
- A person with cancer can still alive how many years?
- Where do you place hard work of teachers? Can this replace physical effort to address risk of cancer?
- With physical activities, how can some one know that he is making balance between eating and spending energy?
- How to get medicines of cancer in our community?
- Test VIH, TB, etc. exist; is there a test for cancer?
- What are symptoms of cancer?
- What to do to avoid overweight for children?
- What to say to a sick of cancer considering that medicines are not available in our community?
- Can a man proceed to the BSE of his wife?
- Can the breast feeding influence the volume of the breasts? If a child uses preferably one breast than another, this can create difference between the 2 breasts?
- There is a woman without child who presents bleeding of the nipple; this can be a sign of breast cancer?
- Is there a link between medical family planning and cancer?
- Prostate cancer can be linked to sexual courses?
- What type of cancer is more fatal than other?

Recommendations
At the end of the event, participants have recommended that:
- It is important to organize more events like this one to allow spreading the message that can save lives.
- To choose a place and a moment which allow more people to attend the event for the next time.
- Organize such event for all NGO which are members of RACID Network to permit them understanding the problem.
- Choose a moment for women and young girls to explain them the modes of prevention of cervical cancer and screening.
- We would like that Lance Armstrong Foundation play the role of funds mobilizator to allow support of such events for a real success.
8. Conclusions
Generally the activities of the day were well realized and it was a real success even if there were some difficulties. All was done as planed and our goals were reached. Participants were satisfied by the event and the message was new for almost 95% of them. They wished us to invite more people for the next occasion.
Goma, October 7th, 2009.
Dr Mateus KAMBALE SAHANI
AGIR ENSEMBLE/DRC.

LIVESTRONG Global Cancer Summit, a Landmark event for the fight against cancer worldwide.

FOR IMMEDIATE RELEASE

ORGANIZATION: AGIR ENSEMBLE
CONTACT NAME: Dr MATEUS KAMBALE SAHANI
PHONE NUMBER: +243 998625635 or +250 788884503
EMAIL ADDRESS:kambalesahani@yahoo.fr or agirense@yahoo.fr

AGIR ENSEMBLE Selected to Participate in Premiere
LIVESTRONG® Global Cancer Summit in Dublin, Ireland

First-ever event to bring together world leaders, advocates and corporations from
more than 60 countries to address the global cancer burden

CITY OF GOMA, DRC – July 10th, 2009 – Today AGIR ENSEMBLE announced that Dr MATEUS KAMBALE SAHANI will represent the organization at the premiere LIVESTRONG Global Cancer Summit in Dublin, Ireland, August 24 - 26. The Summit is the landmark event of the LIVESTRONG Global Cancer Campaign, an effort of the Lance Armstrong Foundation (LAF). Dr MATEUS KAMBALE SAHANI will represent the organization’s commitment to fight cancer in DRC and engage with world media, political leaders, representatives of non-governmental organizations and corporate leadership.

“It is established that the burden of the invasive cancer in France is from 27 to 33 new cases for 100,000 women. It was demonstrated as well as every year 8 000 new cases are treated in France and 4000 women die from this disease. France being a country in which the technology seems to be advanced and most of the hospitals have a program of prevention of cancer (vaccination, screening and treatment of the precancerous hurts), now what about developing countries as DRC in which we have no improved program of prevention or program of screening and people have no information about the disease, the warning signs and the role of the screening?” Dr Mateus SAHANI.

“Cancer is a major public health problem that affects every country in every region of the world regardless of economic and social situation,” said Lance Armstrong, LAF founder and chairman, cancer survivor and champion cyclist. “Through collective action, we will make a renewed commitment to reducing the burden of cancer around the world and break down the stigma and silence too often associated with the disease.”

In September 2008, Armstrong announced the Foundation’s commitment to making cancer a global priority at the Clinton Global Initiative Annual Meeting in New York. The LAF made this commitment after its worldwide research, conducted over 18 months, revealed widespread misconceptions, stigma and lack of awareness associated with cancer.

In response, the LAF established the LIVESTRONG Global Cancer Campaign to urgently address the burden of cancer worldwide and support the 28 million people living with cancer around the globe. Cancer kills more people every year than AIDS, tuberculosis and malaria combined. It is estimated that cancer will be the leading cause of death worldwide by 2010.

With such staggering statistics, the LAF recognized that a global challenge like cancer required a global movement. And so it began urging world leaders, leading cancer organizations and cancer survivors to join together by making commitments to take action in their communities to reduce the burden of cancer.

AGIR ENSEMBLE is proud to join the LIVESTRONG movement with Cervical Cancer Awareness Campaign in DRC, North Kivu Province.
It is clearly established today that 28 million persons live with cancer among whom 13 % die from it. The last year, 7.9 million persons died from cancer among whom 72 % were in developing countries.
The World Health Organization declared that if the current tendency is not inversed, number of deaths in the world can reach 11.5 millions in 2030.
The cervical cancer is one of the most frequent cancers and takes the 2nd place of the causes of death by cancer and nevertheless easily avoidable if the women constituting the group of risk adhere to the program of prevention and early detection.
The cervical cancer, at the beginning, has no clinical signs but we can detect it even at this stage because the cervix is always accessible. If detected at this stage, cervical cancer is curable in 100 % with a simple treatment, or the detected precancerous hurts allow to prevent the arisen of cancer.
All these elements must be known by people to allow a success of the prevention of the cancer.


AGIR ENSEMBLE is looking forward to participating in the LIVESTRONG Global Cancer Summit in Dublin, Ireland from August 24-26, 2009 and helping to make the case for acting urgently to address the global cancer burden.

Unlike other conferences and forums, the LIVESTRONG Global Cancer Summit is unique in that it will kick off a unified global movement while providing attendees the opportunity to connect with other advocates, network, gain media exposure and access tools and resources to help them mobilize in their own communities. Speakers include honorary Summit chair and former Irish President Mary Robinson, Irish Cancer Chief Professor Tom Keane, CNN chief medical correspondent Dr. Sanjay Gupta as well as representatives from the World Health Organization and other global bodies.

For more information on the LIVESTRONG Global Cancer Campaign and the Summit, please visit www.LIVESTRONG.org.

About the Lance Armstrong Foundation
At the Lance Armstrong Foundation, we fight for the 28 million people around the world living with cancer today. There can be – and should be – life after cancer for more people. That's why we kick in at the moment of diagnosis, giving people the resources and support they need to fight cancer head-on. We find innovative ways to raise awareness, fund research and end the stigma about cancer that many survivors face. We connect people and communities to drive social change, and we call for state, national and world leaders to help fight this disease. Anyone anywhere can join our fight against cancer. Join us at www.LIVESTRONG.org.

About AGIR ENSEMBLE:
Cancer is a real problem in developing countries! We have many difficulties to monitor a case of cancer and even to give the diagnostic to people affected by the illness. Many people die without knowing their diagnosis. In our country, professionals of health have difficulties to get diagnosis of certainty, to announce the diagnosis, to treat people affected by cancer because they usually arrive at the advanced stage of the sickness. That is why AGIR ENSEMBLE is doing all its best and with the own means to raise awareness people of cancer and to share with health professionals(including doctors and nurses) information on cancer to allow them doing what they can for a cancer patient. In this case, within AGIR ENSEMBLE, there is a scientific group composed by 6 doctors and 4 nurses. This scientific group meets each mouth to discuss some cases found in different hospitals of the town of Goma. The meeting has the goals of confirming the diagnosis by joining together skills from different doctors and different hospitals, making a decision of treatment and finding a mean to announce the illness to the sick or the family. Habitually we announce the diagnosis to a wise person of the family. This because cancer still being considered as a no acceptable disease and people think about sorcery. No one accept that some one can live with cancer. For each world cancer day, AGIR ENSEMBLE organizes activities of raising awareness people following the theme chosen by UICC. We usually organize also other session as education for early detection of breast cancer by teaching to girls how to make a daily auto examination of the breast. AGIR ENSEMBLE is member of UICC in the fight against cancer, of FCA and ATCA in the fight against tobacco and its director of Health Department (Dr Mateus KAMBALE SAHANI) is a member of many international networks as Global Cancer control Community of UICC, GLOBALink, Global Dialogue for Effective Stop Smoking and usually participate in their respective e-forum.
AGIR ENSEMBLE made many actions within the framework of the control of tobacco: sessions of sensitization with various subjects developed, participation to the Training session (workshop) on FCTC hosted at Kinshasa by FCA in collaboration with LUCTAF.

During the world cancer day, February 04th, 2008, AGIR ENSEMBLE organised 2 sessions of sensitization on tobacco as a public health problem and has disseminated the content of the ministerial tool on tobacco control in DRC to people of Goma and on February 4th, 2009 we have begun the campaign “I love my healthy active childhood”. See the report of these days on our blog http://agirensemblerdc.blogspot.com. Other realizations as publications can be also found on this blog or at http://drmateussahani.blogspot.com.
For a long time AGIR ENSEMBLE is in partnership with 5 secondary schools: Majengo institute, Institute of Himbi, Visoke institute, Mont Goma institute, Institute of Kasika, with 4 primary schools: EP Majengo, EP Bwakya, EP Uzima, EP Mabanga and with the various sections of the CBCA community church. This relationship allows us to realize our activities of fight against tobacco without resistance. Before and later the FCA workshop of Kinshasa, this partnership was strengthened with other NGO as SEA, IDPE, CAMEVU, and SYLAM.
Our actions at schools have the goals of protecting youth against tobacco and other health problem and to inform youth on cancer at the young age. This permit young people to avoid beginning smoking. Even if we have limited possibilities but we try what we can to help our people being informed on cancer and tobacco.



Thank you.

AGIR ENSEMBLE/UICC-DRC.