Purpose/Background Cervical carcinoma is both the number one cancer killer of women in the developing world and the most common malignancy found in human immunodeficiency virus (HIV)-positive women. Yet many resource-poor regions, which are heavily burdened with HIV, offer little cervical cancer education or screening to their populations.
Objectives To assess the need and determine the feasibility of establishing a cervical cancer screening program for HIV-positive women in a resource-constrained setting and to raise funds to support such a project.
Methods Implement a multitiered fundraising effort, perform a systematic examination of screening programs in similar settings, assess established medical infrastructure on the ground in Nairobi, and design an appropriate, sustainable cervical cancer screening program for HIV-positive women.
Results/Conclusions $8000 US was raised before departure and additional funds were acquired while in Nairobi. Medical infrastructure at an urban hospital-based HIV clinic was deemed an appropriate setting for the establishment of a Pap smear-based screening program. Women in need of additional diagnostics and possible treatment would be referred for further assessment at the national hospital. To address this need, a treatment subsidy and follow-up program linking the HIV clinic with the national hospital was proposed. A detailed proposal was presented to and accepted by clinic administrators.
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