Evaluation of the National Cervical Cancer Screening Program
Cohort XIII of the Kenya FELTP joined the Kenyan Ministry of Health (MOH) in an evaluation of the National Cervical Cancer Screening program which was conducted from 30 October – 5 November 2016. The National Cervical Cancer Screening Program was a part of the strategic plan 2012 – 2015 implemented by the Division of Reproductive Health (DRH). Kenya FELTP residents participated in the collection of data in several counties to enable evaluation of the program. In each county, the FELTP team assess the availability of cervical cancer screening and treatment services, utilization of cervical cancer screening and treatment services as well as establish the challenges facing cervical cancer screening and treatment.
Community mobilization was done mostly through community health volunteers and health talks. Reports from the evaluation recorded that Human papillomavirus (HPV) vaccination, a key method of primary prevention of cervical cancer was lacking across the 8 counties and that there were many unnecessary referrals from the facilities visited, mainly for further diagnosis and treatment modalities.
The team recommended improvement in the scope of services provided by availing equipment for more specialized services and improving the human resource capacity through training. They also recommended more advocacy, communication and social mobilisation to overcome socio-cultural and knowledge barriers that the women in the community face in seeking cervical cancer services. It was also recommended that HPV vaccination be incorporated into the National Immunisation Program and free cervical cancer screening and treatment services to improve coverage and utilisation.
Cholera Outbreak Investigation in Tana Delta County
Martin Mwangi-Cohort XII, Jeremiah Ngugi-Cohort XIII, Gibson Waweru-Cohort XIII and Mark Obonyo – Faculty participated in the investigation of a cholera outbreak reported in Tana River County on 28 December 2016. Tana Delta Sub County has reported cases of cholera since an outbreak which started on 1 January 2016.
Kenya FELTP residents supported the Disease surveillance and response unit (DSRU) to evaluate cholera response and control preparedness in Tana River County. By 29 December 2016, a total of 690 cases were reported in Tana Delta Sub County. The team recorded, 46 (6.7%) laboratory confirmed, 11 deaths (CFR 1.6%). Females were 376 (55%) of the total cases. The median age was 23 years (Range 1 to 67 years. Females had a higher attack rate of 618 cases compared to 518 cases for males per 100,000 and among all cases. Fifty two cases and 104 controls were recruited into treatment centers.
The team trained health care workers at the Cholera Treatment Unit and participated in the establishment and distribution of Rapid Diagnostic Test (RDT) kits, and water treatment kits.