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38 A training program to build capacity for cervical cancer prevention in Mozambique 38 .在莫桑比克建立预防宫颈癌能力的培训方案
Pub Date : 2020-11-01 DOI: 10.1136/ijgc-2020-igcs.38
M. Salcedo, M. Varon, E. Baker, N. Osman, E. David, R. Rangeiro, D. Changule, V. Andrade, C. Oliveira, A. Neves, J. Carns, C. Lorenzoni, K. Schmeler
Introduction Cervical cancer is the primary cause of cancer among women in Mozambique There is a shortage of providers trained to deliver cervical cancer screening and manage pre-invasive lesions We describe a training program to build local capacity to deliver quality cervical cancer prevention services in Mozambique Methods The program includes training courses led by faculty from the United States (US) and Brazil, and consists of lectures followed by hands-on training stations to practice colposcopy, cervical biopsy, ablation and loop electrosurgical excision procedure (LEEP) using innovative training models Participants then perform the procedures in clinic with supportive supervision from the international faculty The courses are complemented by monthly videoconference telementoring sessions, held in Portuguese using the Project ECHO® (Extension for Community Healthcare Outcomes) model Results From 2016 to 2020, 10 courses were held in the cities of Maputo (n=8), Beira (n=1) and Nampula (n=1) There were 347 participants with an average of 34 participants per course The courses have recently transitioned from only international faculty to include Mozambican gynecologists, including two fellows from the IGCS Global Curriculum program A total of 15 ECHO sessions were held with ∼25 participants/ session, 30 patient cases discussed and 14 lectures delivered Conclusion This collaboration between Mozambique, Brazil and the US is building local capacity to prevent cervical cancer through training, mentoring and support of local providers Due to the COVID-19 pandemic, the courses are being transitioned to a virtual format led by the Mozambican doctors with the international faculty joining remotely
引言宫颈癌是莫桑比克妇女癌症的主要原因,缺乏受过宫颈癌筛查和治疗侵袭前病变培训的人员。我们介绍了一个培训项目,旨在建设莫桑比克当地提供高质量宫颈癌预防服务的能力。课程由讲座和实践培训站组成,使用创新的培训模式练习阴道镜检查、宫颈活检、消融和环电手术切除程序(LEEP)。参与者然后在国际教师的支持监督下在临床执行这些程序。结果从2016年到2020年,在马普托(n=8)、贝拉(n=1)和南普拉(n=1)等城市举办了10个课程,共有347名参与者,平均每门课程34名参与者。课程最近从只有国际教师转变为包括莫桑比克妇科医生。包括来自IGCS全球课程项目的两名研究员共举办了15次ECHO会议,每届会议约有25人参加,讨论了30例患者病例,发表了14次讲座。结论莫桑比克、巴西和美国之间的合作正在通过培训、指导和支持当地提供者来建设当地预防宫颈癌的能力。这些课程正在过渡到由莫桑比克医生领导的虚拟形式,国际教师远程加入
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Oral Poster – TAPED
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