Lagos State Cervical Cancer Awareness and Screening Programme
Speaker at Cervical Cancer Awareness and Screening Programme

CERVICAL CANCER PROGRAMME IN LAGOS STATE

INTRODUCTION/BACKGROUND

Globally, every 2 minutes a woman dies from cervical cancer. Cervical cancer is the commonest genital cancer killing women especially in sub-Saharan Africa. It is the 2nd commonest cancer affecting women in Nigeria. It is prevalent but not exclusive to the sexually active women in the reproductive (childbearing) years. Cervical cancer is fatal if left unrecognized and untreated. As a result of the high mortality from the condition due to late presentations at the secondary health facilities, the State Government commenced massive public awareness and screening of women aged between 25 – 60 years in order to diagnose women during the long pre-cancerous phase.

Several studies have proven that certain types of a virus called Human Papilloma Virus (HPV) are the necessary cause of cervical cancer. There is scientific evidence that the virus has been detected in up to 99.7% of all cervical cancers worldwide. The virus can be transmitted during sex or even sometimes during intimate genital skin contact. About 80% of the women will be infected with some type of the HPV at some time in their lifetime. This is why it is very important for every woman to undergo regular cervical screening to detect abnormalities. Regular cervical smear testing through pap’s test or screening with low cost methods using Visual Inspection with Acetic Acid (VIA) are the most effective ways of detecting cervical abnormalities, which may be the early signs of the disease. The prevention of cervical cancer using this low cost methods is simple, effective, technologically friendly and affordable.

ACTIVITIES

  • The State developed and printed IEC materials (fliers, handbills and posters) which were distributed to the women during the screening campaigns.
  • Group and individual counseling were provided before and after the cervical screening exercise.
  • Cervical screening using VIA was conducted FREE OF CHARGE for women aged 25 – 60 years.
  • Treatment of the identified precancerous lesions with cryotherapy machine was also done FREE OF CHARGE.
  • Clients with vaginal discharge (STI) were managed using Syndromic Management of STIs.
  • Referral services for those with suspicious cancer were also provided. The designated referral health facility is Lagos Island Maternity Hospital.

Key Achievements: With the support of the Her Excellency, the First Lady of Lagos State, Mrs Abimbola Fashola, five (5) rounds of the cervical awareness and screening campaigns have been conducted in the State.  

SUMMARY OF LSMOH STATISTICS

S/N

LGA/

Division

Total clients seen

Total clients screened with VIA

Total clients with defined Aceto-white lesions

Total clients treated with cryotherapy

Total clients with Cervical Cancer

Total

Treated

For STIs

1

Ikeja 15th- 21st Dec, 2008

1,004

989 (98.5%)

         14

(1.4%)

14

 (1.4%)

2

(0.2%)

231

(23.0%)

2

Ikorodu 2nd- 9th Nov, 2009

1,006

1006

(100%)

4

(0.4%)

4

(0.4%)

1

(0.1%)

82

(8.2%)

3

Mushin 14th- 18th Dec.2009

952

952 (100%)

15   (3.7%)

15        (1.6%)

5    (0.5%)

68 (7.1%)

4

Surulere (28thSept – 1stOct 2010)

951

951(100%)

12(1.26%)

12(1.26%) 

0

286(30.07%)

5

Amuwo(1st-4th Dec 2010)

906

906 (100%)

8(0.8%)

8(0.8%)

1(0.1%)

267(29.4%)

 

TOTAL

4819

4804 (99.6%)

53 (1.1%)

53(1.1)

9(0.2%)

934 (19.4%)

 

 

 

 

 

 

 

 

                               

         SUMMARY OF STATISTICS WITH OTHER ORGANISATIONS

S/N

Site

Total clients seen

Total clients screened with VIA

Total clients with defined aceto-white lesions

STI

Referred

 

6

City of David 30th Oct 2010

168

168

6

1

7

 

7

Business club 13th Nov.2010

56

56

2

2

1

 

8

Teachers from 6 senatorial dist 26th Nov ‘10 – 7th Jan ‘11

1162

1162

28

56

84

 

9

Redeemed church 26th Feb 2011

57

57

3

2

5

 

10

Nurses week 9th and 10th March 2011

129

129

4

2

6

 

11

Covenant Redeemed Church 26th March 2011

14

14

1

3

4

 

 

TOTAL

1586

1586

44

66

106

 

 

GRAND TOTAL

6405

6390  100%

97        1.51%

1000   15.61%

 

 

  

 First Round

  • Date: 15 – 21st December, 2008
  • Location – Ikeja division (Ikeja, Oshodi-Isolo, Agege, Ifako-Ijaiye, Alimosho LGAs and LCDAs). Screening site - Sango PHC, Agege LGA
  • Total No of women screened - 989 (100%)
  • Total No of women with defined aceto-white lesions - 14 (1.4%)
  • Total No of women treated with Cryotherapy – 14 (1.4%)
  • Total No of women treated for STIs – 231 (23.0%)
  • Total No of women with suspicious cervix – 2 (0.2%)

Second Round

  • Date: 15 – 21st November, 2009
  • Location – Ikorodu division (Ikorodu, Somolu, Kosofe LGAs and LCDAs). Screening site - Ikosi PHC, Ikosi/Isheri LGA
  • Total No of women screened - 1006 (100%)
  • Total No of women with defined aceto-white lesions - 4 (0.4%)
  • Total No of women treated with Cryotherapy – 4 (0.4%)
  • Total No of women treated for STIs – 82 (8.2%)
  • Total No of women with suspicious cervix – 1 (0.1%)

Third Round

  • Date: 15 – 19th December, 2009
  • Location – Mushin LGA (Mushin LGA and Odi/Olowo –Ojuwoye). Screening site - Palm Avenue PHC, Mushin LGA
  • Total No of women screened - 952 (100%)
  • Total No of women with defined aceto-white lesions - 15 (1.6%)
  • Total No of women treated with Cryotherapy – 15 (1.6%)
  • Total No of women treated for STIs – 68 (7.1%)
  • Total No of women with suspicious cervix – 5 (0.5%)

Fourth Round

§  Date 28 September – 1st October 2010.

  • Location – Surulere LGA (Surulere, Coker Aguda LGA and Itire Ikate). Screening site – Coker Aguda PHC in Surulere.
  • Total No of women screened - 951 (100%)
  • Total No of women with defined aceto-white lesions - 12 (1.26%)
  • Total No of women treated with Cryotherapy – 12 (1.26%)
  • Total No of women treated for STIs – 286 (30.07%)
  • Total No of women with suspicious cervix – Nil

Fifth Round

  • Date 1st – 4th December 2010
  • Location – Amuwo - Odofin LGA (Amuwo Odofin and Oriade LCDA). Screening site – FESTAC PHC in Amuwo - Odofin
  • Total No of women screened - 906 (100%)
  • Total No of women with defined aceto-white lesions - 8 (0.8%)
  • Total No of women treated with Cryotherapy – 8 (0.8%)
  • Total No of women treated for STIs – 267 (29.4%)
  • Total No of women with suspicious cervix – 1 (0.1%)

· Capacity building for 80 family planning managers and providers from PHCs and General Hospitals