NNCTR/INCTR Annual Report 2013
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Branch: NNCTR/INCTR
President: Surendra Shrestha
Board Members:
Volunteers/Employees:
Collaborators:
Partners:
Address:
Country(s): Nepal
Year Established: 2002
Annual Report: ACHIEVING OUR LONG TERM GOALS IN CANCER EDUCATION, SCREENING, EARLY DETECTION OF CANCER AND CANCER PREVENTION

The Nepalese Network for Cancer Treatment and Research has has objectives (designed both to educate the public and primary care providers) the following:

1. Cancer Education
2. Cancer Screening and early detection primarily on Cervical and Breast Cancer
3. Cancer Prevention: Primary and Secondary prevention of Cervical Cancer
4. Human resources Development, Skills Transfer and  Training.
5. HPV Vaccination as the primary prevention of Cervical Cancer6. Promotion of Palliative Care in Nepal
7. Collaboration with NGOs, InternationalNGOs, Hospitals, Ministry of Health Personnel and health professionals.

Cancer Education
NNCTR provides information to the general public, and particularly targets school children in secondary education. The information is given in Nepali and is at a level suitable for children in the second decade of life. It also provides training for nurses in nursing oncology (the training is provided by cancer specialists) and training of women who then perform cervical cancer screening. The educational program is supported by INCTR, local NGOs, schools and communities (e.g., via the mayoral office)

Some of our achievements to date include:

TRAINING PROGRAMMES

1. School and community Level Cancer Education Programme

More than 224,799 school children have received education about cancer

2. Nursing oncology update Training .

NNCTR has a basic educational course for nurses that provides information about cancer and the role of the oncology nurse. It is given in the form of a 7 day course. 230 nurses have so far participated in the 7 courses that have taken place.

3. Cervical Cancer Screening "Train the Trainer" courses. So far 10 courses totaing 184 people have taken place.

Networking activities – 17 NGOs spread across 10 districts have held meetings to exchange ideas and identify areas where collaboration might be beneficial.

CERVICAL CANCER SCREENING IN NEPAL
Supported by INCTR, IARC, PHASE World Wide UK (see http://www.phaseworldwide.org/)

The program began in 2002, when VIA/ VILI with a training workshop for 6 doctors and 5 Nurses in India where cervical cancer screening was ongoing. (Supported by INCTR and IARC)

Subsequently a course in cervical cancer screening technical skills transfer workshop was designed. Six such workshops have been held. These were supported by INCTR and Phase World wide UK.

An exchange program was established with PHASE World Wide UK and NNCTR / INCTR Nepal in which 8 Nepalese Doctors have spent 6 weeks in the UK in a Cervical Skill transfer program.

PHASE world wide UK and NNCTR / INCTR Nepal also have an ongoing exchange program in colposcopy training. To date, 4 Nepalese nurses have had six weeks "exposure training" in the UK

As a result of these various training programs a network of 6 hospitals in Kathmandu has been established where cervical cancer screening using direct visualisation by VIA/VILI can be done. The hospitals are: The Maternity Hospital, TU Teaching Hospital, BPKMC Hospital Chitwam, Stupa Community Hospital, Chhetrapaty free clinic and Scheer Memorial hospital, Banepa

BREAST CANCER SCREENING AND PREVENTION PROGRAM 2008 to 2013.

The introduction of HPV vaccination in Nepal was implemented in 2008 by the Nepal Australian Cervical Cancer Foundation (NACCF) and supported by the AXIOS Gardasil Access Program (GAP)

Between 2008 and 2013, 43,288 vials of Gardasil were provided free of charge by Marck & company through the Australian Cervical Cancer Foundation (ACCF) and the Axios Gardasil Access Program, USA. Local operations and the cost of HPV Vaccination was funded by ACCF and AHF Australia.
To date, 14,171school girls in the 11 to 13 age group have been vaccinated.

PALLIATIVE CARE PROGRAMME
Supported by INCTR

Achievements to date:

Developed guide lines for symptom control (Eds. Fraser Black and Stuart Brown)

Established home based and hospital services

Initiated a home hospice programme (vehicle donated by INCTR)

Improved access to opioids for pain control

To bring all the people and institutes working in palliative care under one umbrella

Founded NAPCare ((Nepalese Association of Palliative care) in 2009 in concert with Dr Robin Love and Dr Fraser Black of INCTR
Future Plans:
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Year: 2013
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