the size of Maryland. It shares the island Hispaniola with the Dominican Republic and is situated just southeast of Cuba. The capital is Port-Au-Prince. Monday, September 16, 13
to more than 9.8 million people. 80% of the population live below the poverty line. More than 2/3 of the population do not have formal jobs. Monday, September 16, 13
or central pillars. They hold together their families, their communities, and, in fact, the entire nation. Haiti’s women face debilitating poverty, political instability, and bleak futures. Monday, September 16, 13
the world - an annual rate of 93 new cases per 100,000 people - and no cancer treatment facilities. Pap smears and Pathologists are limited in a country this poor. The disease strikes females of all ages, but a majority are in their 30’s and 40‘s, many with young children. Monday, September 16, 13
education, screening, and cervical cancer treatment, as well as to provide general wellness services to help save women, preserve families, and stabilize the country of Haiti. Monday, September 16, 13
501c3 organization based in Louisville, Kentucky. Its mission is to bring together partners that link global strategies with local cultures to advance women’s health in developing countries with a focus on cancer. WGCA was founded by Robert D. Hilgers, MD. Affectionately known as Dr. Bob, he has given his life to working with women as an Ob/Gyn specializing in oncology. He knows the advantages of the “See & Treat” method of diagnosing cervical cancer, and he is leading the charge to bring it to Haiti. Dr. Robert Hilgers talks with a patient. Monday, September 16, 13
Treat” method was developed in the 1990‘s, and uses ordinary household vinegar to detect precancerous and cancerous lesions. It’s the equivalent of a pap smear, and the success of this technique has been well documented in Africa and India. WGCA wants to bring this method of cervical cancer screening and treatment to Haiti. Swab patient’s cervix with vinegar Precancerous lesions turn white and are readily visible Freeze lesions with carbon dioxide or liquid nitrogen Monday, September 16, 13
It’s cheap, quick, efficient, and accurate. No pap smears necessary. No expensive lab equipment needed. ✤ Biopsies are often unnecessary, except in cases of questionable results, and these cases can be read by local or in-country Pathologists. ✤ In-country community healthcare workers can be trained in about a week to provide information and education about “See and Treat” procedures. ✤ Easily accessible carbon dioxide or liquid nitrogen can be used to freeze precancerous lesions. Cryotherapy results in a minimally invasive and less painful removal of lesions, with the patient usually experiencing only minor cramping. ✤ Instant results and treatment, so women don’t have to make another trip to the clinic. ✤ With less disruptions to their families and work, women are more inclined to seek check-ups and receive necessary life-saving interventions. Monday, September 16, 13
cancer in the world - 93/100,000 cases each year. ✤ Haiti is one of the poorest countries on the planet. Cancer facilities - to educate, screen, and treat cancer - do not exist in this country. Prevention, then, becomes key to halting cancer in third-world countries where unchecked cancer becomes a death sentence. ✤ We can put in place a cost-effective, sustainable model that will help end suffering, boost quality-of-life, and keep families in tact. ✤ We can create a positive impact on future generations of Haitians. By partnering with governments and private entities now, we can halt cervical cancer and prevent needless death, sickness, and disruption to families. ✤ Once Haitians become comfortable with the clinics, the facilities will expand their scope to become a community resource for general wellness education and treatment, including HIV testing, vaccines, food vouchers, etc. Monday, September 16, 13
have the infrastructure and the partnerships in place right now to start the process of eradicating cervical cancer in Haiti. ✤ The “See and Treat” method of prevention is much cheaper in the long term. ✤ The ROI (Return on Investment) is high. A relatively small amount of money can completely change the legacy for this marginalized, yet extremely important, population of women for the betterment of their families and communities. ✤ Each dollar can be tracked. This program is small enough to be easily controlled and monitored, but its reach is large enough to create a measurable economic and social impact. ✤ We live in a global economy, and stabilizing Haiti will impact the rest of the world. ✤ It’s the right thing to do. WGCA’s value statement is to treat those we serve as we would like to be treated. Monday, September 16, 13
treatment methods in clinics throughout Haiti. ✤ We’ll do that by first establishing a model clinic where we can train providers, collect data, and demonstrate sustainability. ✤ Then we’ll implement what we’ve learned and establish clinics throughout Haiti to serve the entire country. Monday, September 16, 13
CAP-HAÏTIEN NORD-EST FORT-LIBERTÉ NORD-OUEST PORT-DE-PAIX OUEST SUD-EST JACMEL SUD LES CAYES Goal 1: Establish Model Clinic in Gonaives, Haiti • Finish clinic construction in St. Basil • Outfit clinic with equipment/supplies • Hire and train personnel to test and treat • Provide services and measure results • Demonstrate sustainability for first 5 years • Clinic will serve as a training center Monday, September 16, 13
partner with the Haitian Minister of Health to use data collected and analyzed from the Model Clinic in Gonaives to refine the process of educating, screening, and treating cervical cancer. The model will be duplicated throughout the country to serve all the women of Haiti. Monday, September 16, 13
finish the Gonaives Clinic. That includes ✤ Long-Term Goal: Raise $1 Million during the next 5 years to generate a budget of $180,000.00 per year I will wait to finish these financial slides until after discussion with James in case he has other information I will need to add... Monday, September 16, 13
donors hear it every day... “Our project is ready to go, if only we had the money.” “We have the answer that will make a difference in the lives of hurting people.” “This project is self-sustaining.” Instead of telling you how we’re different...let us show you. Monday, September 16, 13
the money.” ✤ Partnerships in Place ✤ International Aid Organizations ✤ Haitian Government ✤ Haitian Organizations ✤ Physical Space/Personnel/In-Kind ✤ Clinic Space ✤ Personnel who will train ✤ Personnel to be trained ✤ In-Kind donations Monday, September 16, 13
Louisville, Kentucky-based nonprofit organization that meets critical health care needs in medically impoverished communities around the world. They put together a pallet of supplies, including a colposcope, that is in storage in Gonaives ready to be used. EDGE/WaterStep - WGCA will work together on Health & Hygiene education program. Rotary International - Louisville Rotary Club donated 2 laptops and is considering a grant to help with building the model clinic. Family Health Ministries - Headed by a gynecological endocrinologist and a neonatal nurse previously on faculty at DUKE School of Medicine. Dr. Hilgers serves on the FHM External Advisory Committee. This group has been instrumental in bringing HPV testing to Haiti. Project C.U.R.E. - Based in Denver, this group moved SOS pallet from US to Haiti. Health 4 Haiti - Founded by Jim Smith MD, a general surgeon from Colorado, this group is committed to building a new hospital in Gonaives. The area hospital was destroyed in 2004 by hurricane. They are operating at a very marginal level out of a warehouse. Partners in Health - PIH was founded in 1987 to deliver health care to the residents of Haiti. Worked with WGCA to First Haitian Congress on Cervical Cancer. Monday, September 16, 13
there? YES! Haiti Ministry of Health WGCA is collaborating with the Haiti Health Ministry of the Public and the Population (MSPP) to create a comprehensive cancer program, including a national cancer treatment center, a national cancer registry, plus a national screening and educational outreach effort. Monday, September 16, 13
YES! 20 Women of Gonaives - Community health workers who have committed to help support WGCA and its efforts in Gonaives and throughout Haiti. St. Basils Anglican Church - Working with WGCA to secure physical space for the first dedicated “See and Treat” screening and treatment clinic. Committee of 6 - Six Haitian physicians (along with Dr. Bob) who planned the first Haitian Congress on Cervical Cancer held in 2012, and are committed to the cause. Rotary Int’l, Haiti - ???? Alma Mater Hospital (Gros Morne) - WGCA acted as the catalyst in establishing their “See and Treat” screening clinic, which has served more than 2000 women to date. MSPP Hospital (Port au Prince) - Working with WGCA and the University of Haiti to establish a teaching program. Monday, September 16, 13
the money.” ✤ Partnerships in Place ✤ International Aid Organizations ✤ Haitian Government ✤ Haitian Organizations ✤ Physical Space/Personnel/In-Kind ✤ Clinic Space ✤ Personnel Who Will Train ✤ Personnel to be Trained ✤ In-Kind Donations Monday, September 16, 13
our model clinic. Located on the second floor of a building in Gonaives, it will be home to our first screening and treatment center. A Haitian physician practices on the first floor. This clinic will serve xx women in a year Monday, September 16, 13
donors hear it every day... “Our project is ready to go, if only we had the money.” “We have the answer that will make a difference in the lives of hurting people.” “This project is self-sustaining.” Instead of telling you how we’re different...let us show you. Monday, September 16, 13
the lives of hurting people.” Much like the polio vaccine eradicated that disease beginning in the 1950’s, the “See and Treat” vinegar method of identifying precancerous lesions will help eliminate cancer of the cervix for the women of Haiti. Our wish is to stop the scourge of cancer and what lies in its wake - economic and familial instability. This method has done that in Africa and India. It will do that in Haiti. We really do have the answer that will make a difference in the lives of hurting people...and will change the course for generations to come. Monday, September 16, 13
donors hear it every day... “Our project is ready to go, if only we had the money.” “We have the answer that will make a difference in the lives of hurting people.” “This project is self-sustaining.” Instead of telling you how we’re different...let us show you. Monday, September 16, 13
ongoing costs are labor and materials. With support from the Haitian government and organizations around the word, including WGCA, this project will be self-sustaining within the first year. No expensive equipment needed. Just skilled labor and basic supplies. What’s more straightforward than that? Will this project be self- sustaining in a year? I can change this if this is not accurate... Monday, September 16, 13
lifting - partnerships are in place; we’ve got our first clinic space; supporters from around the world and in Haiti are ready to act. We are in need of financial and in-kind donations. Monday, September 16, 13
in all 10 departments to serve the women and families of Haiti. PORT-AU-PRINCE ARTIBONITE GONAÏVES CENTRE HINCHE GRAND'ANSE JÉRÉMIE NIPPES MIRAGOÂNE NORD CAP-HAÏTIEN NORD-EST FORT-LIBERTÉ NORD-OUEST PORT-DE-PAIX OUEST SUD-EST JACMEL SUD LES CAYES Monday, September 16, 13
Treat” clinics are established throughout Haiti, a major drive will be made to vaccinate preteen girls and boys against the Human Papilloma Virus (HPV), which causes cervical cancer. Early vaccination, coupled with screening on at least one visit, will greatly decrease the burden of cancer of the cervix in Haitian women. Thus, avoiding the need for more complicated and costly future treatment. Monday, September 16, 13
another step further. As the “See and Treat” clinics are established throughout Haiti, the clinics will become hubs of wellness and prevention services, including HIV testing, food voucher distribution, maternal care, and health check-ups. Haitians will become very familiar with these clinics and their staff. Monday, September 16, 13
Help? Pillars of Haiti Donate $50,000.00 and receive the Pillars of Haiti designation as a founding member in the effort to eradicate cervical cancer in Haiti. Monday, September 16, 13
CEO of Women’s Global Cancer Alliance (WGCA) ✤ Board Certified Gynecologic Oncologist and Professor Emeritus at the University of Louisville School of Medicine. ✤ Trained in Obstetrics and Gynecology at the Mayo Clinic (Minn.) and Memorial Sloan Kettering Cancer Center in New York City ✤ Designated World Oncology Leader by the American Society of Clinical Oncology in 2003 ✤ Studied in 2009 the Cervical Cancer Prevention Program in Zambia, noted to be one of the best in the world addressing cervical cancer in a developing country ✤ Dr. Hilgers makes between 4-8 trips to Haiti annually. He also travels the world talking with foundations and organizations about WGCA to raise awareness and funds. Monday, September 16, 13
at the University of Louisville Medical School ✤ Founded the Division of Gynecologic Oncology at the University of New Mexico ✤ Examiner of candidates for the American Board of Obstetrics and Gynecology and its Gynecologic Oncology specialty ✤ Dr. Hilgers has a Masters Degree in Health Care Management ✤ He is a Certified Association Executive Monday, September 16, 13
organizations we’re partnering with. There will be a Lexington slide and a Louisville slide so that presentation can be geared toward the specific group/location. Monday, September 16, 13
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