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Dr Hema Divakar President FOGSI 2013

Dr Hema Divakar President FOGSI 2013. namaskar. VISION 2022 Health for ALL. Myth. Reality. Cancer cervix : kill it before it kills you. Cancer cervix : kill it before it kills you. SETTING THE CONTEXT FOR PREVENTION AND CONTROL. INNOVATIVE METHODS SUITABLE TO INDIAN CONTEXT

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Dr Hema Divakar President FOGSI 2013

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  1. Dr Hema DivakarPresident FOGSI 2013 namaskar

  2. VISION 2022Health for ALL Myth Reality

  3. Cancer cervix : kill it before it kills you Cancer cervix : kill it before it kills you SETTING THE CONTEXT FOR PREVENTION AND CONTROL

  4. INNOVATIVE METHODS SUITABLE TO INDIAN CONTEXT FAST TRACK – PROGRAMATIC SUCCESS VISION 2022 COMPREHENSIVE APPROACH To Womens health Cancer cervix Anemia free BUILD Contraceptive choices DIABETES - GDM A B C D .

  5. Reality bytes

  6. What’s the problem? Board not interested Demanding women! Complex casemix Don’t know what’s going on No training authorised Not enough midwives! Recruitment freeze Shift changes Not enough equipment Cuts in budget stress Junior docs too junior

  7. Cervical Cancer – Disease Burden India - 27% Rest of World - 73% INDIA 1. X. Castellsagué, S. de Sanjose, T. Aguado, K. S. Louie, L. Bruni, J.Muñoz, M. Diaz, K. Irwin, M. Gacic, O. Beauvais, G. Albero, E. Ferrer, S. Byrne, F. X. Bosch. HPV and Cervical Cancer in the World. 2007 Report. WHO/ICO Information Centre on HPV and Cervical Cancer (HPV Information Centre). Available at: www.who.int/hpvcentre

  8. Increased screening has greatly reduced the incidence of cervical cancer in USA and CANADA and England 75 % decrease in morbidity 90 % decrease in mortality EARLY DETECTION – SECONDARY PREVENTION Age-standardized incidence of invasive cervical cancer and coverage of screening; England, 1971–1995 100 18 90 80 16 Coverage 70 60 14 Incidence rate per 100,000 Invasive cervical cancer Percentage 50 40 12 30 20 10 National call-recall introduced 10 0 0 1980 1987 1990 1985 1975 1995 1971 Year 1. Quinn M, et al. BMJ 1999; 318:904–908.

  9. EARLY DETECTION – SECONDARY PREVENTION ????

  10. WEST

  11. INDIA

  12. Pap done in India is 2.6% Disease burden is expected to double by 2025

  13. PRIMARY PREVENTIONPublic Health Implications of HPV Vaccination WEST

  14. 8th April 10 following the death of four girls, who were given this vaccine in AP. Four deaths not due to flawed cervical cancer vaccine trial 9th April 2010 veeru 8/16/2014 17

  15. 2 deaths due to poisoning, 1 due to drowning and 1 due to PUO Dr.V.M.Katoch, DG of ICMR "I decided to suspend the trials because I wanted to first prove to the public that the allegations are false. I also want the general public to know that all ethical guidelines would be followed in this trial," Katoch said. veeru 8/16/2014 18

  16. You cant have a better tommorrow if you are thinking about yesterday all the time ! Chareles F. Kettering

  17. INNOVATE Fresh thinking What works for us ? Operational research Implementation Programmatic success The distance between Silicon Valley and Bangalore is reducing.

  18. You Reap as you sow Setting the stage for generation next

  19. “Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has changed the world !!” Margaret Mead

  20. Kashmir to Kanyakumari – the number of maternal deaths has fallen from 53 in 2007 to 19 so far this year.

  21. One person can make a difference. In fact, it's not only possible for one person to make a difference, it's essential that one person makes a difference. And believe it or not, that person is YOU. ~ Bob Riley, Former Governor of Alabama

  22. Innovative ideas …. implement It has taken me a while to understand – that it is not necessary to understand everything- Rene Coly HPV vaccines

  23. Innovation ?? new?? Known done differently

  24. Innovative ways to build capacities FOGSI WORKSHOPS Peer group awareness Public awareness

  25. Figure out what works for us You can spend a lifetime in India and be none the wiser in trying to understand India’s vast complexities

  26. Mother and daughter programmes Vaccination Screening

  27. YUVA clinics TOT and brain storming

  28. on vision 2022 If I were the health minister ! • At each YUVA conference FIVE YUVAs on ABCDE 8 min each • Ground realities • What FOGSI has done in this area • what your institute has done on this subject • What is your vision for way forward?

  29. vision 2022 • FOGSI YOUTH LEADERS AWARD –VISION 2022 • To be given to each in their respective YUVA conferences

  30. Lab/colposcopy/costs/training/access/follow up….. HPV vaccines What has been achieved is indeed commendable, but considering the sheer size of our country, what still needs to be done presents a huge challenge.

  31. Innovate implement Show the world what a billion INDIANS can do impact Show the world what one billions Indians can do India is emerging as a model and increasingly a catalyst for improvement in other developing countries.

  32. NHSNRHM • Public health interventions • CHANGE POLICY ........... GOVTCHANGE ATTITUDE..... PEOPLE must focus on the poor – who form the majority

  33. Thank You

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