Placement Organization: Center for Infectious Disease Research in Zambia
Placement Location: Lusaka, Zambia
Eligible Citizenship: American
About: Zambia has the second highest incidence of cervical cancer in the world. The Cervical Cancer Prevention Program in Zambia (CCPPZ) was initiated in January 2006 to address this heavy disease burden among Zambian women. CCPPZ is a unit within the Center for Infectious Disease in Zambia (CIDRZ), a local NGO that is affiliated with the University of North Carolina – Chapel Hill. A collaboration between the Zambian Ministry of Health, University Teaching Hospital, Center for Infectious Disease Research in Zambia and the U.S. Centers for Disease Control and Prevention, CCPPZ is the world’s first large-scale public sector cervical cancer prevention effort within the U.S. President’s Emergency Plan For AIDS Relief (PEPFAR)-supported programs. It is PEPFAR’s flagship cervical cancer prevention effort.
As an adaptation to Zambia’s overburdened public health care infrastructure, CCPPZ developed an innovative approach to cervical cancer prevention comprised of nurse-led clinics supported by a modern mobile technology matrix that facilitates: (1) electronic collection of patient data at the point-of-care by community volunteers and screening nurses, (2) selection of treatment modalities, (3) peer review of healthcare provider’s clinical decisions (4) quality control of pathologic diagnoses, (4) cell phone-based patient follow-up, and (5) rapid telemedicine-based distance consultation with experts, when needed. STI screening & treatment and HIV testing are integrated into cervical cancer prevention services at all sites. Led by Drs. Mulindi Mwanahamuntu and Groesbeck Parham (co-directors) and Sharon Kapambwe (Program Manager), the program has achieved the following:
- Opened 18 sites (14 in Lusaka and 4 in rural areas), all of which are integrated into government-operated public health clinics
- Screened 70,480 patients as of December 2011, 1/3 of whom are HIV infected; treated over 8,000 (55% HIV-infected) for precancerous and cancerous lesions
- Offered HIV testing to over 11,000 women attending screening clinics who were unaware of their HIV status, beginning June 2008. Of those offered HIV testing 70% accept and of those 30% are HIV positive
- Prevented one cervical cancer death for every 46 HIV-infected women screened
- Trained over 154 medical personnel from within Zambia (Chongwe, Mumpashya, Koncola Mines, Kafue, Kara Clinic, Marie Stopes International, Monze, Mansa) and internationally (Botswana, Nigeria, Zimbabwe, Cameroon, Swaziland, Kenya, Tanzania, South Africa, Uganda, Swaziland, Peoples Republic of China), through the CCPPZ Global Cervical Cancer Prevention Training Program
Reporting to the Head – Cervical cancer program, the fellow will be responsible for coordinating, monitoring and validating the cervical cancer data to support program implementation and scale up. The fellow shall also provide strategic information on vital program interventions to impact decision making and advocacy for program improvement to both program managers, Ministry of Health and Ministry of Community Development, Mother and Child Health.
- Responsible for overall program Monitoring and Evaluation
- Facilitate program strategic planning to support scale up
- Lead in developing the program’s annual work plan and adjustment of planned activities as needed to ensure effective and quality service delivery
- Ensure all program activities are budgeted and cost-allocated
- Monitor implementation of vital program interventions according to standardized operating procedures
- Assist with identification of cervical cancer research/survey questions, coordinate and facilitate program related operations research and cohort analysis
- Oversee performance of program indicators in all provincial centres and selected districts for scale up and quality improvement in health systems
- Responsible for data quality improvement (DQI) for all data entered
- Write and submit periodic donor reports and proposals
- Provide training to Program Managers, Technical Data Team, Provincial Data focal persons and Health Care Providers involved in screening in standardized M&E procedures and Health Management Information System (HMIS) data collection and collation tools
- Coordinate with programme Data Associates and focal data persons in all provinces on cervical cancer related data
Required Skills and Experience:
- Degree in health-related sciences or social science
- Diploma in Monitoring and Evaluation, or equivalent work experience
Preferred Skills and Experience:
- Three plus years work experience preferred.
- Experience in developing and implementing monitoring and evaluation activities in a health/health-related program ideal.
Living Conditions: Fellows will be provided with housing, health insurance and a living stipend of $650/month. Fellows will also receive an award of $1500 upon successful completion of the fellowship year. Flights to and from the placement site and all other costs associated with GHC programming are included.