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Safe Cabin Initiative

Our aims is to use mobile clinic to reduce the inequity in access to reproductive care and to create a safe space for women in rural.

Photo of Ifeoma
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What specific problem(s) are you trying to address?

Maternal mortality is on the rise especially among women in rural areas who do not have access to quality healthcare services and who has poor orientation towards discussing issue relating to their reproductive health. The most prevalent reproductive disease in Nigeria currently is cervical cancer. Current estimates indicate that every year 14089 women are diagnosed with cervical cancer and 8240 die from the disease. [ICO,2014]. Most of these deaths occur in women in rural areas who do not have access to routine screening and who are afraid of speaking up about changes to their reproductive organs due to naivety. Other preventable reproductive diseases like Chlymidia, Syphilis, gonorrhea and HIV have been a major treat to rural women.

What are some of your unanswered questions about the problem(s) you are working to address?

The main issue currently is how to finding ways of starting the program in low key(may be use of tents) then upgrade to a mobile van. The second issue is whether to run a free clinic or a low cost clinic in other to sustain.

Explain Your Idea

The mobile van clinic will be equipped to provide majorly cervical cancer screening using visual inspection with acetic and Cryotherapy treatment ('See and Treat') approach. Invasive cases will be referral to the hospital. These services will run along side other reproductive care services and some basic health screening like blood glucose test, blood pressure check, provision and education on contraceptives use. Apart from these services, the cabin will be a place of refuge for women, a safe place where they can discuss their reproductive health matters. These services will be provided by two nurses with experience in obstetrics services and a driver who will be in charge of technical issues in the van. The mobile van will run through main spots in the community from 9am -4pm every other day excluding Sundays. Advanced cases seen in the mobile clinic will be referred to the hospital. Each patient will go through normal documentation process before accessing the services, the patient data will be protected with our coded inventory software (MSPLAN) in other to ensure confidentiality. The vehicle will rotate through rural communities in the same state on monthly basis. A routine check on the clinic will be done by an external midwife(on contract). We will create awareness about the program in local churches, markets before the launch. We will also sponsor some of their local events in other to build trust with them.

Name the three most important ways that your idea will address your identified problem(s).

I. The idea will make health service accessible to women in the rural commnuities 2. The cervical cancer see and treat procedure will help for early detection and thus reduce the prevalence of cervical cancer in Nigeria. 3. Providing a safe space for girls and women to discuss their health issue is a way forward in curbing maternal mortality and preterm pregnancy

How is your idea unique?

Mobile(Van) healthcare service is not popular in Nigeria, the currently available mobile healthcare services to the best of my knowledge is in a state in Northern part of the country, which has no special focus on women. I believe my expertise in cervical cancer and other Human papiloma virus diseases and my six weeks experience in Maricopa department of Public health Arizona united states including their mobile clinic during the 2017 Mandela Washington fellowship program will be an edge in bringing a better complete reproductive healthcare services to our women

Who are your end users?

My target clients are: 1. Pregnant women 2. Women with fertility issues 3. Sexually abused women 4. Adolescent girls 5. Rural women in general 6. Teenage Mothers

Where will your idea be implemented?

  • Nigeria

What is the primary type of emergency setting where your innovation would operate?

  • Epidemic
  • Community at risk of disaster

Tell us more about the emergency setting that you intend to implement in

The focus will be in flood prone and rural areas of in Anambra state Nigeria( Ayamelum, Ogbaru, Oguikpere, Anam, ) These area are mainly affected by flooding and epidemic outbreaks. The areas have poor road networks, most medical practitioner do not like to practice in these locations. Due to the poverty level in these regions, most of the young girls are given out as house helps to richer families where they are subjected to sexual abuse, most of the girls return home with teenage pregnancy.

What is your organization's name?

Grand Pavilion Pharmacy LTD

Tell us more about you.

I am Umeh Ifeoma Blessing, a Nigerian and I am based in Anambra state Nigeria. I am a clinical pharmacist by profession. I hold masters degree in clinical pharmacy and pharmacy management. I am the CEO of Grand Pavilion Pharmacy ltd Onitsha Anambra state Nigeria. I am also a 2017 Mandela Washington fellow. I obtained a civic leadership training from Drexel University Philadelphia United states.I I have great passion for women's reproductive health issues. I have good knowledge of cervical cancer and have a publication on cervical cancer in 2016. The above idea is mine and I intend to devote my time to make this it a reality.

What is the current scale of your proposed innovation?

  • Still in planning phase and does not exist yet

Experience in Implementation Country(ies)

  • Yes, for more than one year.

Expertise in Sector

  • Yes, for less than a year.

Organization Location

Nigeria

What is your organizational status?

  • Registered for-profit company, including social enterprises.

What is the maturity of your innovation?

  • Early Stage Innovation: exploring my innovation, refining, researching, and gathering inspiration.

3 comments

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Spam
Photo of Eunice Kajala
Team

It is a good idea. Few points to add on : Safe cabin for cervical cancer screening and shelter for refugees.After screening, are you not doing pap-smears or taking biopsies? For those with advanced cervical lesions, it is clear that, they need a referral to go to the tertiary hospital for further management. My concern is for the ones with early stage cervical lesions, if you're taking pap-smears or biopsies, where are they processed and how long do results take to come out?Do you have a proper link with major hospitals that can follow up the early suspicious cervical cancer lesions?Most of these women are less privileged, they can hardly afford the medical expenses, how are you going to run a free clinic, while your company is registered for profit?

Spam
Photo of Ifeoma
Team

Thank you for your comment. We are not carrying out pap smears because of the cost, we will employ the use of Visual inspection with acetic acid(VIA), which is approved by WHO for low cost settings like the communities am working with.The screening and cryotherapy will be done same day. The women will be re screened every 3-5years. More invasive cases will be refereed to Nnamdi Azikiwe teaching hospital in the state, we can provide some palliative support for such cases. Our main focus is on prevention and treatment of early stage of the cancer. Grand Pavilion Pharmacy is YOUWIN business( opened with a grant from federal government of Nigeria). We run other programs like free health weeks, cervical cancer awareness and Safe Cabin(still an Idea) as away of giving back to the society. Though the program has to find ways of sustaining itself in near future( that is my big question).

Spam
Photo of Eunice Kajala
Team

It is a good initiative, it looks like, it is effective in our settings.How do you distinguish between a lesion of chronic cervicitis and an early lesion of cervical cancer, I guess chronic cervicitis may need antibiotics.