Resume of the activities carried out in 2016 by the Akbaraly Foundation in its health centers of Mahajanga (“Candide Hospital”) and Fianarantsoa (“Rex”) as well as the peripheral centers (Mahasoa, Sakalalina, Ampasimanjeva, Andonaka and Penitentiary) and with the help of the Mobile Unit “Luisa”.
Regarding the “gynecological program” which, together with the one dedicated to breast cancer, makes up our “Pink and Turquoise Program for Women”, this year we carried out 3078 Pap tests, mostly for new patients (70% of the total).
Out of all the tests, 72.5% were negative, while 14.5% were positive for several abnormalities. In 7.8% of the cases, the sample was insufficient for proper analysis, and 5.4% of the tests are still waiting to be analysed.
In the cases that required further scrutiny, the patients underwent a colposcopy (more than 300 in 2016); we also did 110 anatomic pathology tests. Out of the overall results, 66% were positive and showed evidence of some abnormality.
Most of the abnormalities registered were precancerous lesions (a third of the total), while cancer (adenocarcinomas and carcinomas) was present in 17% of cases.
The patients who suffer from cancer are treated with diathermic resection and conisation; only a few of them have enough means to go to a public hospital in order to undergo surgery or receive chemotherapy and radiotherapy treatments.
When it comes to the “breast program”, in 2016 we performed 2638 breast exams, most of which were normal (around 65%).
Among the cases that needed further tests, 10% showed the presence of cancer, while 56% showed only a benign condition.
We also did 542 breast ultrasounds and more than 300 mammograms, in addition to 36 biopsies.
BREAST PROGRAM RESULTS:
The patients treated in our centers are mostly over 30 years old (33% of the total are between the ages of 34 and 44), followed by over-45 women (28%) and young women between the ages of 24 and 34 (21%).
Teens and younger women (under 24) make up a smaller percentage (about 6%) while over-55 ladies represent 9.8% of the total. Finally, only 2.5% of our patients are older ladies over the age of 65.
Half of them come to our centers thanks to a referral from their general family doctor, while another 50% come voluntarily after getting to know our activities through our awareness campaigns.
Overall, the media campaigns (radio, TV and text messages) managed to convince over a third of our patients to come to our centers for a screening, but the awareness-raising campaigns on the territory, especially the ones who involve medical personnel, and the “word of mouth” are still relevant: 14% cited the Foundation’s reputation as the main reason for their visit.
MISSIONS FEATURING THE MOBILE UNIT “LUISA”
The awareness campaigns in the countryside, which numbered 47 in 2016, reached more than 6100 people and sparked a lot of interest.
During these missions we performed over 750 Pap tests and over 1100 breast exams as well as administering 294 HPV vaccines for girls under the age of 13.
In addition to the activities that make up the cancer prevention program, in the obstetrics and gynecological department we performed more than 5600 general consultations, more than 1400 ultrasounds and over 1500 pre-natal consultations.
224 women had their babies in our Mahajanga center this past year, while 63 were referred to the public health centers for a C-section. The mortality rate for newborns was 0.8%, with only two deaths, while maternal mortality was at 0.
Our centers also offer paediatric consultations for children (with more than 200 little patients this year) and nutritional consultations, which help parents take care of the correct nutrition for their children up to the age of 5 (127 patients in 2016). The cases of severe malnutrition make up 22% of the total, while moderate cases total 23.5%.
Vaccines are another important component of our activities: in 2016, we administered 975 doses to 500 patients, including the following vaccines: rotavirus, polio, pneumococcal conjugate, DTP (diphtheria-tetanus-pertussis), tetanus and HPV; we started offering the latter at the beginning of 2016 and it already makes up 32.6% of the total.