resource from :

Cervical cancer screening and treatment in low-resource settings: practical experience from path

This document is available online at: www.rho.org/HPV-screening-treatment.htm

publication title

Visual Inspection with Acetic Acid and Cryotherapy Workshop Agenda

publisher

PATH

publication date

2009

Comprehensive Cervical Cancer Prevention using Single Visit Approach (SVA) for Physician Providers

March 16-20, 2009

Thanh Hoa, Vietnam

Goals: Prepare future trainers to become proficients providers in VIA & Cryotherapy

Participants Learning Objectives By the end of the training course, the participant will be able to:

Talk to women about cervical cancer prevention.

Explain who should have for cervical cancer screening and explain how VIA screens for cervical cancer.

Explain how cryotherapy treats precancerous cervical lesions.

Use recommended infection prevention practices to protect the woman, healthcare provider and other healthcare workers.

Perform a pelvic examination.

Perform VIA.

Perform cryotherapy, if indicated.

Provide followup instructions and counseling after VIA or cryotherapy.

Provide care and referral, as needed.

Learning Methods

Illustrated lectures and group discussions.

Individual and group exercises (case studies, role plays)

Simulated visual inspection using cervical images, photographs and video footage

Simulated practice with anatomic (pelvic) and cervical models

Guided clinical activities (counseling and provision of VIA and cryotherapy) with clients

Case conferences

Learning Materials

Reference manual Cervical Cancer Prevention Guidelines for Low-Resource Settings and presentation graphics

Cervical Cancer Prevention Course Handbook

VIA Atlas: Visual Inspection of the Cervix with Acetic Acid

Cervical image CD-ROM

ZOE Gynecologic Simulator and video

Cervical model for cryotherapy (sausage or pork loin)

Audiovisual Equipment

LCD Projector

Overhead projector and extra bulbs

Power strip with surge protector, extension cords and plug adaptors

Projection screen

Laptop computer with CD-ROM drive

Video camera with AV cable to connect camera to monitor and film

Television monitor

Clinical Supplies

Examining table

Drapes to cover woman during examination

Light source

Bivalved specula (Size Medium Graves preferable)

Instrument tray or container

New examination or high-level disinfected surgical gloves

Wooden spatulas

Small bowl for acetic acid

Dilute (3-5%) acetic acid solution

Cotton swabs

PVC tube 1 ½ inches in diameter

Small wire

Cryotherapy unit

Gas cylinder with carbon dioxide

Wrench

Timer (with second hand)

Course Schedule March 16-20, 2009, Thanh Hoa, Vietnam

Monday Mar16th Tuesday March 17th Wednesday March 18th Thursday March 19th Friday March 20th

07.30-08.00 Trainers arrive at Hanoi Airport

09.35 hrs Travel to Thanh Hoa

08.00-08.30 Introduction 08.30-09.00 Opening Ceremony 09.00-10.00 Pre test, Agenda Overview of the course Ice breaker Course Material Expectation

08.00-08.15 Summary 08.15-09.30 Demonstration of SVA Using learning guidelines and check lists on Zoe (Pelvic Exam, Cryotherapy) 09.30-12.00 Clinical Practice session in Two Groups

08.00-08.15 Summary 08.15-09.00 Infection Prevention 09.00-12.00 Clinical Practice session Two Groups

08.00-08.15 Summary 08.15-11.00 Clinical Practice session 11.00-12.00 Post test Next Steps Expectation Course Evaluation Certificate Presentation

10.00-10.30 Break 10.00-10.30 Break 10.00-10.30 Break 10.00-10.30 Break

10.30-12.00 Global and Local Perspective HPV and Cervical Cancer

12.00-13.00 LUNCH 12.00-13.00 LUNCH 12.00-13.00 LUNCH 12.00-13.00 LUNCH 12.00-13.00 LUNCH

15.00-18.00 Preparation of classroom Clinical site Teaching materials 18.00 - Registration - Get together Trainers and Physicians

13.00-14.30 Divide in 3 groups demonstration of Pelvic Exam on Zoe Model Standardized Examination 14.30-15.00 Break 15.00-17.00 Talking with women about Cervical Cancer small group practice

13.00-13.15 Warm up 13.15-16.00 Algorithm in SVA Group Practice session on VIA on CD-ROM Flash card work 16.30-17.00 Mid Course Questionairs

13.00-13.15 Warm up 13.15-16.30 Two Group 1. Continue practice on image 2. Work on Models for SVA (doing VIA & Cryotherapy) 16.30-17.00 Quality Assurance

Adjourn Travel back to Hanoi Airport (must be at airport 18.00 hr)

Flight leave for Bangkok at 20.00 hr