Parham Groesbeck Preer, Mathieu Kabongo Mukuta, YouYou Tankoy Gombo, Hicks Michael L, Henry-Tillman Ronda, Mutombo Alex, Anaclet Mukanya Mpalata, Sylvain Mulumba Kapuku, Pinder Leeya, Hicks Maya M, Kanda Louis, Kanda Mirielle
Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, 101 Manning Dr, Chapel Hill, NC 27514, USA.
Department of Obstetrics and Gynecology, University Teaching Hospital - Women and Newborn Hospital, 10101 Nationalist Way, Lusaka, Zambia.
Ecancermedicalscience. 2021 May 13;15:1231. doi: 10.3332/ecancer.2021.1231. eCollection 2021.
The majority of the world's poorest women (income < $1.90/day) reside in fragile, conflict and violence (FCV)-affected countries, like the Democratic Republic of the Congo. Health services in these settings have traditionally focused on immediate relief efforts, communicable diseases and malnutrition. Recent data suggests there is need to widen the focus to include cancer, as its incidence and mortality rates are rising.
Employing competency-based learning strategies, Congolese health professionals were trained to perform same-day cervical cancer screening and treatment of precancerous lesions of the cervix; same-day clinical breast examination and breast ultrasound diagnostics; surgical treatment of invasive cancers of the breast and cervix; and infusion of cytotoxic chemotherapy. Outpatient breast and cervical cancer care clinics, a chemotherapy suite and surgical theatres were outfitted with equipment and supplies.
Combining local and regional hands-on training seminars with wise infrastructure investments, a team of US and Zambian oncology experts successfully implemented a clinical service platform for women's cancers in a private sector health facility in the Democratic Republic of the Congo.
We forged a novel partnership between oncology health professionals from Africa and its Diaspora, international philanthropic organisations, a cancer medicine access initiative and an established African cancer centre to build women's cancer services in a FVC-affected African setting.
世界上大多数最贫困的女性（收入低于1.90美元/天）居住在受脆弱、冲突和暴力（FCV）影响的国家，如刚果民主共和国。这些地区的卫生服务传统上侧重于即时救援、传染病和营养不良。最近的数据表明，需要扩大关注范围以纳入癌症，因为其发病率和死亡率正在上升。
采用基于能力的学习策略，对刚果卫生专业人员进行培训，使其能够进行当日宫颈癌筛查和宫颈癌前病变治疗；当日临床乳房检查和乳房超声诊断；乳腺癌和宫颈癌浸润性癌的手术治疗；以及细胞毒性化疗的输注。门诊乳腺癌和宫颈癌护理诊所、化疗套房和手术室配备了设备和用品。
通过将当地和区域实践培训研讨会与明智的基础设施投资相结合，一组美国和赞比亚的肿瘤学专家在刚果民主共和国的一家私立卫生机构成功实施了一个针对女性癌症的临床服务平台。
我们在非洲及其侨民的肿瘤学卫生专业人员、国际慈善组织、一项癌症药物获取倡议和一个成熟的非洲癌症中心之间建立了一种新型伙伴关系，以在受FCV影响的非洲环境中建立女性癌症服务。
