In July 2006, collaborators from the United States and Canada traveled again to Ibadan, this time to initiate several training programs for individuals who then could go on and teach new techniques within Nigeria.  Intensive programs were developed for gynecolgic surgeons, pathologists, staffing nurses, midwives, hospital administraters, bioengineers, and data management personnel.  Topics covered included:

  • Screening and diagnosis of cervical cancer and its precursors
  • Use of colposcope and Loop Electrical Excision Procedure (LEEP) and cryotherapy
  • HIPPA regulations for patient privacy
  • Cervical cytology and histopathology
  • Surgical management of invasive cancer
  • Use and maintenance of cancer database
  • Use and repair of all devices

Operation Stop Cervical Cancer

Second team visit to Nigeria - July 2006
Picture taken during a LEEP practicum for physicians and nurses.  Beef tongues and paper towel rolls were used to simulate working in clinic with vaginal tissue.
Training regarding quantitative cytology and pathology techniques was also offered. 
Seminars on approachs to cervical screening were done.  Individuals were tested on their knowledge within this field both before the session and afterwards.  Results of this pre-/post-testing are shown on the right.  Clearly a great deal of useful knowledge was shared.
Physician-pathologists were taught methodologies in cervical screening cytology, cervical histopathology, normal cytologies that are called either cancerous or precancerous,
quality assurance procedures in the histopathology laboratory, use of automated screening devices, liquid Pap preparations, statistical analysis of quantitative cytological measurements,
Fine Needle Aspiration, and frozen section setup.
Nurses were instructed in the pelvic exam using models of the female pelvis provided with funds from ExxonMobil. Additionally, they learned procedures for Pap smears, clinic setup, care provider assistance, Visual Inspection with Acetic Acid (VIA), Visual Inspection with Lugol’s Iodine (VILI), instrument care, retrieving and recording patient results, and clinic log disposition. Nurses also received instruction in HIPPAA privacy regulations, informed consent, clinical paperwork, patient flow, protocol data management, scheduling, clinic supply orders, and patient chart maintenance. The pelvic models and other training materials will continue to facilitate the training of nurses, medical students, and residents for many years to come.

We highly recommend downloading the PDF document describing this highly productive visit in detail by clicking here.