Female Cancer Foundation &

Female Cancer Program in

Indonesia
 Every two
minutes

somewhere in
the world

a woman
a mother or
a sister or
a friend

dies because of cervical cancer

 Saving lives and futures by
prevention
Cervical cancer is the most common cancer in women after
breast cancer

85% of affected women live in developing countries

Unlike many cancers, cervical cancer can be prevented

Female Cancer Foundation supports the fight against this

disease in high risk countries

Together withlocal partners FCF issetting up cost effective

screening programs in low resource areas

The purpose of FCF is to Tell, See & Treat the

most vulnerable women
 Female Cancer Programs in
the world Save my mother
project in South
Afrika:
Malawi, Zambia,
Kenya, Ghana,
Gambia, Etiopia
2011 - 2018
Floating hospital in
Bangladesh
2012 - 2018
Nepal
2015 - 2020
Indonesia
2007 2018
Suriname
Mission: to decrease morbidity and mortality of
cervical cancer.
Saving the lives of women and the future
 Female cancer program in
Indonesia

2007 2011 DKI Jakarta, Tasikmalaya, East Java, North Sumatra,

South Kalimantan, North Sulawesi, Bali
2013 2018 Lombok
2015 2020 Melanesia (Flores, West Papua, Maluku, ...)
 A comprehensive cervical cancer
control approach. Prevention on 3
levels:
Primary prevention: education, awareness raising on life-
style interventions such as condom use and vaccination of
girls/daughters

Secondary prevention: treatment of abnormalities, before

they become cancer (premalignant lesions) of women
/mothers by screening and treatment.

Tertiary prevention:
Next to prevention treatment of early
other aspects of cervical cancer
comprehensive cancer care is palliative care for
women, who can not be cured. For example by giving
them morphine for the pain and counsel their families.

Every woman has the right to die

in dignity amids her beloved
ones !
Tell-See-Treat is a way of prevention that
can be embedded in early screening and
treatment of cervical cancer in
local health systems and in womens minds.

7
Tell: Raising awareness on community
and policy level on cervical and breast
cancer and reproductive health and
rights
See: Screening with VIA (or Pap smear)

Treat: Cryotherapy, freezing with liquid

N2O or CO2

See & Treat in a single visit

approach
Normal Pre- Directly 6
cervix treatment after Months
VIA test cryo after
pos. cryo
Cervical cancer is the second most
common cancer among women
worldwide, while more than 85% of
the 528.000 new cases were
diagnosed in low resource settings.

Although it is estimated that no more

than 2% of all women in low resource
areas will develop cervical cancer
during their life, the cases of advanced
stage ( FIGO stage IIB) with
increased mortality rate, is high in
Indonesia, approximately 70%.
 Challenges in the field

Lack of effective screening and treatment

Financial barrier
Doctor or midwife is insecure

Patient delay to look for medical care

with already developed symptoms
Afraid
Shy
Not aware
Lack of education
* WHO 2014, Report FCF 2007-2011
 Challenges in the field
Lack of access to medical services (mostly
related to poverty)
- Barriers that limit the access to services
Difficult geographical access
Lack of transportation
Limited budget for mobilization
- Cultural barriers
Social taboo on sexual related diseases
- Gender barriers
Permission from the husband
Housewifery work gets priority
* WHO 2014, Report FCF 2007-2011
YOU can change the life of a woman
by
Tell: Awareness & Education
Screening: IVA, pap
smear
Treatment: cryotherapy
with N2O
Terima
Kasih