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Antigua and Barbuda advances towards the elimination of cervical cancer as a public health problem

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Antigua and Barbuda is taking the lead in the Eastern Caribbean Countries in its efforts to eliminate cervical cancer as a public health problem. CLICK HERE TO JOIN OUR WHATSAPP GROUP FOR NEWS UPDATES.

On July 27 to 29, officials from the Ministry of Health, Wellness and the Environment and other key stakeholders from other Governmental Ministries, Departments and Non-Governmental Organizations (NGOs) met with a visiting team from the Pan American Health Organization/World Health Organization (PAHO/WHO) and Basic Health International (BHI) to conduct  a needs assessment to determine the country’s readiness to implement a 1,500-person pilot project for high quality cervical cancer screening.

Five of the country’s community clinics will be utilizing human papillomavirus (HPV) testing to screen for cervical cancer in patients attending these clinics.  The team handed over 3 units of the HTU-110 Thermocoagulator donated by the Clinton Health Access Initiative (CHAI). PAHO/WHO also donated HPV test kits and a GeneXpert IV machine towards the project.

One of the five sites visited by the team

Cervical cancer remains the 4th leading cause of death in women from cancer internationally despite well established, effective approaches to prevention, early detection, and treatment.  Published data from 2001-2005 reveals one the highest standardized incidence rates in the region: 23 per 100,000 women, with an increasingly younger demographic. National data from 2014-2018 reveals that cervical cancer was the third leading cause of death in women. With early diagnosis and effective treatment cervical cancer is one of the most successfully treatable forms of cancer.

This collaboration commenced approximately six years ago in April 2016, when a visiting team from BHI, a global leader in the secondary prevention of cervical cancer, and PAHO/WHO visited Antigua and Barbuda, upon the invitation of the Government of Antigua and Barbuda. CLICK HERE TO JOIN OUR WHATSAPP GROUP FOR NEWS UPDATES.

The team   met with several stakeholders to better understand the background and scope of cervical cancer prevention efforts in the country. Based on the recommendations from this visit, the national Cervical Cancer Task Force was established in 2018 within the Ministry of Health, Wellness and Environment to lead national efforts to decrease the burden of disease from cervical cancer.

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In June 2021, the Department of Obstetrics and Gynaecology at the Sir Lester Bird Mount St John’s Medical Centre in Antigua and Barbuda hosted its first virtual Cervical Cancer Symposium under the theme “Cervical Cancer in the Caribbean: Focusing on the WHO global strategy for elimination”.

The theme sought to highlight the recent WHO global initiative to eliminate cervical cancer through its 90-70-90 targets for 2030 through vaccination, screening and early detection and treatment of precancerous disease. Providing technical support and in attendance were PAHO/WHO and Caribbean Public Health Agency (CARPHA).

Immediately after the webinar, the national Task Force collaborated with PAHO/WHO and BHI to implement a pilot project for cervical cancer screening using HPV testing. HPV testing has been shown to be more sensitive and effective than other screening tests and is recommended as countries implement the elimination strategy.

To support the implementation of the pilot project, Antigua and Barbuda convened an HPV Testing and Treatment Training Programme and became the first country to implement the WHO’s HPV manual.  The manual “Introducing and scaling up testing for human papillomavirus as part of a comprehensive programme for prevention and control of cervical cancer” was launched virtually by the PAHO/WHO in December 2021 in Antigua and Barbuda. The project will also involve the development of a cervical cancer registry and dissemination of health promotional strategies supported by BHI.

Meeting with officials from the Ministry of Health including Chief Medical Officer, Dr. Rhonda Sealey-Thomas (left).

The Chief Medical Officer Dr. Rhonda Sealy-Thomas expressed her gratitude to the team for this visit and noted the commitment of the Ministry of Health to seeing the project through and to it becoming a program. “I’m committed this round for it to become a program. We have a dedicated team on the ground to assist in getting that forward.  I’m confident that it will move forward, and we have the political will.  It’s not just for cervical cancer, we’re building capacity. So hopefully when we get this project and program out of the way or up and running, we use this as a best practice so we will have the platform to actually move the other cancer prevention programs forward as well,” she said.

Eliminating cervical cancer as a public health problem is in keeping with the commitment made by member states in achieving Universal Access to Health Coverage and that of the Sustainable Development Goals (SDGs).

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REQUEST FOR EXPRESSIONS OF INTEREST

(CONSULTING SERVICES – INDIVIDUAL SELECTION)

 

OECS MSME Guarantee Facility Project

Loan No.: IDA-62670, IDA-62660, IDA-62640, IBRD-88830, IDA-62650

Assignment Title: Senior Operating Officer (SOO)

Reference No. KN-ECPCGC-207852-CS-INDV

 

The Governments of Antigua and Barbuda, Commonwealth of Dominica, Grenada, St. Lucia and St. Vincent and the Grenadines have received financing in the amount of US$10 million equivalent from the World Bank towards the cost of establishing a partial credit guarantee scheme, and they intend to apply part of the proceeds to payments for goods, and consulting services to be procured under this project. 

The consultant will serve as the “Senior Operating Officer (SOO)” for the ECPCGC and should possess extensive knowledge of MSME lending with some direct experience lending to Micro, small and medium-sized businesses, knowledge of the internal control processes necessary for a lending operation and the ability to design and implement risk mitigation procedures. The ideal candidate should possess an Undergraduate Degree from a reputable college or university, preferably in Business, Accounting, Banking or related field, with a minimum of 5 years’ experience in lending, inclusive of MSME lending. The initial employment period will be for two years on a contractual basis. Renewal of the contract will be subject to a performance evaluation at the end of the contractual period. The assignment is expected to begin on September 30th, 2021.  The consultant will report directly to the Chief Executive Officer of the ECPCGC.

The detailed Terms of Reference (TOR) for the assignment can be viewed by following the attached link below. 

 

https://bit.ly/3iVannm

 

The Eastern Caribbean Partial Credit Guarantee Corporation (ECPCGC) now invites eligible “Consultants” to indicate their interest in providing the Services. Interested Consultants should provide information demonstrating that they have:

  • An Undergraduate Degree from a reputable college or university, preferably in Business, Finance, Banking or related field; and
  • Minimum of 5 years’ experience in MSME lending. Applicants should also have:
  • The ability to design and implement risk management procedures 
  • Extensive knowledge of MSME lending with some direct experience lending to small and medium-sized businesses
  • Extensive knowledge of MSME banking operations
  • Knowledge of the internal controls necessary for a lending operation and the ability to design and implement risk management procedures
  • Experience developing and presenting information in public, including responding to questions in real-time
  • Experience lending to MSMEs located in the ECCU
  • Knowledge of marketing and communicating with the MSME sector
  • Ability to draft procedures to be used in a lending operation
  • Familiarity with the mechanics of a loan guarantee program
  • Exceptional written, oral, interpersonal, and presentation skills, and
  • Proficiency in the use of Microsoft Office suite.

The attention of interested Individual Consultants is drawn to Section III, Paragraphs 3.14, 3.16, and 3.17 of the World Bank’s Procurement Regulations for IPF Borrowers July 2016, [revised November 2017] (“Procurement Regulations”), setting forth the World Bank’s policy on conflict of interest. A Consultant will be selected in accordance with the Approved Selection Method for Individual Consultants set out in the clause 7.34 of the World Bank Procurement Regulations for IPF Borrowers. 

 

Further information can be obtained at the address below during office hours 0800 to 1700 hours:

Eastern Caribbean Partial Credit Guarantee Corporation

Brid Rock, Basseterre,

St. Kitts.

Expressions of interest must be delivered in a written form by e-mail by August 11th, 2021, to [email protected]

 

For further information, please contact:

Carmen Gomez-Trigg                                                            Bernard Thomas

Chief Executive Officer                                                          Chief Financial Officer

Tel: 868-620-8144                                                                  Tel: 869-765-2385

Email: [email protected]                                          [email protected]