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Why Brazil?
Brazil reports a high incidence of Breast and Cervical cancer, large segments of the population particularly in a rural setting have limited access to health care. There is no widespread organized screening program in place.

An estimated 49.27 new cases of breast cancer per 100,000, 18.47 new cases of cervical cancer per 100,000 and 6.89 new cases of endometrial cancer and 1.19 new cases of ovarian cancer per 100,000 are reported each year.
 
Partner Institution:
Our partner in Brazil is the Barretos Cancer Hospital, the largest cancer hospital in that country, located in Barretos, Sao Paulo State.
[http://www.cliquecontraocancer.com.br/]
For over 40 years Barretos Cancer Hospital has been providing top notch cancer care free to residents of Sao Paulo state, acting as a premier referral center for cancer.
The Avon foundation in recognition of the phenomenal Oncology care being provided by this institution recently gave a grant of USD 3 million which has been utilized to open a State of the art center for Cancer Prevention and Molecular Oncology.
This Hospital treated 417000 patients from 20 of 24 states of Brazil in 2008 including 858 breast cancer cases and 500 cervical cancers. Overall the hospital treated over 10,000 new cases of cancer in the same year, a number equal to or higher than the busiest Cancer Centers in the USA and overseas. The hospital is staffed by 200 cancer specialists.

Barretos Cancer Hospital has in place an organized screening program implemented through fixed site and five mobile screening clinics serving six states and responsible for screening 225,000 women for Breast Cancer and 90,000 women for cervical cancer.
Stats prove the effectiveness of the cancer prevention program in place, only 11% of breast cancer patients seen through the screening program were in Stage 111 and IV compared to 32.1% for state of Sao Paulo from 2003-2007, 64% of women with Breast cancer were in Stage 0 or 1 compared to 29% for the state. 68% women attend the hospital screening program compared to 20-25% private clinics.
 
A Well Woman Clinic will be established in a 600 sq ft Clinic facility provided by the city of Nova Andradina.
This site is about 40 miles outside the city in the State of Mata do Sul 500 miles north of Sao Paulo city. The city has no organized screening program in place. There is no health care facility in the city to provide indigent care for the 80,000 population.
The newly opened Cancer Hospital branch of the Barretos Cancer Hospital is at a distance of 200 miles and will act as a referral center for screen positive cases.

The Mayor and citizens of Nova Andradina in addition to offering a facility to set up the clinic have taken on the responsibility of ensuring outreach and participation in the program of the impoverished women residing in the catchment area of the clinic.

Barretos Hospital has taken on the role of recruiting a Clinical Director and other staff, of ensuring QC and adherence to our screening protocol, of conducting diagnostic and therapeutic management of screen positive cases, the foundation will be responsible for providing equipment, funding clinic staff, setting up an EMR, and providing training of clinic staff and telemedicine consult.
This is a fine example of a meaningful partnership and team work which our foundation seeks to emulate in the future.
 
 
Well Woman Clinic Neighborhood
 
Chapel in the Barretos Cancer Hospital  
   
   
Future site of the Well Woman Clinic, facility provided by the City of Nova Andradina Future site of the Well Woman Clinic, facility provided by the City of Nova Andradina
   
Barretos Cancer Hospital Mobile Cancer Screening Clinic Barretos Cancer Hospital Mobile Cancer Screening Clinic
   
Dr Shetty and Dr Raphael in the Mammography room inside the mobile Clinic PAP test room inside the Mobile Screening Clinic
   
Digital Mammogram unit in the Cancer Prevention department of the Barretos Cancer Hospital Palliative care center of the Barretos Hospital
   
Staff and Patients at the Palliative care center Staff and Patients at the Palliative care center
   
Future site of the Well Woman Clinic, facility provided by the Municipality of Nova Andradina, 40 miles away from the city in a rural setting Drs Edmundo Mauad, Director of Barretos Cancer Hospital, Dr Raphael Junior and Raulin BARONCELI, Vice Mayor of Nova Andradina discussing the WCF Well Woman Clinic Project site
   
Area around the future site of the Well Woman Clinic Well Woman Clinic patient waiting area
   
Jalles Cancer Hospital, a branch of the Barretos where screen positive cases from the Well Woman Clinic will be referred to Patient examination rooms at the future site of the Well Woman Clinic space
   
The area around the Well Woman Clinic Patient and Community outreach program
   
Cancer Prevention and Molecular Oncology Center Avon Institute of Cancer Prevention at Barretos Cancer Hospital
   
Rural Mobile Cancer Screening Clinic Rural Mobile Cancer Screening Clinic in the Amazonia
   
 
Nurses training session  
 
 
Woman’s Cancer Foundation
713-5400-466 | P.O. Box 2519 | Sugar Land, TX 77478-2519

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