Project Summary

Project Information

Partner Hospice Africa Uganda (HAU)

Organisation
Donor Road to Care
Project Title SUPPORTING THE MANAGEMENT OF WOMEN WITH EARLY
CERVICAL CANCER FROM WESTERN UGANDA
Project Start and
end dates

Total Project Budget

Total Amount
Transferred
Total Expenditure
to date

Reporting period
Progress Report Preparation

Prepared by

Others involved or Martha Rabwoni, Tukundane Antonia and RoselightKatusabe

consulted

Contact Person Nakyanja Prossy

Name Acting Chief Executive Director
Hospice Africa Uganda
Title
Email
Telephone
Date of report January 2024

Project Information

Activity Progress Report Page 1 of 7

 Project Goal To enable women who are diagnosed with curable cervical cancer
the financial means to pursue treatment at the Uganda Cancer
Institute (UCI) in Kampala.
Specific Objectives 1. To facilitate pre and post treatment investigations
including biopsy
2. To ensure all women with early cervical cancer are
supported to access radiotherapy and / or chemotherapy
at UCI
3. To advocate for early cervical cancer screening in the
communities of Western Uganda
Intended outcomes 1 A healthy and productive life for women receiving curative
or longer survival treatment.
2 Improved wellbeing of women in early stage cervical
cancer

INTRODUCTION
Hospice Africa Uganda (HAU) is a non-profit organization established in 1993 to provide high
quality palliative care for all in need in Uganda, to build capacity of health workers to deliver
palliative care through training and to be a model hospice for Africa. The HAU holistic model of
care and the guiding principles of the HAU ethos are designed to be responsive to the African
context addresses the physical psychological, social, spiritual and emotional needs of the patient,
and the family. HAU specifically targets the most vulnerable patients including persons with
disabilities, children and adults. HAU delivers its services through hospital visits, home visits,
outreaches, mobile clinics and outpatient care. The prevention and treatment of cervical cancer is
important to HAU because of the burden of advanced cervical cancer and palliative care need in
Uganda yet treatment at earlier stages could be achieved.

Project Summary

Road to Care (RTC) is a charity that aims to enable women who are diagnosed with curable cervical
cancer the financial means to pursue treatment at the Uganda Cancer Institute (UCI) in Kampala.
RTC was started in Uganda in 2010 by Dr. Joda Kuku and the project meets costs for patient
investigations before and after radiotherapy, transportation to Kampala and back home, upkeep
while in Kampala for treatment and the cost of radiotherapy.

Project results for the quarter January 2023 - March 2023

 Out of the 68 women newly screened, we had 61 with cervical cancer while 07 had no cancer
diagnosis.
 Of the 61 that had cervical cancer, 34 had early-stage disease and were enrolled onto RTC
programme while 06 women had advanced cervical cancer and were enrolled onto HAU’s PC
programme. 21 were not yet staged

SUMMARY OF RTC INTERVENTIONS / OUTPUTS FOR OCTOBER - DECEMBER 2023

Activity Progress Report Page 2 of 7

 ACTIVITY OCTOBER NOVEMBER DECEMBER TOTAL
DESCRIPTION
Target Achiev Target Achieved Target Achiev Target Achieved
ed ed
Total women 11 28 11 30 11 34 33 92
supported in the
quarter
Total women 05 06 05 09 05 09 15 24
already on RTC
from the
previous quarter
(of the total
women
supported)
New patients 06 07 06 06 06 02 18 34
enrolled in the
quarter
Patients 06 11 06 13 06 10 18 53
supported for
biopsy
processing
(screened)
New patients 05 07 05 06 05 02 15
referred for 15
Radiotherapy
Pre-radiotherapy 05 06 05 04 05 02 15 12
investigations
done at MHM
Post- 00 00 01
radiotherapy 01
Investigations
done.
Patients that - - - -
accessed RT
Funds expensed - - - -
on radiotherapy
Patients that - - - - -
accessed
chemotherapy &
pre chemo meds
Patients 05 07 05 06 05 02 15 15
supported with
transport for the
first time from
upcountry
Patients 05 06 05 09 05 09 15 24
supported with
transport for the
second time/
follow up

Activity Progress Report Page 3 of 7

 Activities & Outputs
Planned Activity
Supporting women
to screen for cervical
cancer
Enrolling women on
RTC program and
referral for further
management after
staging
Continuous Support
and follow up of
patients and their
families during and
after chemo therapy
treatment (within
Kampala)
Continuous support and In progress
follow up of RTC
patients and their
families from the sites.
SUCCESSES
Activity Progress Report
Activity Description of progress Outputs/
Status outcomes/
/Date of
Results created
implementation
On going Needy women with suspected cancer 53 biopsies were
are reviewed at the cancer screening processed
clinics in the regional referral hospitals
of Mbarara and Hoima. They have
their biopsies done and with support
from RTC, the biopsies are assessed by
a pathologist. The women bring their
results to Hospice centres from where
they are helped.
On going Patients are supported to do pre- 34 were enrolled
treatment investigations; necessary on RTC
documents are compiled and
transport for the patient and the carer
is given
In progress HAU /RTC coordinator reviewed HKla-
patients at the hostels and at UCI (for
those admitted to UCI).
We followed up RTC patients who 84
completed RT and needed on going
counseling, pain and symptom control
and referral for assessment at other
HCs
Page 4 of 7
  The collaboration between Hospice and the gynecology department of MRRH
is good.
 They was enough space at the Hostels throughout this quarter.

CHALLENGES
Challenge Way Forward

We supported few women in the The women who needed to go to mulago

month of December because of were supported immediately after
the circumstances associated with Christmas.
Christmas festival

Relationship between Partners, Beneficiaries and Other Stakeholders

The following table summarises our relationship with key partners and stakeholders during the
reporting period:

Partner / Stakeholder Relationship update

Mbarara regional referral • Patients are referred for radiotherapy through Hospice.
Hospital
• Patients referred by MHM for staging or any cares are received
with open arms at MRRH.

• Hospital based management for patients who get critically ill

during treatment.

• Screening and biopsy processing.

Patients • Patients are no longer getting stranded with biopsies.

• Patients continue to be very cooperative and willing to go for

treatment despite the journey and uncertain period of stay in
Kampala

• Pain and symptom control.

Road to Care national

• The Road To Care national coordinator is supportive and
coordinator
available for consultation.

Activity Progress Report Page 5 of 7

 • The Hostel where patients stay while in Kampala is in good
shape.

Patients and their

• There is good preparation and education before they travel and
families
this helps them to make informed decisions. Follow ups through
telephone calls are made every month to Mulago to give them
support.

• Ongoing communication about any concerns after treatment

Other health • We continued to receive referrals from other health facilities

facilities/laboratories and and we also referred to them
diagnostic centres

Authorisation

I declare that the information contained in this report is true and correct and confirm:
RTC Funds were received and used only for the agreed purpose.

Chief Executive Director

Activity Progress Report Page 6 of 7

 Signature Date

Stamp

Activity Progress Report Page 7 of 7