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Simple awareness saves lives.
Awareness Campaigns
The majority of children with retinoblastoma in Africa are diagnosed at an advanced stage, and many children may die before diagnosis.  Most advanced and fatal cases are observed in rural, underprivileged communities.
The main causes of late diagnosis are

Widespread illiteracy

Near absent awareness of “white pupil” as an early sign of retinoblastoma.

    
The Need

    
Raising Awareness

    
Global Rb Strategy

    
Rati's Challenge

         Hope For Africa

         Kenyan Rb Strategy

         Guidelines

         
National Registry

         
Awareness Raising

         
Co-ordinated Care

         
Child Life Support

         
Family Support

         
Artificial Eye Service

    
Retinoblastoma Book

    World Rb Citizen Award

Leukocoria bullet point
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Leukocoria bullet point
Lack of access to health care information

Poorly informed health care providers (primary care doctors, paediatricians, ophthalmologists, oncologists).

Poverty leading to the principal use of traditional medicines.

Transport costs and lack of family accommodation preventing access to care.
Leukocoria bullet point
Leukocoria bullet point
Leukocoria bullet point
Leukocoria bullet point
Early diagnosis is essential for survival of retinoblastoma.  When cancer is contained within the eye, surgical removal of that eye is curative.  However, the intensive therapy required for treatment of extensive retinoblastoma places considerable burdens on the family and health care system, with very limited chance of survival. 
When early diagnosis is achieved, the costs of medical care are significantly lower, thus reducing the burden on the family and the local health care system.

The most common early sign of retinoblastoma, a white pupil (leukocoria), can be easily detected by the general public.  Early diagnosis requires that:

Parents and primary health care workers recognise this sign. 

Prompt referral is made to an ophthalmologist familiar with retinoblastoma, to ensure complete diagnosis and appropriate management.


Pilot Campaign

We have already carried out a pilot Retinoblastoma Awareness Campaign in Kenya, targeting both medical personnel and the public.

In 2006, a DECF team from Canada, the U.K. Ethiopia and Kenya found tremendous local interest in a T-shirt and poster campaign highlighting the “white pupil” in early diagnosis of retinoblastoma. 


Structured Campaigns

We are now developing structured awareness campaigns, to target both the public and health care workers.  These include:

Inclusion of information about retinoblastoma and “white pupil” in the Ministry of Health Maternal and Child Health booklet.  This publication is sent to all registered health centres in Kenya, and is also given to families attending child immunisation clinics.Dissemination of educational posters to primary health centres, to promote knowledge and awareness among primary health providers.

Circulation of parental education postcards during national infant vaccination campaigns, since most cases of retinoblastoma arise in this age group.  The principal Information will be presented in a pictorial format, to overcome the challenge of illiteracy in Kenya.  This project is being developed in partnership with the Kenya Expanded Program of Immunisation (KEPI).

Public service announcements in the media

Educational seminars during appropriate continuing medical education events

To assess impact of increased awareness on early diagnosis and referral, we are initiating a retrospective study of children diagnosed and treated prior to start of the campaign.  This data will be compared to patient data collected during the campaign.  This will enable us to identify changes in the stage of disease and age of children at diagnosis, and the lag time between first sign of disease, first health care consultation, and eventual diagnosis and initiation of therapy

The awareness campaigns will:

Educate local medical professionals and general public on detection of the “white pupil” as an early sign of retinoblastoma.

Achieve earlier detection of retinoblastoma in the home and clinic, before it progresses beyond the eye.

Reduce mortality caused by late diagnosis.

Possibly decrease public misconceptions and stigma associated with removal of an eye.

Early diagnosis is a child’s only hope of cure in Africa.  These simple awareness raising strategies can dramatically reduce the tragic loss of precious children, and bring hope for their future as happy, healthy individuals.
Leukocoria bullet point
Leukocoria bullet point
Leukocoria bullet point
Leukocoria bullet point
Leukocoria bullet point
Leukocoria bullet point
Leukocoria bullet point
Leukocoria bullet point
Leukocoria bullet point
Leukocoria bullet point

Rati's Challenge          Kenyan Rb Strategy          Guidelines

National Registry          Awareness Raising          Co-ordinated Care

Child Life Support          Family Support          Artificial Eye Service
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