In 2014 ISNCC in collaboration with the Union for International Cancer Control developed a cervical cancer prevention and screening curriculum to be delivered as a ‘Train the Trainer’ Program across Latin America. Over 100 nurses participated in this initial program and building on this success ISNCC collaborated with the American Cancer Society to develop ‘train the trainer’ modules in breast cancer screening to be delivered in conjunction with the cervical cancer program. The project team developed that 6 core modules on cervical and breast cancer including
- Prevention and Control Programs
- Community Mobilization
- Education and Counselling
- HPV Vaccination
- Screening and Treatment of Cervical Pre-Cancer
- Early detection, screening, and diagnosis of breast cancer
- Diagnosis and Treatment of Invasive Cervical Cancer
- Palliative Care
- Leadership and communication skills in early cancer screening programs
The primary goal of the ‘Train the Trainer’ Program is to build capacity in breast and cervical cancer screening amongst nurses, midwives, and community health workers across Latin America and at the time of writing over 1200 nurses from 15 countries across have participated in the program. A total of 428 nurses have completed the train the trainer program delivered by the ISNCC faculty and many were eligible to apply for competitive small grants to deliver the training in their local communities. Grant recipients from Colombia, Mexico and Brazil have successfully delivered the program to 799 nurses across their local communities. A further round of competitive small grants has recently closed and participants will be advised of the outcome in the near future.
The program is flexible and has been adapted through an iterative process following focus groups, desk review, and individual program evaluations to allow a bespoke program to be delivered specific requirements of each country or local community. Faculty have delivered the program in both one and two-day formats and the evaluations have demonstrated the integration of the program into the nurse participants’ practice over the medium term (6 months). Nurse participants have demonstrated in the 6-month evaluation that they provide leadership in their healthcare community through the replication of the program locally and especially in their education of community health workers, women, nurses, and other health care professionals.
The project team continue to work on opportunities to deliver the program to more nurses across the region and the content of each module is being developed into webinars that will be available in both Spanish and Portuguese language on the ISNCC website.