Meeting Report 27 May 2013 Kuala Lumpur, Malaysia MEETING PARTNERS TABLE OF CONTENTS

American Cancer Society (www.cancer.org) African Organisation for Research & Training in Cancer (www.aortic-africa.org) Asia Oceania Research Organisation on Genital Infections and Neoplasia (www.aogin.com) Bill & Melinda Gates Foundation (www.gatesfoundation.org) Cervical Cancer Action (www.cervicalcanceraction.org) Cervical Cancer-Free Coalition (www.cervicalcancerfreecoalition.org) Forum of African First Ladies Against Breast & Cervical Cancer GAVI Alliance (www.gavialliance.org) George W. Bush Institute (www.bushcenter.org/george-w-bush-institute) Global Health Strategies (www.ghstrat.com)

Global Task Force on Expanded Access to Cancer Care and Control in Developing Countries (www.gtfccc.harvard.edu) Grounds for Health (www.groundsforhealth.org) Harvard Global Equity Initiative (www.globalhealth.harvard.edu/org/harvard-global-equity-initiative) International Federation of Gynecology and Obstetrics (www.figo.org) International Gynecologic Cancer Society (www.igcs.org) Jhpiego (www.jhpiego.org) Malaysian Council for Child Welfare (www.mkkm.org.my) Management Sciences for Health (www.msh.org) Marie Stopes International (www.mariestopes.org) Ministry of Health of Malaysia (www.moh.gov.my) Background 2 Ministry of Women Family and Community Development of Malaysia (www.kpwkm.gov.my) National Population and Family Development Board of Malaysia (www.lppkn.gov.my) PATH (www.path.org) Key Themes 3 Perdana University Graduate School of Medicine (www.perdanauniversity.edu.my/pugsom)

Pink Ribbon Red Ribbon (www.pinkribbonredribbon.org) Key Outcomes 8 Population Services International (www.psi.org) Princess Nikky Breast and Cervical Cancer Foundation Meeting Agenda 12 Union for International Cancer Control (www.uicc.org) Women Deliver (www.womendeliver.org) YouWeCan (www.youwecan.com) Advisory Committee Members 14 BACKGROUND 2

On 27 May 2013, a group of 30 international partners convened the Global Forum on Cervical Cancer Prevention in Kuala Lumpur, Malaysia. The meeting aimed to accelerate “I believe that the prevention of the disease worldwide by strengthening advocacy efforts, sharing every country best practices and increasing positive media coverage. Drawing nearly 300 participants owes its women from more than 50 countries, the forum was one of the largest cervical cancer advocacy a healthy life. . . meetings to date.

and the time The forum grew out of the However, despite unprecedented recognition that we are at a critical financial and political commitments, moment in the fight against cervical hundreds of thousands of girls and cancer. Over the past few years, women – largely in low- and middle- the field has witnessed significant income countries – still do not have has come to join progress. The GAVI Alliance opened access to life-saving prevention a funding window for HPV vaccines and treatment tools. Approximately and negotiated a price reduction 275,000 women die from the to US$4.50/dose. The World Health disease each year, and this number Organization (WHO) committed is projected to nearly double by hands to prevent to introduce the vaccine in 50 per 2030, with 98 per cent of deaths cent of the 75 focus countdown occurring in low- and middle-income countries by 2015 and has released countries. Additionally, despite the comprehensive guidelines for the evidence-base behind cervical cancer cervical cancer.” prevention and control of cervical prevention technologies, uptake in cancer. In addition, a number of low- many countries is slow and a number and middle-income countries, such of media articles have questioned the — Datuk Dr. Maimunah Abdul Hamid as Malaysia, Mexico and Rwanda, safety of HPV vaccines and the need have rolled out vaccine, screening to make them widely available. Ministry of Health, Malaysia and treatment programs. KEY THEMES 4

its own pricing agreement directly up hinder uptake of services. A diverse organizations collaborate. One Against this backdrop, partners launched a with Merck, conducted national number of organizations and service example of successful collaboration global call for universal access to cervical cancer awareness campaigns to sensitize the providers have overcome these is the GAVI Alliance, which recently public and administered the vaccine delivery obstacles by implementing opened a funding window for HPV prevention. The call emphasized that all girls through a school-based strategy in alternative screening methods. Visual vaccines. In association with public have a right to HPV vaccines and all women to collaboration with the Ministry of inspection with acetic acid (VIA), and private sector partners, GAVI’s Education. Similarly, Lesotho was used by organizations like PATH and price reduction announcement of screening and treatment options. It underscored successful in its transition from pilot to Jhpiego and in Vietnam, , the HPV vaccine to US$4.50/dose that now is the time to act on this promise and national program because it secured Peru, and other countries, represented a major step forward in political commitments, developed is an affordable, effective screening dramatically decreasing the burden invest in cervical cancer. Before and during concrete transition plans, educated option designed for low-resource of the disease in GAVI-eligible the meeting, more than 400 individuals and the community and administered settings. The “screen and treat countries. Pink Ribbon Red Ribbon the vaccine through its compulsory approach” provides an on-the-spot is another public-private partnership organizations signed the call and pledged to education system. The strategies treatment option for women who test that leverages investments from work toward achieving universal access. The deployed by Rwanda and Lesotho positive for precancerous cervical partners and works with governments are replicable and can be adopted in cells and limits necessary follow-up. to provide women with access to full text of the call is included on page 8. other low-income countries. Another approach to screening that comprehensive screening and care is becoming more prominent is self- for breast and cervical cancer. Various Participants spent a significant portion of the Middle-income countries face a sampling. This option reduces barriers partners are responsible for unique unique challenge in financing HPV and stigma by enabling women to facets of the program – from vaccine HE Dr. Christine Kaseba-Sata meeting discussing how to make the call to vaccines because they often do not screen themselves in the privacy of delivery to screening and education. First Lady of Zambia action a reality. From discussions that took place have access to donor support, yet the their own home. Additionally, HPV full price of HPV vaccines is not always DNA testing is a highly effective Through regional collaboration, during two plenaries and nine breakout sessions, affordable. However, several countries screening option that is increasingly countries are able to share information five key themes emerged: have introduced the vaccine by being used in countries around the and lessons-learned. In , negotiating pricing agreements with world. A low-cost, low-resource the Network of National Cancer setting HPV test is anticipated to be Institutes (RINC – Red de Institutos 1. Utilize proven models to build new cervical vaccine manufacturers and by building political support. For example, in on the market soon. Nacionales de Cáncer) provides a cancer programs Latin America, the Pan-American forum for national cancer institutes in the region to exchange information, 2. Strengthen existing partnerships and build Health Organization (PAHO) Revolving Strengthen Existing new ones Fund used collective bargaining 2 share best practices, identify common to negotiate an HPV vaccine price Partnerships and Build interests and priorities and build 3. Innovate in delivery systems reduction for all countries in the New Ones regional capacity to prevent and 4. Increase advocacy region. In another example, Malaysia control cancer. In the Caribbean, was able to mobilize political support, Over the last few years, a number the Healthy Caribbean Coalition, a 5. Promote accurate information sharing broker its own pricing agreements and of organizations have begun to civil society alliance, works to build provide HPV vaccines to all girls aged work together to advance cervical communication channels and mobilize 13 through a school-based program. cancer prevention efforts. Several resources to combat chronic diseases, Utilize Proven Models to Build New Cervical 1 In May 2013, South Africa announced partnership models exist, including including cervical cancer. In Africa, the Cancer Programs its plans to negotiate a price reduction public-private partnerships and Forum of African First Ladies Against for HPV vaccines – a monumental step regional collaboration networks Breast and Cervical Cancer hosts the There is a growing body of Early adopters in low-income forward for a country with high rates – and together, the organizations high-profile, annual “Stop Cervical programmatic experience to guide countries have demonstrated that of HIV/HPV co-infection. and countries involved are building Cancer in Africa” meeting to raise current and future implementation. nationwide roll-out of HPV vaccines is effective programs to increase access awareness, increase dialogue, build Best practice models include HPV possible. Rwanda became the world’s On screening, pap smears remain to cervical cancer prevention tools partnerships and mobilize resources vaccinations, screening and treatment first low-income country to provide the primary screening policy in and technologies. to address the high-burden of cervical programs rolled out by a number universal access to HPV vaccines. many countries. However, lack of cancer in Africa. of early adopter countries and The country reached a memorandum infrastructure, human resources A number of partnerships have organizations. of understanding and brokered and difficulties in patient follow- demonstrated what is possible when 5 6

Continued investment in these services to young girls. As evidenced opening and closing plenaries, cancer “Governments and partnerships is necessary to ensure by Malaysia, Rwanda and Lesotho’s Increase survivors Yuvraj Singh, an Indian communities must make that their successes are sustainable programs, school-based interventions 4 Advocacy cricketer and founder of YouWeCan and scaled up. Regional collaboration are largely successful in reaching cancer initiative, Genevieve Sambhi, noise and say that women networks should be replicated in adolescent girls in countries with former Miss Malaysia Universe runner cannot be left to die.” parts of the world where they are not high rates of enrollment. By tapping A concerted advocacy effort is up and Ambassador for Power Over yet in place, and new public-private into school health programs, service necessary to achieve universal access Cervical Cancer, and Felicia Knaul, — Florence Mohai Ministry of Health, Lesotho partnerships should join existing providers have the added benefit to cervical cancer prevention. During breast cancer survivor and Director of efforts to help move cervical cancer of delivering aid to a somewhat the meeting, participants discussed the Harvard Global Equity Initiative, care closer toward universal access neglected demographic. This new opportunities to accelerate advocacy reinforced key messages about than ever before. point of access could be beneficial to efforts at the global, national and cancer prevention and emphasized the overall health of girls and women, community level. In addition, patient that cervical cancer prevention tools advocates shared their important Innovate in Delivery as it is outside of the traditional points must be available to all women. 3 of access – childbirth and infancy. role in building awareness of cervical More details on the role of patient Systems cancer. advocates are available on page 11. Other opportunities to make cervical Effective and safe tools are available cancer prevention delivery more At the global level, the most In addition to global advocacy, there to reduce fatalities from this disease. cost-effective are under examination. immediate concern is around securing is a need to build momentum on Although HPV vaccines and screening These include the incorporation of a place for NCDs and cervical cancer the ground and at the national level. and treatment tools exist, service HPV vaccines into infant immunization in the post-MDG framework. This The HIV/AIDS advocacy movement providers still face delivery challenges. schedules and the administration of will ensure that the disease remains provides valuable lessons learned the vaccine in two doses. Additionally, a health and development priority. for the cervical cancer field. These One approach for on-the-ground careHPV, an HPV DNA test designed In addition, key international events include the importance of holding delivery that is proving successful by QIAGEN specifically for low- taking place later this year, including governments accountable for their is integration with other healthcare resource settings, is anticipated to the UN General Assembly, the 7th promises and providing leaders with services. With the growing burden be a promising and highly affordable Stop Cervical Cancer in Africa and up-to-date, accurate information. of noncommunicable diseases option for public sector use. The the Union for International Cancer Educating all community members (NCDs), including cervical cancer, company has pledged to make the Control’s World Cancer Leaders’ – from teachers, to community and becoming a major health concern in test available to low- and middle- Summit and the African Organization religious leaders, and families – is low- and middle-income countries, income countries via a tiered pricing for Research and Training in Cancer critical to ensure that uptake of the need to address these diseases structure. At the end of 2012, the (AORTIC) 9th International Cancer services is widespread and socially alongside other health challenges test received approval from China’s Conference, serve as unique acceptable. is essential. An innovative approach State Food and Drug Administration advocacy opportunities. The call to taken by many organizations focuses (SFDA), and in March 2013, it was action also provides an advocacy on ways to integrate cervical cancer launched in the Chinese market. tool that the cervical cancer field Promote Accurate prevention and treatment into their can use to mobilize increased action 5 Information Sharing already existing programs, including Despite some innovations in delivery, and commitments from the global sexual and reproductive health, more than 500,000 new cases of community. The full text of the call Misinformation about cervical cancer HIV/AIDS treatment, breast cancer cervical cancer are reported each to action is on page 8. is a major challenge to prevention screening and adolescent health. By year and access to prevention, efforts in countries around the integrating services, organizations are screening and treatment remains Patient advocates can play a world. It has led to increased stigma able to adapt their programs to meet limited. Women and girls in the most particularly important role in this associated with the disease, questions visible and neglected areas in their remote areas of the world are some process by promoting awareness about the efficacy and safety of HPV communities, including the provision of the hardest populations to reach, and catalyzing conversations around vaccines and a dearth of information of cervical cancer prevention and and new and improved ways to these issues. Celebrities and other about cervical cancer in high-burden treatment. deliver life-saving tools and programs leaders who are visible and influential countries. to this population must continue to be among the general public and Additionally, school-based health explored. decision-makers can build support Education – both at the government Opening Plenary Session programs are valuable for delivering for prevention efforts. During the and community level – is an important 7 KEY outcomes 8

component in building awareness and combating misinformation around Now is the Time In the lead up to and during the meeting, HPV vaccines and cervical cancer. partners achieved four main outcomes: Health workers must provide women Ultimately, conversations during the meeting with accurate information on the 1. Universal access to cervical cancer prevention benefits of screening, vaccination and emphasized that with a wide range of available treatment. As noted above, education as a long-term goal is also critical to building broad tools and experiences to replicate and build 2. Strategic advocacy in key countries community support for the tools on, we have an opportunity to push forward that exist. 3. Positive media coverage in target countries prevention efforts. With momentum around 4. Strengthened patient advocacy In addition, media plays an cervical cancer prevention growing and continued important role in promoting accurate information. Media has been critical focus from the media on this issue, there will Universal Access to Cervical Cancer in shaping perceptions about cervical never be a better time to act. Now is the time to 1 Prevention as a Long-Term Goal cancer. For example, in India in 2010, the media falsely attributed make good on our promise to invest in cervical the death of four girls to an HPV One of the main components of the meeting was a call for universal access to vaccine demonstration project. This cancer – invest the time, the money and the cervical cancer prevention, which emphasized that all girls have a right to HPV misreporting undermined the safety political capital to dramatically decrease fatalities vaccines and all women to screening and treatment options. The full text of and efficacy of HPV vaccines and the call to action is below: led to heavy criticism of the vaccine from a disease that is preventable, and when across the country by civil society, caught at an early stage, treatable. Cervical cancer kills 275,000 women Comprehensive cervical cancer stop this disease and continue policymakers and other influential every year. If we don’t act now, this prevention is feasible, cost effective to explore ways to make all voices. In order to provide the most number will nearly double by 2030, and saves lives: A number of prevention tools more affordable; with 98% of deaths occurring in countries have implemented accurate and balanced information, • Civil society groups and the low- and middle-income countries. In cervical cancer prevention programs journalists must be briefed about medical community must advocate many of these countries, cervical and have successfully integrated the issue, have access to reliable for increased access to HPV cancer is already the number one them into other health services. and accurate sources of information vaccines and precancer screening cancer killer of women, and yet it is International and national guidelines and report responsibly. Additionally, and treatment; almost entirely preventable. provide standards for how to reach cervical cancer leaders and health all girls and women at risk. • All stakeholders, including the reporters must work to ensure that We have the tools we need to take media, must disseminate accurate women’s issues remain a priority for action now: Yet, these tools and programs remain information about cervical cancer, journalists in donor and global south inaccessible to far too many women HPV vaccines and prevention countries. HPV vaccines prevent cervical cancer: around the world. tools. Two safe and effective vaccines To make this vision a reality, all Given this context, a main goal of protect women from the two most This is morally unacceptable. The stakeholders must do their part the meeting was to increase accurate common types of HPV strains that world has the resources, the tools to ensure that no woman dies of and positive media coverage around cause 70% of cervical cancer. For and the opportunity to act now. cervical cancer. Everyone must act cervical cancer prevention. Media every 1,000 girls vaccinated, 12.6 – from policymakers to advocates, outreach in the lead-up to and during cervical cancer deaths will be • All girls must have access to from researchers to donors, from the meeting resulted in 50 original prevented. HPV vaccines; CEOs to community health workers. stories and nearly 100 reposts about • All women must have access to There has never been a more pivotal Proven screening and treatment cervical cancer prevention in target effective and affordable screening time. tools exist: Highly effective, low- countries, including India. A more and treatment; cost screening and precancerous detailed summary of conference We call on you to join us in this call treatment tools are available for all • Governments, development media efforts is on page 10. to action: cervicalcanceraction.org. settings. partners and the private sector must dedicate new resources to Strategic Advocacy Positive Media Coverage 10 2 in Key Countries 3 in Target Countries

The meeting underscored the need to scale-up programs to ensure that A significant effort was made to generate media coverage of the topic in the deaths from cervical cancer do not double by 2030. The meeting focused on lead-up to and during the meeting. To date, 50 original stories and nearly 100 highlighting early adopters and increasing commitments in both low- and reposts have been published in target countries, including India, , middle-income countries. , Rwanda, Malaysia, Philippines, Kenya and Uganda.

Crisis card: In the lead-up to the a media briefing, which included: Early Adopters in Low- & Middle- GAVI-Eligible Countries Middle-Income Countries Income Countries meeting, a cervical cancer “crisis HE Dr. Christine Kaseba, First Lady, card,” which provides a snapshot Zambia; HE Dr. Maria da Luz Dai Malaysia is the first country in South East The First Lady of Mozambique, HE Maria Approximately 72,000 women die of cervi- of the number of deaths and Guebuza, First Lady, Mozambique; Asia and one of the first in Asia to imple- da Luz Dai Guebuza, said, “We can and cal cancer each year in India, which has mortality rates from cervical cancer Dr. Seth Berkley, CEO, GAVI Alliance; ment a National HPV Immunization Pro- must ensure that all women are protect- 26 per cent of the total global burden of in 50 countries, was developed and Ms. Portia Serote, National Women’s gram. HPV vaccines are delivered free of ed from cervical cancer,” and noted that disease. Yet, the country has not imple- launched by the Cervical Cancer- Sector Representative, Treatment charge via a school-based program to girls Mozambique will implement an HPV vac- mented a national screening or HPV vac- Free Coalition. The card received a Action Campaign; Ms. Genevieve aged 13 in public and private schools. To cination program in 2014. The country also cine program. Indian participants called Sambhi, Ambassador, Power Over date, the program reports that more than hosted the 2013 Stop Cervical Cancer in for a concerted advocacy effort to change positive response from the media, 95 per cent of eligible girls have received Africa meeting in Maputo, which raised public opinions, combat stigma and mis- particularly in India, which has the Cervical Cancer; and Dr. Marleen all three doses of the vaccine. Datuk Dr. awareness and political support to address information associated with the disease highest number of deaths in the Temmerman, Director, Reproductive Maimunah Abdul Hamid of the Ministry of cervical cancer prevention in the region. and call on political leaders to take ac- world. The New York Times, Wall Health and Research, World Health Health of Malaysia, shared best practices tion. Dr. Neerja Bhatla, President Elect of Street Journal and AFP published Organization. In addition to print and from the country’s HPV vaccination and AOGIN, urged women in India to be their articles about the crisis card. online articles that came out around screening programs. She urged govern- own advocates, “Indian women like to put the conference, TV stations, including ments to take action, “Today, we have the themselves at the back and put everyone’s Social media: There were more than India TV, NTV in Uganda and necessary tools and resources to improve interest first…the Indian woman needs to 9 million Twitter impressions about Malaysian stations aired segments on women’s health and effectively prevent realize that if she is not around, who is go- the meeting and cervical cancer. cervical cancer. However, what seems to ing to look after that family that she is put- cervical cancer before and after the be lacking in some parts of the world is ting ahead of her? We need to give them a conference. Partners, including Marie strong political will.” voice, and push for advocacy at the highest Stopes International, Grounds for Global webcast: The opening and levels and at the community level.” Health, Jhpiego, Cervical Cancer- closing plenary sessions of the Free Coalition and Johns Hopkins meeting were webcast live. To date, Since the introduction of Seguro Popular Zambia is currently working with partners South Africa pledged to begin delivering Bloomberg School of Public Health, the webcast has been viewed more in Mexico by former Secretary of Health, to strengthen cervical cancer screening the vaccine to school children in Febru- tweeted about the conference and than 1,600 times in 70 countries. Dr. Julio Frenk, the country has witnessed programs, including scaling up screening ary 2014. Portia Serote from the Treatment used the hashtag #EndTheCrisis. a significant decline in incidence of cervi- with VIA. During the opening plenary, the Action Campaign (TAC) shared lessons cal cancer from 16 per 100,000 women to First Lady of Zambia called on the global learned from HIV advocacy that could be Conference coverage and media below 8 in a period of less than 20 years. community to take action, “We have to deal translated to cervical cancer prevention The first cancer to be included in this pro- with the cancer divide. We have to really efforts in South Africa and globally. She briefing: During the conference, gram was cervical cancer. Currently, cervi- make sure that people invest.” said that advocates must hold the govern- nearly 40 journalists took part in cal cancer prevention under Seguro Popu- ment accountable for its promise to deliver lar includes universal access to vaccines, the HPV vaccine: “many people speak nice treatment and screening. A highlight of the words…[but] as activists, we must be there program is the universal roll out of HPV and ensure there is implementation...We DNA testing, offered nationally by only two also have to ensure it is sustainable.” countries, Mexico and the United States.

Rwanda was the first low-income country The Minister of Health of Senegal, Dr. Awa Pap smears were available in Thailand to nationalize HPV vaccines, brokering its Mare Caoll-Seck, underscored the high more than 50 years ago, but over the past own memorandum of understanding with burden of cervical cancer in Senegal and 15 years the country has begun to imple- Merck in December 2010 that guaranteed highlighted the need to accelerate preven- ment VIA and cryotherapy free of charge the country three years of vaccinations at tion efforts. She noted she was confident through the country’s universal health pro- no cost and reduced pricing in subsequent that national roll out of the HPV vaccine is gram. An HPV pilot project in one state in years. Alongside its vaccination program, possible because of GAVI support. She also the south of Thailand also exists, but the Rwanda also received a donation of HPV- stressed the importance of continued ad- high price hinders the country from imple- DNA tests from Qiagen to bolster screen- vocacy to reduce pricing even more. menting a national program. Continued ing efforts. The country already has plans advocacy efforts are needed to ensure that Dr. Marleen Temmerman, WHO and Dr. Seth Berkley, GAVI Alliance to sustain its national vaccination program the government continues to focus invest- Ms. Portia Serote, Treatment Action with support from GAVI. ments on girls and women. Campaign 14 Strengthened Patient Meeting Agenda 12 4 Advocacy

Patient advocates have a special role to play in cervical cancer prevention. At the forum, they emphasized the importance of advocacy efforts to push Introductory Remarks forward universal access to screening, vaccines and treatment of cervical Mr. David Gold, Founder & Principal, Global Health Strategies cancer, and other cancers. Ms. Jill Sheffield, Founder & President, Women Deliver Datuk Dr. Maimunah Hamid, Deputy Director General of Health, Research & Technical Support, Ministry of Health, Malaysia

Opening Plenary: Breaking Down Barriers to Access Ms. Anjali Nayyar, Senior Vice President, Global Health Strategies (Moderator) Dr. Seth Berkley, Chief Executive Officer, GAVI Alliance HE Dr. Christine Kaseba, First Lady, Zambia Ms. Genevieve Sambhi, Ambassador, Power Over Cervical Cancer Dr. Marleen Temmerman, Director, Reproductive Health and Research, World Health Organization

Where We Are Today: Disease Burden, Key Interventions and Latest Technologies Dr. Patti Gravitt, Vice-Dean, Research, Perdana University Graduate School of Medicine

Concurrent Breakout Discussions (GROUP 1) Engaging Community to Champion Cervical Cancer Prevention Genevieve Sambhi Yuvraj Singh Felicia Knaul Ms. August Burns, Executive Director, Grounds for Health (Chair) Ms. Emee Aquino, Founder, She Matters Cervical Cancer Foundation Genevieve is the Ambassador for Yuvraj is a lung cancer survivor, the Felicia is a breast cancer survivor Dr. Sharon Kapambwe, Head, African Centre of Excellence for Women’s Cancer Control Power Over Cervical Cancer, former Founder of YouWeCan and an Indian and currently the Director of the Ms. Portia Serote, National Women’s Sector Representative, Treatment Action Campaign Miss Malaysia/ Universe runner-up cricketer. Through his NGO and Harvard Global Equity Initiative. Integrating Cervical Cancer Prevention and Control with Other Health Interventions and a cervical cancer survivor. She cancer initiative, Yuvraj encourages During the meeting, Dr. Knaul is a strong proponent of annual pap Indians to talk about cancer and stressed the importance of cervical Dr. Doyin Oluwole, Executive Director, Pink Ribbon Red Ribbon at George W. Bush Institute (Chair) smears and considers this to be what get screened. He wrote an op-ed cancer advocacy. Specifically, she Dr. Philip Castle, Executive Director, Global Cancer Initiative saved her life at the age of 35. She about cervical cancer prevention in acknowledged the stigma around Mr. Karl Hofmann, President & CEO, Population Services International encourages women to get screened The Times of India, the most widely cervical cancer, “Though I’ve spoken Dr. Jantine Jacobi, Chief, Gender Equality and Diversity Division, UNAIDS Secretariat once a year. Genevieve’s story has circulated newspaper in the world, out so often about my breast cancer, Dr. Marleen Temmerman, Director, Reproductive Health and Research, World Health Organization been featured in several media and tweeted about the conference I’ve never told anyone this before. I How HPV Vaccines Can Turn the Tide outlets and platforms throughout to his 2 million followers. During the had a conization because of a pap Asia and Africa. On why she became meeting, he discussed some of the smear that turned out positive in Ms. Diane Summers, Senior Adviser, GAVI Alliance (Chair) a patient advocate, Genevieve said, barriers around cancer in India, “The my mid-twenties. And when I think Dr. Awa Marie Coll-Seck, Minister of Health, Senegal “I vowed that if I came out the other problem in India is people don’t talk about it, I probably never shared Dr. Emilio Ledesma, Vice President, GlaxoSmithKline Vaccines Asia-Pacific side, I would do what I could to about [cancer]…It was important for that because I never felt comfortable Hon. Sarah Achieng Opendi, Minister of State for Health, Uganda Dr. Vivien Tsu, Director, Cervical Cancer Prevention Project, PATH build awareness…for pap smears, me to come out and speak about it sharing it. I felt comfortable sharing for vaccinations…there are lots of and tell people that cancer can be my breast cancer. I felt comfortable people who don’t listen…but there is survived.” speaking openly about a mastectomy. Concurrent Breakout Discussions (GROUP 2) always one who does, and if that one I felt comfortable being bald in person listens, then I’ve done my job.” public. But I never felt comfortable Working with the Media to Catalyze Cervical Cancer Prevention Efforts saying I had a positive pap smear Ms. Nidhi Dubey, Vice President, Global Health Strategies (Chair) in my twenties and a conization that Ms. Ramya Kannan, Senior Assistant Editor, The Hindu almost led to losing a pregnancy.” Ms. Vanessa Mdee, MTV Tanzania Ms. Anso Thom, Reporter, Health-e News Meeting Agenda Advisory Committee Members 14

Ensuring Access to Precancer Screening and Treatment Isaac Adewole, African Organisation for Research for Research & Training in Cancer (AORTIC) Dr. Vivien Tsu, Director, Cervical Cancer Prevention Project, PATH (Chair) Jan Agosti, Bill & Melinda Gates Foundation Dr. Neerja Bhatla, President-Elect, AOGIN Dr. Enriquito R. Lu, Technical Director, Reproductive Health and Family Planning, Jhpiego Linda Alexander, Women Deliver Dr. Arvind Mathur, Medical Officer, WHO-SEARO Rose Anorlu, International Gynecological Cancer Society Scaling-Up Commitments to Meet Global Need Neerja Bhatla, Asia Oceania Research Organisation on Genital Infections and Neoplasia (AOGIN) Dr. Jan Agosti, Senior Program Officer, Bill & Melinda Gates Foundation (Chair) Mr. Robert Clay, Deputy Assistant Administrator, Bureau for Global Health, USAID Nathalie Broutet, World Health Organization Ms. Natalie Cohen, Director, Health Policy and Partnerships, AusAID Ms. Ann McMikel, Interim Vice President, Global Health, American Cancer Society August Burns, Grounds for Health Mr. Tewodros Melesse, Director-General, International Planned Parenthood Federation Mr. Walter Zoss, Executive Secretary, Network of National Cancer Institutes Joanna Cain, The University of Massachusetts Medical School Philip Castle, Global Cancer Initiative Concurrent Breakout Discussions (GROUP 3) Raveena Chowdhury, Marie Stopes International Latin America Session Sally Cowal, Population Services International Dr. Jorge Salmerón, Director, Mexican Institute of Social Security (Chair) Ms. Maisha Hutton, Manager, Healthy Caribbean Coalition Matthew Crommett, Pink Ribbon Red Ribbon at the George W. Bush Institute Mr. Walter Zoss, Executive Secretary, Network of National Cancer Institutes Lynette Denny, International Federation of Gynecology and Obstetrics (FIGO) Asia Regional Session Alexandra Farnum, Bill & Melinda Gates Foundation Dr. Neerja Bhatla, President-Elect, AOGIN (Chair) Dr. Surendra Bade, President, Nepal Network for Cancer Treatment & Research Patti Gravitt, Perdana University Graduate School of Medicine Ms. Chalida Gespradit, Senior Public Health Technical Officer, Bureau of Reproductive Health, Ministry of Public Neville Hacker, University of New South Wales Health, Thailand Dr. Safurah Jaafar, Director, Family Health Development Division, Ministry of Health, Malaysia Kiti Kajana, American Cancer Society Dr. Suneeta Krishnan, Senior Epidemiologist, Research Triangle Institute Raj Abdul Karim, Malaysian Council for Child Welfare Africa Regional Session Enriquito Lu, Jhpiego HE Dr. Maria da Luz Dai Guebuza, First Lady, Mozambique (Chair) Dr. Isaac Adewole, President, Africa Organization for Research and Training In Cancer Ann McMikel, American Cancer Society Mr. Michael Holscher, Interim Chief Executive Officer, Marie Stopes International Ms. Florence Mohai, Head, Family Health Division, Ministry of Health and Social Welfare, Lesotho Meira Neggaz, Marie Stopes International Ms. Princess Nikky Onyeri, Founder, Princess Nikky Breast and Cervical Cancer Foundation Doyin Oluwole, Pink Ribbon Red Ribbon at the George W. Bush Institute

Closing Plenary: Making Universal Access a Reality Princess Nikky Onyeri, Princess Nikky Breast and Cervical Cancer Foundation Mr. David Gold, Founder & Principal, Global Health Strategies (Moderator) Maja Pleic, Harvard Global Equity Initiative Mrs. Laura Bush, Founder, George W. Bush Presidential Center (Video Message) Dr. Neerja Bhatla, President-Elect, AOGIN Krishna Rampal, Perdana University Graduate School of Medicine Mr. Yuvraj Singh, Cancer Survivor; Indian Cricketer Gloria Sangiwa, Management Sciences for Health Ms. Portia Serote, National Women’s Sector Representative, Treatment Action Campaign Dr. Felicia Knaul, Director, Harvard Global Equity Initiative Jennifer Smith, Cervical Cancer-Free Coalition Dr. Awa Marie Coll-Seck, Minister of Health, Senegal Diane Summers, GAVI Alliance Julie Torode, Union for International Cancer Control Scott Wittet, PATH and Cervical Cancer Action cervicalcancerforum.org