Download the full 2014-2015 Annual Report here

AN N UAL R E P ORT
2014-15
Powered by partnership
Pink Ribbon
Red Ribbon
LEADING THE FIGHT AGAINST WOMEN’S CANCERS
PINK RIBBON RED RIBBON PARTNERS
Airborne
Lifeline
Foundation
Pink Ribbon Red Ribbon is a member of Cervical Cancer Action.
Contents
2 | Letter from the Chief Executive Officer
3 | Letter from the Chair of the Board
4 | Overview of Pink Ribbon Red Ribbon
5 | Milestones in 2014 & 2015
8 | Where We Work
9 | Results Matter
9
| Partnership Goals
10 | Pink Ribbon Red Ribbon’s Interventions
12 | Republic of Botswana
14 | Federal Democratic Republic of Ethiopia
16 | United Republic of Tanzania
18 | Republic of Zambia
20 | Republic of Namibia
21 | The Path Forward
24 | Pink Ribbon Red Ribbon Leadership
26 | Financial Highlights
2
LETTER FROM THE
CHIEF EXECUTIVE OFFICER
Everywhere I look, I see the potential for Pink Ribbon Red Ribbon
to build on our incredible partnership model, helping women and
girls prevent or survive breast and cervical cancer in low- and
middle-income countries. With new leadership, a new organizational
structure, and a vibrant and growing set of partners, we’re poised to
expand our reach and take advantage of innovations in technologies
and processes.
Since becoming an independent non-profit, affiliated with the George W. Bush
Institute, Pink Ribbon Red Ribbon is structured to advocate for improved policies
to address women’s cancers, to bring in new partners from around the world who
share our vision, and to reach more women in more countries.
The occasion of our fifth anniversary in 2016 is an exciting moment for Pink Ribbon
Red Ribbon. I look forward to building a robust and results-oriented organization,
welcoming new partners, and expanding our programs in sub-Saharan Africa and the
Americas – all while focusing on saving lives from cancer
in countries where the need is greatest.
Join us: women around the world need your support.
Celina Schocken, J.D., M.P.P., M.B.A. | Chief Executive Officer
3
LETTER FROM THE
CHAIR OF THE BOARD
From the success of the U.S. Emergency Plan for AIDS Relief (PEPFAR),
President and Mrs. Bush created Pink Ribbon Red Ribbon five years
ago to further their commitment to women’s health all over the world.
As U.S. Secretary of State, I traveled the world promoting PEPFAR and
women’s health, both highlighting the U.S. government’s priorities and
expressing my own personal commitment to this cause. Now, I’m proud to
serve as the Chair of Pink Ribbon Red Ribbon’s Board of Directors.
As an independent non-profit, Pink Ribbon Red Ribbon continues to grow and
thrive as we expand our affiliations, create awareness of the global women’s health
landscape, and increase our capacity to serve more women.
Pink Ribbon Red Ribbon has had great accomplishments in preventing and treating
women’s cancers in Botswana, Tanzania, Zambia, Ethiopia, and Namibia. And we
will continue to expand to treat more under-served women.
Pink Ribbon Red Ribbon is successful because our partnerships result in countryled, sustainable programs that allow women and girls to access the care they need
to thrive. Today, Pink Ribbon Red Ribbon boasts over 40 partner organizations,
including national governments, non-governmental and multilateral groups, and
private-sector organizations in the countries we serve.
We have made significant progress in screening and treating women for cervical
and breast cancer, but the work is far from complete.
Please take some time to go through this report and learn more about what we
are doing to change the lives of women. And, if you are so inspired, please join us.
Together, we can make a difference.
Condoleezza Rice, Ph.D. | Chair of the Board of Directors
4
Overview of Pink
Ribbon Red Ribbon
Pink Ribbon Red Ribbon® was launched in September 2011 by the George W. Bush Institute, the
United States Government through the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR),
Susan G. Komen®, and the Joint United Nations Programme on HIV/AIDS (UNAIDS).
Now an independent non-profit affiliated with the George W. Bush Institute, Pink Ribbon
Red Ribbon works with national governments, non-governmental (NGO) and multilateral
organizations, the private sector, and key in-country leadership to prevent and treat cervical
cancer, and provide services for the early detection and treatment of breast cancer, with locally
adapted solutions. Pink Ribbon Red Ribbon partners implement programs on the ground in
each of our countries of engagement. A small headquarters staff coordinates these efforts and
resources, and provides oversight and technical assistance.
Around 85 percent of the global burden of cervical cancer occurs
in less-developed regions.
5
5
2014-2015
Milestones
Women’s cancers are the next frontier
in global health: every year, over
785,000 women die from cervical
and breast cancer worldwide, and
70 percent of these deaths occur
in developing countries. Many of
these deaths are among women
with HIV/AIDS, including those who
2014
are benefiting from anti-retroviral
therapy. Pink Ribbon Red Ribbon has
demonstrated that we can reduce
March
the number of unnecessary deaths
The First Lady of Tanzania, Her Excellency
in low- and middle-income countries.
Mama Salma Kikwete, led a mass campaign in
Since our inception, we have screened
the Mwanza Region of her country in which Pink
over 280,000 women for cervical
Ribbon Red Ribbon partners screened 2,039
cancer, and over 13,000 women for
women for cervical cancer and 5,224 women
breast cancer. We have supported
for breast cancer.
the vaccination of over 120,000 girls
against the virus that causes cervical
cancer. Our “Lives Saved” model,
August
developed by experts at Johns Hopkins
President George W. Bush announced the
University, indicates that the screening
expansion of Pink Ribbon Red Ribbon to
and treatment programs we support
Ethiopia and Namibia at the “Investing in Our
had averted about 34,826 deaths
Future” event during the U.S.-Africa Leaders’
through March 2016.
Summit in Washington, D.C.
CONTINUED >
6
2015
August
(continued)
February
Pink Ribbon Red Ribbon introduced our first
Secretary Margaret Spellings, then-President
Ambassadors: Bethlehem Alemu of Ethiopia,
of the George W. Bush Presidential Center,
Founder and Managing Director, soleRebels;
launched Pink Ribbon Red Ribbon’s work in
Strive Masiyiwa, originally from Zimbabwe,
Ethiopia, alongside the First Lady of Ethiopia,
Founder and Chairman, Econet Wireless;
Her Excellency Mrs. Roman Tesfaye, and
Ambassador Gertrude Ibengwe Mongella,
the Ethiopian Federal Minister of Health, the
stateswoman from Tanzania; and Isha Sesay,
Honorable Dr. Kesetebirhan Admasu.
Anchor and Correspondent, CNN International,
originally from Sierra Leone.
The Government of Botswana launched
nationwide vaccination of adolescent girls
September
Airborne Lifeline Foundation began carrying
against the human papillomavirus (HPV),
following a successful, two-year demonstration
program supported by Pink Ribbon Red Ribbon.
supplies (and eventually medical personnel) to
allow more women in Botswana and Zambia
to have access to Pink Ribbon Red Ribbon’s
screening and treatment for cervical cancer.
April
Pink Ribbon Red Ribbon and local partners
launched a transportation program, funded
by Vodacom Tanzania Foundation, for
Tanzanian women to travel to receive treatment
for cervical cancer.
7
7
July
October
Pink Ribbon Red Ribbon was incorporated
The Ethiopian Government launched its first
as an autonomous, non-profit organization.
National Cancer-Control Plan (NCCP) with Pink
Ribbon Red Ribbon’s support.
September
Pink Ribbon Red Ribbon partners began
Ambassador Deborah Birx, the U.S. Global
screening and treatment for cervical cancer
AIDS Coordinator and Special Representative
in Ethiopia.
for Global Health Diplomacy, pledged an
additional $7 million to Pink Ribbon Red
Ribbon programs through PEPFAR at the
Global Women’s Network summit, hosted by
the George W. Bush Institute in Dallas, Texas.
November
The Tanzanian Ministry of Health, Community
Development, Gender, Elderly and Children and
Pink Ribbon Red Ribbon partners screened
Pink Ribbon Red Ribbon partners rang the
more than 1,000 women for cervical and
opening bell for the New York Stock Exchange.
breast cancer over two days in Iringa Region.
A panel at the Concordia Summit featured
December
Pink Ribbon Red Ribbon as an exemplary
public-private partnership.
The Honorable Minister of Health of Botswana
officially launched “See-and-Treat” for the
secondary prevention of cervical cancer.
Pink Ribbon Red Ribbon and World Vision
announced a new partnership to scale up
community-based education, screening,
treatment, and referral programs for cervical
and breast cancer in sub-Saharan Africa,
beginning in Zambia.
88
Where We Work
Ethiopia
Tanzania
Zambia
Namibia
Botswana
1.8m
+
485,000
15.1
In 2013, there were 1.8 million incident cases of breast cancer and
464,000 deaths globally among women, and 485,000 incident
cases and 236,000 deaths from cervical cancer.
Gavi, the Vaccine Alliance, estimates that for every 1,000
girls vaccinated against HPV, an estimated 15.1 cervical cancer
deaths are averted.
The vaccine has the greatest potential for life-saving impact in
sub-Saharan Africa, where mortality from cervical cancer is the highest.
9
9
Our Work
Partnership Goals
Reduce deaths from cervical cancer by 25 percent
among women screened and treated in partner countries;
Achieve at least 80 percent coverage of vaccination
against HPV;
Screen at least 80 percent of the appropriate target
populations for pre-invasive cervical cancer, and treat
those found with lesions;
Increase awareness of, and reduce stigma about, breast
and cervical cancer, and promote the early detection of
the disease; and
Create and test innovative approaches to sustainability,
financing, service delivery, and laboratory and data
systems that can be scaled up and used globally.
10
Pink Ribbon Red
Ribbon’s Interventions
Pink Ribbon Red Ribbon gives girls and women in low-resource settings the opportunity to
thrive throughout their lives. While our specific activities vary by location, they often begin with
educating communities about breast and cervical cancer, and then mobilizing women to advocate
for access to prevention, diagnosis, treatment, care and support. In many places, we build on the
infrastructure, training and referral networks already established by PEPFAR.
Pink Ribbon Red Ribbon offers pre-adolescent girls the HPV vaccination, which prevents
most cases of cervical cancer. We support country-led vaccination campaigns with vaccine
donations, programmatic expertise for roll-out and implementation, and resources for community
education and outreach.
We continue our assistance across the lifespan by supporting partners to screen women
for breast cancer via clinical breast examinations, and providing screening for cervical cancer
for women between 30 and 49 years of age,1 particularly those living with HIV.
Pink Ribbon Red Ribbon’s partners implement the simple, inexpensive cervical pre-cancer
“See-and-Treat” screening approach. It involves visual inspection of the cervix with vinegar
(acetic acid) to detect pre-cancerous lesions, followed soon or immediately afterward, when
necessary, by ablative or electrosurgical (LEEP) treatment, as dictated by the woman’s needs.
We are also helping test new molecular diagnostic technologies that will help focus resources
on women at highest risk of developing cancer.
1
The Government of Zambia uses a target age range of 25-49 years.
11
In cases in which cervical or breast
cancer is suspected, we refer patients
to appropriate facilities for diagnosis
and treatment. Our support to women
with cancer does not end there: in some
locations, we cover the cost of their
transportation to treatment facilities, and
soon will help with housing for them when
treatment far from home is needed.
HIV-infected women are
5 times more likely to
develop cervical cancer.
We are increasingly integrating what
our partners do with other health
and social services, including for
reproductive health, maternal and child
health, and community development
In less-developed regions, breast
and cervical cancers are the most
frequent cancers among women.
and education. Girls and women benefit
throughout their lives from Pink Ribbon
Red Ribbon’s training and equipment of
public and private health care providers;
the expertise we offer to policy-makers
By 2030, cervical cancer is
expected to claim nearly half a
million lives per year, with over
95% of deaths concentrated in
low- and middle-income countries.
who design and implement cancercontrol programs; and our development
of global standards, tools, and guidance
for the monitoring and evaluation of
programs in the field.
12
BOTSWANA
REPUBLIC OF BOTSWANA
Progress of PRRR
Collaboration
2014-2015
Kw
69,159
Girls Vaccinated
Against HPV
PRRR Sites
8
Sites Offering
Cervical-Cancer Screening
and Treatment
10,763
Women Screened
through VIA
3,821
Women VIA-Positive,
of Number Screened
593
Women Treated with
Cryotherapy, of Number
VIA-Positive
2,668
Women Treated
with LEEP, of Number
VIA-Positive
2014-2015
RESOURCES APPLIED
TO PROGRAMS
BY SOURCE
4% Other
17% Philanthropic
Foundations
1%
Corporations
62% U.S.
Government
16% NonGovernmental
Organizations
Includes PRRR Secretariat
programmatic expenses,
minus travel expenses,
plus partner monetary and
in-kind contributions
TOTAL 2014-15 FUNDING: $970,489
PARTNERS
Catholic Medical Mission Board
Botswana Ministry of Health
Indiana University
Botswana National AIDS
Coordinating Agency
Jhpiego
Airborne Lifeline Foundation
Joint United Nations Programme
on HIV/AIDS (UNAIDS)
American Society for Clinical
Pathology
Merck Vaccines
American Society for Colposcopy
and Cervical Pathology
World Bank
Tebelopele
Becton, Dickinson and Company
U.S. Centers for Disease Control
and Prevention
Bill & Melinda Gates Foundation
U.S. National Cancer Institute
Botswana-University of Pennsylvania
Partnership
CDC Foundation
13
Republic of Botswana
Pink Ribbon Red Ribbon began work in Botswana in 2012, when the Government adopted a fiveyear cervical-cancer prevention plan and endorsed visual inspection with acetic acid (VIA) and
cryotherapy to complement cytology (Pap smears).
At the time, the country did not plan to introduce HPV vaccinations until 2015. But following
advocacy and technical support by Pink Ribbon Red Ribbon, and funding and supplies donated
by Merck, the World Bank, and Becton, Dickinson and Company, the Government successfully
implemented a two-year HPV vaccination demonstration program from 2013-2014, achieving a
coverage rate of 95.7 percent of the targeted population of girls aged 9-13 years.
Based on the success of the demonstration program, the Government of Botswana introduced
and fully funded a nationwide HPV vaccine campaign in 2015, supported by Pink Ribbon Red
Ribbon partners, and adopted a two-dose regimen. Botswana has incorporated HPV vaccination
into the country’s Expanded Program on Immunization, and now will vaccinate a cohort of girls
every year.
Looking ahead, Pink Ribbon Red
Ribbon is supporting Botswana in
its plans to expand the current
“See-and-Treat” cervical-cancer
program to new sites and greater
coverage levels, and to explore an
HPV diagnostic testing program.
14
ADDIS ABABA
Woreda 9
ETHIOPIA
FEDERAL DEMOCRATIC
REPUBLIC OF ETHIOPIA
Progress of PRRR
Collaboration
2
2014-2015
PRRR Hubs
PRRR Satellite Sites
11
Sites Offering
Cervical-Cancer Screening
and Treatment
822
Women Screened
through VIA
52
Women VIA-Positive,
of Number Screened
52
Women Treated with
Cryotherapy, of Number
VIA-Positive
2014-2015
RESOURCES APPLIED
TO PROGRAMS
BY SOURCE
28% Philanthropic
Foundations
37%
Non-Governmental
Organizations
3% Corporations
Includes PRRR Secretariat
programmatic expenses,
minus travel expenses,
plus partner monetary and
in-kind contributions
32% Corporate
Foundations
TOTAL 2014-15 FUNDING: $2,137,442
PARTNERS
of Health Sciences
Ethiopia Federal Ministry of Health
Indiana University
Office of the First Lady
Joint United Nations Programme
on HIV/AIDS (UNAIDS)
Bill & Melinda Gates Foundation
CDC Foundation
Black Lion Hospital
Bristol-Myers Squibb Foundation
Catholic Organisation for Relief
and Development (Cordaid)
2
Implementation began in October 2015
Doctors with Africa Cuamm
General Electric
Mathiwos Wondu Ye-Ethiopia
Cancer Society
Pathfinder International
Programme of Action for Cancer
Therapy (PACT) of the International
Atomic Energy Agency (IAEA)
St. Luke Catholic Hospital
Grounds for Health
U.S. Centers for Disease Control
and Prevention
Hawassa Medical College
U.S. National Cancer Institute
15
Federal Democratic
Republic of Ethiopia
In 2014, Pink Ribbon Red Ribbon began supporting the Government of Ethiopia in its
establishment of a comprehensive cancer-control program. With help from Pink Ribbon Red
Ribbon and our partner the Mathiwos Wondu Ye-Ethiopia Cancer Society (MWECS), First Lady
Mrs. Roman Tesfaye launched the first National Cancer-Control Plan (NCCP) in October 2015.
The plan envisions establishing five new comprehensive cancer-treatment centers in the country,
decentralizing the provision of chemotherapy, and eventually offering screening for cervical
cancer in every corner of Ethiopia. Pink Ribbon Red Ribbon is proud to provide technical and
financial assistance to complement the investments of the Ethiopian Government to implement
this ambitious vision.
In addition to working on the NCCP, during 2015, Pink Ribbon Red Ribbon and our partners
contributed to the scale-up of cervical pre-cancer “See-and-Treat” in Addis Ababa, Oromia and
the Southern Nations, Nationalities and Peoples Region (SNNPR). Local organizations funded by
the Bristol-Myers Squibb Foundation and Cordaid began screening Ethiopian women for cervical
cancer in public and private facilities in these three areas, and Grounds for Health expanded its
support for screening and treatment at public primary health care centers. MWECS also began
helping patients who needed advanced cancer care, currently only available at Tikur Ambessa
(Black Lion) Hospital in Addis Ababa. We also supported an assessment of the monitoring and
evaluation system for the national cervical cancer-control program. And alongside Her Excellency
Mrs. Roman Tesfaye, we advocated among policy-makers, community members, and traditional
leaders to scale up the response to cervical cancer.
Her Excellency Roman Tesfaye is Ethiopia’s First Lady.
“My vision is to eliminate…cervical cancer…from the country, and to minimize the impact of
breast cancer to the maximum possible point.
“The major role that Pink Ribbon Red Ribbon would play is building the capacity of the local
staff, the local institutions—so that our Ministry of Health, our [Regional] bureaus of health, and
our hospitals, our health centers could run by themselves, could develop their capacity, could
function [on] their own, and even reach to the level that they can support other neighboring
countries’ institutions. So Pink Ribbon Red Ribbon will…help to attain this noble dream of ours.”
16
TANZANIA
UNITED REPUBLIC
OF TANZANIA
Progress of PRRR
Collaboration
3
2014-2015
7,158
Women Screened for
Breast Cancer
32
Sites Offering
Cervical-Cancer Screening
and Treatment
61,958
Women Screened
through VIA
2,734
Women VIA-Positive,
of Number Screened
1,726
Women Treated with
Cryotherapy, of Number
VIA-Positive
PRRR Hubs
PRRR Satellite Sites
2014-2015
RESOURCES APPLIED
TO PROGRAMS
BY SOURCE
8% Other
16% Corporate
Foundations
55% U.S.
Government
3% Corporations
3% Non-Governmental
Organizations
Includes PRRR Secretariat
programmatic expenses,
minus travel expenses,
plus partner monetary and
in-kind contributions
TOTAL 2014-15 FUNDING: $3,655,323
PARTNERS
Marie Stopes Tanzania
Tanzania Ministry of Health,
Community Development,
Gender, Elderly and Children
Mbeya HIV/AIDS Network
Tanzania National AIDS Commission
Merck Vaccines
American Cancer Society
Pfizer
Bill & Melinda Gates Foundation
Bugando Medical Centre
Programme of Action for Cancer
Therapy (PACT) of the International
Atomic Energy Agency (IAEA)
Catholic Relief Services
Susan G. Komen®
CDC Foundation
T-MARC Tanzania
Christian Social Services Commission
Tanzania Youth Alliance
Comprehensive Community-Based
Rehabilitation in Tanzania
U.S. Centers for Disease Control
and Prevention
GlaxoSmithKline
U.S. Agency for International
Development
Bristol-Myers Squibb Foundation
130
Women Treated
with LEEP, of Number
VIA-Positive
Henry Jackson Foundation
3
eproductive Health Network
R
contributed about 17% of PRRR
progress reported.
15% Philanthropic
Foundations
HKS, Inc.
IMA World Health
Jhpiego
Joint United Nations Programme
on HIV/AIDS (UNAIDS)
Medical Women’s Association
of Tanzania
U.S. Department of Defense
University of Texas MD Anderson
Cancer Center
Vodacom Foundation
Wanawake Na Maendeleo Foundation
17
United Republic
of Tanzania
Ocean Road Cancer Institute (ORCI) in Dar es Salaam
is the only comprehensive cancer-treatment center in
Tanzania where radiotherapy services are available free
to Tanzanians, but many of the 10,000 women diagnosed
with cervical or breast cancer each year in Tanzania lack
the funds for transportation.
In 2015, Pink Ribbon Red Ribbon partners T-MARC Tanzania
and Comprehensive Community-Based Rehabilitation in
Tanzania (CCBRT) began supporting bus transportation for
women newly diagnosed with cervical cancer to travel to
ORCI for treatment, with funding from Vodacom Tanzania
Foundation. The target is 750 beneficiaries in an 18-month
period, ending October 2016.
That program is part of our coalition’s wide-ranging efforts that include the ongoing screening of
women for cervical cancer at 16 clinics and hospitals in Mara, Mbeya, Mwanza and Iringa Regions;
mass campaigns integrating HIV, cervical cancer and breast cancer screenings in Mwanza and Iringa
Regions in 2014-2015; the development of national quality-improvement guidelines for cervicalcancer screening; and the development of harmonized national treatment protocols for invasive
female cancers. With financial support from the Bristol-Myers Squibb Foundation, five local NGOs
are educating communities about cervical cancer, helping guide women to screening, facilitating
the referral of women for advanced care, and advocating with policy-makers and Parliamentarians
to make the fight against women’s cancers a budgetary and programmatic priority.
Screening for breast cancer is also part of the Pink Ribbon Red Ribbon offerings in Tanzania, and
our partners are involved in the development by the Ministry of Health, Community Development,
Gender, Elderly and Children of national service delivery guidelines for clinical breast examinations.
Tanzania is another country in which champions have helped make detecting and treating cervical
and breast cancer a national priority. Her Excellency First Lady Mama Salma Kikwete led a mass
screening campaign herself in March 2014, and encouraged Members of Parliament and local
leaders to prioritize women’s cancers in their budgets.
18
ZAMBIA
REPUBLIC OF ZAMBIA
Progress of
PRRR Collaboration
2014-2015
LUSAKA
17,045
Girls Vaccinated
Against HPV
4,191
Women Screened
for Breast Cancer
99
Sites Offering
Cervical-Cancer Screening
and Treatment
109,945
Women Screened
through VIA
12,359
Women VIA-Positive,
of Number Screened
3,986
Women Treated with
Cryotherapy, of Number
VIA-Positive
2,217
Women Treated
with LEEP, of Number
VIA-Positive
PRRR Sites
2014-2015
RESOURCES APPLIED
TO PROGRAMS
19% Other
BY SOURCE
24% Philanthropic
Foundations
51% U.S.
Government
6%
Non-Governmental
Organizations
Includes PRRR Secretariat
programmatic expenses,
minus travel expenses,
plus partner monetary and
in-kind contributions
TOTAL 2014-15 FUNDING: $2,681,924
PARTNERS
Mopani Copper Mines
Zambia Ministry of Health
National Breast Cancer Foundation
Airborne Lifeline Foundation
Project Concern International
Bill & Melinda Gates Foundation
Susan G. Komen®
Cancer Prevention Alliance of Zambia
CDC Foundation
U.S. Agency for International
Development
Centre for Infectious Disease
Research in Zambia
U.S. Centers for Disease Control
and Prevention
George W. Bush Institute
U.S. Department of Defense
GlaxoSmithKline
U.S. National Cancer Institute
Indiana University
University of North Carolina,
Chapel Hill
Jhpiego
Joint United Nations Programme
on HIV/AIDS (UNAIDS)
Merck Vaccines
University of Texas MD Anderson
Cancer Center
World Vision
19
Republic
of Zambia
Zambia has one of the highest incidence rates of
cervical cancer in the world. In response, in 2006, the
Government of Zambia launched the Cervical-Cancer
Prevention Programme in Zambia (CCPPZ), one of the
first of its kind in sub-Saharan Africa.
Pink Ribbon Red Ribbon and our partners have
supported the CCPPZ since 2011. Merck enabled three
targeted HPV vaccination demonstrations to reach close
to 50,000 girls from 2013-2016, paving the way for the
expected nationwide roll-out of the vaccine in 2017.
PEPFAR funding supports placing “See-and-Treat” sites
and services on solid footing under the management
and budgeting of the Ministry of Health by 2019. And a
CDC Foundation-led consortium assessed the existing
system to monitor and evaluate the CCPPZ, as part of a
process to develop global standards, tools and guidance
to enhance interventions against cervical cancer.
We also screen women for breast cancer, alongside
other health services, in two clinics that have received
support from Susan G. Komen, and the National Breast
Cancer Foundation funds a Health Promotion Manager
who leads a team that works with community and
traditional leaders to generate awareness of breast and
cervical cancer.
Local leadership has been critical to the success of
the cervical-cancer program in Zambia, and Pink
Ribbon Red Ribbon has been proud to work with Their
Excellencies First Ladies Christine Kaseba-Sata and
Esther Lungu as they championed the fight against
women’s cancers in their country.
Groesbeck Parham, M.D., FACOG is a
Founding Co-Director of the CervicalCancer Prevention Program at the Centre
for Infectious Disease Research in Zambia
(CIDRZ) and is presently Director of
Women’s Cancer Programs, University
of North Carolina, Chapel Hill, Global
Projects, Zambia.
“Zambia has a fairly robust cervical
cancer ‘screen-and-treat’ system in
place. However, the intent is to make a
significant impact on disease incidence
and death rates, so it must be brought
to scale. Five hundred thousand women
screened, in a low-income African nation,
is quite an achievement, but there are over
three million women in Zambia that are
at risk…Figuring out how to screen the
vast majority of these women, as well as
how to treat those who are found to have
disease, will require local and international
expertise, financial resources, and
committed local leadership. The other question that needs to be
addressed is how to make the program
sustainable… As it assumes control of
the cervical-cancer prevention program,
can and will [the Government of Zambia]
sustain the quality of the services that are
being offered, flow of resources, [and]
management infrastructure? Is there a need
to engage the private sector in Zambia to
help ensure sustainability?
I think Pink Ribbon Red Ribbon is in a
position to help develop effective solutions
to the next big challenges to cervical cancer
screening and treatment in Zambia: scaling
and sustainability.”
20
Republic
of Namibia
Planning for Pink Ribbon Red Ribbon programming in Namibia continues. The opportunities
and challenges around cervical and breast cancer are great in this country, and our activities,
while limited, have suggested the potential for further collaboration with the Government and
NGOs to improve access to cancer-related services. Pink Ribbon Red Ribbon invested $82,000
in cervical-cancer screening equipment and training in 2014, and is positioned to work with
public, private-sector, and civil-society partners to facilitate progress in years to come.
45
Cervical cancer was the leading
cause of cancer deaths in women
in 45 countries in 2013.
For women, in 2013, breast cancer
was the leading cancer cause of
disability-adjusted life years (DALYs)
lost in developing countries.
3x
The average risk of dying from
cervical cancer before age 75 is
three times higher in less-developed
than in more-developed regions.
21
The Path Forward
Pink Ribbon Red Ribbon celebrates our five-year
anniversary in 2016, and the first years of success have
set the stage for exciting developments to come.
EXPANDING
GEOGRAPHICALLY
As Pink Ribbon Red Ribbon continues to produce
positive results and lessons that are applicable across
countries, we will look for other places where our model
can advance cervical and breast cancer control.
By the end of 2016, Pink Ribbon Red Ribbon intends to be operational in Perú, our first country
in Latin America. Pink Ribbon Red Ribbon is poised to help Perú achieve the goals of the
Government’s detailed national plan for prevention and treatment of cancer, Plan Esperanza.
22
EXPANDING
BREAST CANCER
PROGRAMMING
In Tanzania, Pink Ribbon Red Ribbon and our
partners have implemented mass screening
campaigns for breast (along with cervical)
cancer, contributed to national service delivery
guidelines for clinical breast examinations,
and worked on materials for education and
reduction of stigma. In Zambia, we have offered
screening for breast cancer as part of standard
EXPANDING THE
PARTNERSHIP
Pink Ribbon Red Ribbon is proud to harness
the power of partnership in ever-evolving ways
to reduce the burden of women’s cancers.
New partners from a wide variety of fields in
the private, government, multilateral and NGO
sectors are joining our efforts. We’re exploring
how to maximize the contributions of each
existing and potential new partner for the benefit
of women in our countries of focus and beyond.
health offerings at a small number of clinics,
and contributed to awareness of breast and
cervical cancer in the community.
Building on those efforts, Pink Ribbon Red
Ribbon will soon add screening for breast
cancer to our offerings in Ethiopia, and we are
exploring other ways to scale up efforts
to address the disease.
HPV vaccines are highly effective, and can prevent up to 90% of cervical cancers.
23
EMBRACING
INNOVATION
The disparity in cervical-cancer rates in
high-income versus low- and middle-income
countries highlights a need for innovation – both
in access to prevention and treatment, and in
the technologies employed in the diagnosis and
treatment of cervical cancer and pre-cancer.
Pink Ribbon Red Ribbon promotes the adoption
of new tools as they become available, like
HPV diagnostic testing, digital cervicography
to examine the cervix prior to treatment,
and thermal coagulation as an alternative to
cryotherapy for treating cervical pre-cancer. We
also welcome new programmatic approaches
to ensure that early-detection and treatment
programs for both cervical and breast cancer—
and prevention programs for cervical cancer—
reach vulnerable women and girls.
In low-resource settings, direct
medical costs of detecting and
removing cervical pre-cancer through
“See-and-Treat” can amount to less
than $25 per woman.
Gavi’s price for a complete,
two-dose HPV vaccination for one
adolescent girl is about $9.00.
24
Pink Ribbon Red
Ribbon Leadership
The Bush Global Health Initiative (BGHI) is a non-profit organization incorporated in the U.S.
State of Texas that does business as Pink Ribbon Red Ribbon®. We are an independent non-profit
affiliated with the George W. Bush Institute.
The BGHI/Pink Ribbon Red Ribbon Board of Directors has legal and
fiduciary responsibility for the organization. The Board brings strategic
decision-making and guidance to Pink Ribbon Red Ribbon by:
• Reviewing, amending, and approving BGHI’s policies,
budget, and strategies;
• Assessing Pink Ribbon Red Ribbon’s effectiveness
and performance;
• Maintaining financial and legal accountability; and
• Contributing to fundraising efforts through networks of influence.
Globally, in 2013, one in 18 women developed breast cancer between
birth and age 79 years.
25
The Honorable Condoleezza Rice,
Chair, Board of Directors
Dr. Condoleezza Rice is currently the Denning
Professor in Global Business and the Economy
at the Stanford Graduate School of Business,
the Thomas and Barbara Stephenson Senior
Fellow on Public Policy at the Hoover Institution,
The current Members of the BGHI/Pink
Ribbon Red Ribbon Board of Directors are:
The Honorable Condoleezza Rice,
Ph.D., Chair
Denning Professor in Global Business
and the Economy at the Stanford Graduate
School of Business
and a professor of Political Science at Stanford
University. She is also a founding partner of
RiceHadleyGates, LLC. From January 2005 to
2009, Rice served as the 66th Secretary of State
of the United States, and served as President
George W. Bush’s Assistant to the President
for National Security Affairs (National Security
Advisor) from January 2001 to 2005.
Gary Edson, Treasurer
Principal, Civic Enterprises Celina Schocken, Chief Executive Officer
Charity Wallace, Secretary
Senior Advisor, Global Women’s Initiatives,
George W. Bush Institute Celina Schocken joined Pink Ribbon Red
Ribbon as Chief Executive Officer in 2016,
after working on the development of new
John Damonti
President, Bristol-Myers Squibb Foundation The Honorable Deborah Birx,
M.D. (observer)
U.S. Global AIDS Coordinator and Special
Representative for Global Health Diplomacy,
U.S. Department of State
technology to improve women’s health in
low- and middle-income countries with Global
Good, the Bill & Melinda Gates Foundation,
Jhpiego, and several start-ups. She previously
served as Director of Policy and Advocacy at
Merck for Mothers, where she led the Saving
Mothers, Giving Life public-private partnership.
Prior to Merck, Schocken was Director of
Lisa Carty, M.P.H. (non-voting)
Director, U.S. Liaison Office, Joint United
Nations Programme on HIV/AIDS (UNAIDS) Celina Schocken,
J.D., M.B.A., M.P.P. (non-voting)
Chief Executive Officer, Pink Ribbon
Red Ribbon
International Organizations at Population
Services International (PSI), and has served
as Chief Advisor to the Rwandan Minister of
State for HIV/AIDS and Other Epidemics. She
held previous roles at Columbia University, the
William J. Clinton Presidential Foundation, and
the Council on Foreign Relations.
26
Financial Highlights
2014
2015
Philanthropic Foundations
$925.0
$1,151.2
Corporate Foundations
$500.0
$550.0
$23.9
$423.9
PRRR Secretariat Funding (in thousands)
Corporations
Non-Governmental Organizations
-
Other
$1.1
$0.0
$1,450.0
$2,195.1
Total Funding
$70.0
PRRR Secretariat Operating Expenses (in thousands)
Program
$756.6
$1,099.1
Communications and Marketing
$172.7
$415.8
Indirect
$427.5
$421.7
$93.2
$96.9
Fundraising
Start-up Costs
Total Operating Expenses
$1,450.0
$161.6
$2,195.1
Additional Resources Leveraged (in thousands)
Philanthropic Foundations
$162.6
$381.6
Corporate Foundations
$571.5
$688.1
Corporations
$132.1
$60.9
$335.7
$884.0
$2,520.4
$1,498.4
$385.7
$436.7
$4,108.1
$3,949.8
Non-Governmental Organizations
U.S. Government
Other
Total Additional Resources Leveraged
Pink Ribbon Red Ribbon became an autonomous, non-profit organization in July of 2015. Financial results
do not include shared costs incurred by the George W. Bush Institute on Pink Ribbon Red Ribbon’s behalf.
27
PRRR SECRETARIAT FUNDING
2014
2015
2% Corporations
3% Non-Governmental Organizations
34% Corporate
Foundations
19% Corporations
52% Philanthropic
Foundations
64% Philanthropic
Foundations
25% Corporate
Foundations
PRRR SECRETARIAT EXPENSES
2014
2015
6% Fundraising
4% Fundraising
7% Start-up Costs
29% Indirect
19% Indirect
52% Program
50% Program
19% Communications
and Marketing
12% Communications
and Marketing
ADDITIONAL RESOURCES LEVERAGED
2014
9% Other
2015
4% Philanthropic Foundations
11% Other
14% Corporate
Foundations
17% Corporate
Foundations
3% Corporations
61% U.S.
Government
8% NonGovernmental
Organizations
10% Philanthropic Foundations
38% U.S.
Government
2% Corporations
22% NonGovernmental
Organizations
28
Acknowledgements
The Pink Ribbon Red Ribbon implementing organizations in Botswana, Ethiopia, Tanzania
and Zambia provided the data reported. Implementing partners report data to the national
cervical-cancer prevention programmes of the respective Ministries of Health in the countries.
The collaborating organizations are listed by country below:
BOTSWANA
Jhpiego (Iringa Region)
U.S. Centers for Disease Control and Prevention
Bugando Medical Centre and Sekou
Touré Hospital (Mwanza Region)
Jhpiego Country Office
National Cervical Cancer Prevention Programme
of the Ministry of Health
IMA World Health (Mara Region)
Henry Jackson Foundation (Mbeya Region)
Medical Women’s Association of Tanzania
ETHIOPIA
T-MARC Tanzania
CUAMM Doctors for Africa, Country Office
(Oromia Region)
Mbeya HIV/AIDS Network (Mbeya Region)
Grounds for Health, Country Office (SNNP Region)
Reproductive Health Network, comprised of Marie
Stopes International-Tanzania, Population Services
International-Tanzania, Chama Cha Uzazi na Malezi
Bora Tanzania (UMATI)
Cordaid and its implementing partners,
Mary Joy Development Association and Beza
Youth Health and Counseling Center
(Addis Ababa and SNNP Region)
National Cervical-Cancer Programme in
the Non-Communicable Disease Case Team,
Federal Ministry of Health
Tanzania Youth Alliance
National Cervical-Cancer Prevention Programme
of the Ministry of Health, Community Development,
Gender, Elderly and Children
ZAMBIA
TANZANIA
PEPFAR Coordination Office
PEPFAR Coordination Office
Centre for Infectious Disease Research in Zambia
U.S. Centers for Disease Control and
Prevention Country Office
Jhpiego Country Office
U.S. Department of Defense Country Office
U.S. Agency for International
Development Tanzania
Project Concern International Country Office
National Cervical-Cancer Prevention Programme
of the Ministry of Health of Zambia
Pink Ribbon Red Ribbon is grateful to our many partners
who provided photos and materials for this report.
29
A SPECIAL THANKS TO
all of our partners,
and especially the
dedicated health
workers who serve
girls and women
every day.
ADVANCE THE GLOBAL
FIGHT AGAINST CERVICAL
AND BREAST CANCERS
Contact us to learn how you can contribute to reducing the
burden of women’s cancers in low-resource countries and give
girls and women the opportunity to thrive:
[email protected]
@pinkredribbon
pinkribbonredribbon.org
+1.202.899.1026