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IF
YOU
WANT
TO
GO
FAST,
GO
ALONE.
Nurses prepare for the first day of screening at the Mosi-Oa-Tunya Clinic in Livingstone, in the Republic of Zambia, June 2013
IF
YOU
WANT
TO
GO
FAR,
GO
TOGETHER.
AFRICAN PROVERB
President and Mrs. Bush rehabilitate the Mosi-Oa-Tunya Clinic in the Republic of Zambia, June 2013
Girls wait for their HPV vaccinations in
the Republic of Botswana, June 2013
Women wait their turn at a mass cervical-cancer screening event hosted by the First Lady of Zambia, November 2013
Healthcare worker helps with cervical-cancer screening program in the Republic of Zambia, June 2013
Woman waits to be seen by health workers for cervical-cancer
screening in the United Republic of Tanzania, July 2013
J
ust a decade ago, HIV/AIDS threatened to wipe out an entire generation of Africans.
Thanks to dramatic progress in controlling infectious diseases, millions in developing
countries who would have perished now live. Today, more people die of cancer than
die of AIDS, tuberculosis, and malaria combined. Women’s cancers are particularly
devastating in sub-Saharan Africa, where cervical and breast cancers are the leading
causes of cancer deaths. Controlling these cancers is the critical challenge we now face.
Over the last three years, Pink Ribbon Red Ribbon, a public-private partnership built on
the President’s Emergency Plan for AIDS Relief, ensures that the women who have been spared
from HIV/AIDS don’t lose their lives to cervical cancer.
On our trips to Zambia, Botswana, and Tanzania, where we helped launch Pink Ribbon Red Ribbon,
we have seen firsthand how far-reaching and fast-moving the program is. Our global and
national partners are working with local leaders to further accelerate the progress against
these diseases. Every day we are increasing vaccinations, screenings, and treatments—and
reducing the stigma and mortality of women’s cancers.
The George W. Bush Institute is proud to be a member of Pink Ribbon Red Ribbon. Over the next
year, we look forward to welcoming new partners and countries in this life-saving partnership.
President George W. Bush
Dallas, Texas—May 2014
Mrs. Laura Bush
2013 ANNUAL REPORT
5
I
n Zambia, with one of the highest rates of cervical cancer in the world, the challenge is
enormous. The fight against breast and cervical cancer requires role models—in the
government, in the medical community and among women in general. The Pink Ribbon
Red Ribbon partnership helps bring together individuals and organizations that are
living examples of the leadership that it will take to create a country and world where
all women can live their future. I am committed to a cervical cancer-free Zambia, and
know it is possible in this generation.
Her Excellency Dr. Christine Kaseba-Sata First Lady of the Republic of Zambia
W
omen, who are at risk of developing cervical cancer today, now have a chance to
think about their tomorrow as a result of our collaboration with Pink Ribbon Red
Ribbon. I always dream of a Tanzania where younger girls will never experience
a cancer diagnosis in their future, it should be something they read in the history
books. Healthy girls are more likely to stay in school, complete their education,
and contribute to the economic landscape of the nation. And ultimately they become the
women that raise our nation.
Her Excellency Mama Salma R. Kikwete First Lady of the United Republic of Tanzania
B
otswana has made significant strides in controlling HIV/AIDS and the national
response to the epidemic has brought about positive results. More than 95 percent
of people in need of anti-retroviral treatment have access to it. Now we must turn
our attention to the next epidemic—cervical cancer. Health workers in our country
are seeing an unusually high number of women ages 25-35 years old with invasive
cervical cancer, many of whom are HIV-positive. That’s why I’m so pleased that Pink Ribbon
Red Ribbon has stepped up to fight this disease from a united front. Whether it’s through HPV
vaccination programs for young girls, or “See-and-Treat” programs for adult women, this joint
approach is bringing hope to women today and the prospect of a healthier tomorrow.
Dr. Margaret N. Nasha
Honorable Speaker of the National Assembly of the Republic of Botswana
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PINK RIBBON RED RIBBON
2013 ANNUAL REPORT
7
W
THE
e are proud of the results Pink Ribbon Red Ribbon has already produced, but
there is still important work to be done. We are grateful to all Pink Ribbon Red
Ribbon partners, but most importantly our African partners, for their support
and their shared belief with President and Mrs. Bush that every human life is
precious. President Bush often reminds us that “to whom much is given, much is
required.” Pink Ribbon Red Ribbon shows our continued desire to live up to these words.
CHALLENGE
Margaret Spellings
President of The George W. Bush Presidential Center
CERVICAL AND BREAST CANCERS
ARE THE NUMBER ONE AND TWO CANCER KILLERS
• 85 percent of the global burden of cervical
cancer occurs in resource-limited countries,
where more than 444,000 cases, and over
230,000 deaths, occur each year.
• In sub-Saharan Africa, more than 93,000
women develop cervical cancer each year, and
an estimated 57,000 die from the disease.
• Sub-Saharan Africa also sees more
than 94,000 cases of breast cancer a year,
and approximately 50,000 deaths
from the disease.
• In resource-limited countries, breast cancer
cases in younger women (ages 15-49) now
make up 44.1 percent of the overall number
of cases, while deaths from breast cancer in
those countries are increasing at an annual
rate of 2.7 percent.
8
PINK RIBBON RED RIBBON
Stomach
Non-Hodgkin’s lymphoma
Kaposi sarcoma
Oesophagus
Ovary
Colorectum
Liver
Breast
Cervix uteri
Other
OF WOMEN IN SUB-SAHARAN AFRICA.
W
hen I first became a Senator in 1985, AIDS was a death sentence and few in positions
of authority were willing to even say the word “AIDS”. I remember the fear back then.
AIDS did the killing, but the disease’s best allies were denial, indifference and ignorance.
But what I remember most—and what I’ve been privileged to be part of every step
of the way—is how everybody came together to overcome. Through PEPFAR, we are
supporting life-saving anti-retroviral treatment for 6.7 million men, women, and children worldwide. We can take the fight to cervical cancer the same way we took the fight to AIDS. I’m proud to
have Pink Ribbon Red Ribbon in our corner. We know that cervical cancer poses an incredible test.
But through the hard work of so many partners in this cause, we’re delivering better screening and
treatment to even more women who are at risk.
John Kerry
U.S. Secretary of State
P
WOMEN WITH HIV ARE
4 5
ink Ribbon Red Ribbon has built new capacity across the continuum of care. We
have trained nurses and medical specialists in breast and cervical cancer diagnosis
and treatment. We now need to build upon and sustain this progress, especially in
light of the new global cancer statistics. They show a rising wave of breast cancer
in low- and middle-income countries where resources are scarce. The need is great,
and Pink Ribbon Red Ribbon is making a difference in the lives of African women.
to
Ambassador Nancy Brinker
Founder and Chair, Global Strategy, Susan G. Komen
TIMES MORE LIKELY
TO DEVELOP CERVICAL CANCER
THAN THEIR HIV-NEGATIVE PEERS.
Women are now surviving a diagnosis of HIV because of
anti-retroviral drugs, but dying of a preventable disease—cervical cancer.
J
ust like we have experienced with HIV, stigma and a lack of knowledge are often significant
barriers for women seeking cervical cancer care. We need to fully engage community groups to
change this reality. As we look towards ending the AIDS epidemic, we should be as ambitious in
seeking to end the growing epidemics of cervical and breast cancer. The innovative approaches
of Pink Ribbon Red Ribbon are saving lives by ensuring that more women living with HIV in
Africa have access to essential cervical and breast cancer screening.
Michel Sidibé
Executive Director, UNAIDS
A GLOBAL
CATALYST
Pink Ribbon Red Ribbon is the leading public-private partnership aimed at catalyzing the global
community to reduce deaths from cervical and breast cancers in sub-Saharan Africa and Latin
America. It raises awareness of these diseases, and increases access to quality services to detect
and treat them. 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), Pink Ribbon Red Ribbon currently
operates in the Republics of Zambia and Botswana, and in the United Republic of Tanzania.
Building on the HIV platform, Pink Ribbon Red Ribbon integrates women’s cancer control
into existing healthcare programs. By mobilizing resources from governments, multilateral
organizations, foundations and corporations, Pink Ribbon Red Ribbon aims to:
• Strengthen a country’s capacity to deliver comprehensive cancer control;
• Align with national cancer plans;
• Reinforce national political will by supporting champions for women’s cancer control,
such as First Ladies;
RESULTS MATTER
OUR GOALS ARE TO:
• 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 the human papillomavirus (HPV);
• Reach at least 80 percent coverage of screening and treatment for pre-invasive cervical cancer
cases within the appropriate target populations;
• Increase awareness of, and reduce stigma about, breast and cervical cancer among the health
community and the general population, and promote the early detection of disease;
• Screen, detect, treat, manage, and reduce suffering from women’s cancers, by leveraging other
health platforms, including for HIV;
• Create and test innovative models and approaches to sustainability, financing, service-delivery,
and laboratory and data systems that can be scaled-up and used globally.
• Fill prioritized gaps to ensure comprehensive service-delivery;
• Promote accountability of partners and implementers by tracking contributions and results;
• Generate better data on women’s cancers.
The result? Sustainable programs that address the full continuum of women’s cancer care.
2013 ANNUAL REPORT
Pink Ribbon Red Ribbon partners represent governments, multilateral organizations, foundations, and corporations
11
PINK RIBBON RED RIBBON’S
INTERVENTIONS
HPV VACCINATIONS
Vaccines against HPV have been used widely to protect young girls from the virus that can lead to cervical
cancer. Pink Ribbon Red Ribbon partners Merck & Co. and GlaxoSmithKline donate vaccines (Gardasil®
and Cervarix,® respectively) to support campaigns against cervical cancer in sub-Saharan Africa.
Pink Ribbon Red Ribbon is committed to increasing access to HPV vaccines, and has thus far
supported demonstration programs in Botswana and Zambia, during which more than 18,000
girls have been vaccinated. Following the success of a demonstration, a country can develop the
capacity and infrastructure to launch a nationwide campaign.
“SEE-AND-TREAT”
Unlike other cancers, cervical cancer is largely preventable, because of the slow development
of the disease, the early detectability of pre-cancers, and the ease of treatment. Recent evidence
proves the safety and effectiveness of using visual inspection with acetic acid (VIA) screening
for cervical cancer and cryotherapy for the treatment of pre-cancerous lesions in low-resource
settings. A trained health professional applies acetic acid (household vinegar) to the
cervix to detect any abnormalities. Small pre-cancerous lesions, if found, are treated with
cryotherapy—a procedure that uses carbon dioxide or nitrous oxide to freeze the lesions, often
in a single-visit approach. In Pink Ribbon Red Ribbon-supported facilities in Zambia, for example,
there is a 90 percent chance that a woman will receive all of the services she needs in one day.
This regimen has been found to be cost-effective in a variety of low- and middle-income
settings, can be delivered by a range of providers, and is acceptable to women. The World Health
Organization (WHO) has now codified this evidence into its guidelines for cervical cancer.
If larger lesions are found, practitioners use the Loop Electrosurgical Excision Procedure (LEEP).
This outpatient procedure uses a thin, low-voltage electrified wire loop to remove larger areas of
pre-cancerous tissue, and, in many instances, this is a life-saving intervention.
CANCER TREATMENT PROGRAMS
In sub-Saharan Africa, women diagnosed with cervical cancer and breast cancer often find
obstacles in their path to treatment. Lack of access to care, economic constraints, extended waits
for treatment, and distance from home often prevent women from beginning or completing
their full treatment regimen.
Pink Ribbon Red Ribbon works with our partner organizations to ensure that women who
have been diagnosed with cervical or breast cancer know their treatment options. Pink Ribbon
Red Ribbon does this by widening the availability of quality treatment, increasing support
services, and training healthcare workers.
12
PINK RIBBON RED RIBBON
THE REPUBLIC OF
ZAMBIA
Pink Ribbon Red Ribbon has supported the Republic of Zambia
since December 2011, and has contributed to the steady progress of
national women’s cancer programs in that country. Pink Ribbon
Red Ribbon now supports screening in all 10 Provinces in Zambia.
With assistance from Pink Ribbon Red Ribbon, the Zambian Ministry of
Health, and the Zambian Ministry of Community Development, Mother
and Child Health, administered more than 43,200 screenings for cervical
pre-cancer in 2013. This brings the total number of women screened in
Zambia to 150,820 since 2006.
Also in 2013, Pink Ribbon Red Ribbon partners provided technical
assistance to draft the country’s national cancer prevention and control
strategy. This document will provide a framework for future activities to
reduce cervical cancer and breast cancer in Zambia.
Merck & Co. has supported the vaccination of nearly 17,000 eligible girls
against HPV in Zambia, as well as a variety of women’s cancer-awareness
and vaccine-introduction activities in partnership with Susan G. Komen.
The National Breast Cancer Foundation has funded a local health promotion
manager to further mobilize community support for women’s cancer
activities. Following a successful second demonstration project in 2014,
assistance from the GAVI Alliance should make HPV immunization
available nationwide in 2015.
With support from Pink Ribbon Red Ribbon and the Government of Zambia, the
Center for Infectious Disease Research in Zambia (CIDRZ), Project Concern
International (PCI), and JHPIEGO trained more than 140 health staff to perform
cervical cancer screenings and treatment, and many of these health workers also
received training in clinical breast examination in 2013. Some of these trained
health workers perform screenings at the Ngungu and Mosi-Oa-Tunya clinics in
Zambia, two facilities that the George W. Bush Institute and Pink Ribbon Red Ribbon
partners refurbished in 2012 and 2013, respectively.
14
PINK RIBBON RED RIBBON
43,228
number of women screened
2013
3,917
number of women treated
with cryotherapy or LEEP
2013
Healthcare worker explains cervical cancer screening and treatment
process, Mosi-Oa-Tunya Clinic, Livingstone, the Republic of Zambia
Dr. Groesbeck Parham, Founding Co-Director, African Center
of Excellence for Women’s Cancer Control, Mosi-Oa-Tunya Clinic
Renovation Project in Livingstone, the Republic of Zambia
Li feS a ver
May is a nurse in the cervical cancer clinic at Livingstone General Hospital in Zambia.
She has dedicated her life to saving women, yet did not realize that same dedication would
one day save her own life.
She is part of a team which educates, screens, and treats women locally and throughout
remote areas of Zambia for cervical cancer. Their message is simple: You think you’re fine?
Get screened, and know you’re fine.
One day, May followed her own advice, and discovered that she had a lesion.
“I was sad, and then later on I let my children know. Thank God they found the lesion, because
it can be treated.”
16,688
number of girls vaccinated with
all three doses of HPV vaccination
2013
Months after her quick cryotherapy, she was nervous to have her follow-up exam, but knew
she had to be certain the lesion did not return.
“The nurse told me I was fine. I was so happy!”
Days later, May and three other nurses accompanied a mobile hospital unit headed for the
remote area of Choma. Over six days, May shared her story with other women, encouraging
them to get screened.
They screened 1,152 women that week .
2013 ANNUAL REPORT
15
3,287
number of women screened
2013
911
number of women treated
with cryotherapy or LEEP
2013
Healthcare worker helps with a cervical-cancer screening program
THE REPUBLIC OF
BOTSWANA
The Government of Botswana welcomed Pink
Ribbon Red Ribbon in 2012, the same year the
Ministry of Health unveiled its national strategic
plan for cervical cancer prevention and control.
The plan included a proposal to introduce
HPV vaccinations to the country in 2015. Pink
Ribbon Red Ribbon partner Merck & Co. helped
to advance this plan a full 18 months ahead of
schedule by contributing nearly 8,000 doses of
vaccine in 2013.
Women gather to celebrate a new cervical-cancer screening program
2,015
number of girls vaccinated with
all three doses of HPV vaccination
2013
The vaccination campaign will continue in
three districts in 2014, and will target 7,000 girls
ages 9-13. In line with Pink Ribbon Red Ribbon’s
commitment to sustainability, the Government
of Botswana has announced that it will pay for
a nationwide HPV vaccination program,
beginning in 2015.
Pink Ribbon Red Ribbon partners are also scaling
up the “See-and-Treat” approach in Botswana. The
Government of Botswana, through the Ministry of
Health, has committed to a total of 13 “See-andTreat” sites as part of their long-term plan to roll
out these services in all health districts. In
partnership with Pink Ribbon Red Ribbon, the
World Bank took a step to secure investments
made in treating HIV by reprogramming nearly $1
million to Botswana’s National AIDS Coordinating
Agency (NACA) to address cervical cancer. The
World Bank’s contribution has supported the
scale-up of training of healthcare providers; paid
for the procurement of equipment for screening
and treatment facilities; and enhanced infrastructure for information technology, HPV-vaccination
programs, and histology capacity. This has allowed
for more HIV-positive women to receive timely
screening and treatment for cervical cancer.
Through the University of PennsylvaniaBotswana Partnership, PEPFAR in 2013 supported
the scale-up of cervical-cancer programs to
additional facilities, the training of more than 50
healthcare providers in “See-and-Treat”, and the
procurement of equipment. The UNAIDS Botswana
Country Office also contributed to the training of
health workers in “See-and-Treat” by paying for a
capacity-building conference in December.
Finally, the American Society for Clinical
Pathology is advising the Ministry of Health on
solutions for improved and technologicallyenhanced diagnoses, beginning with efforts to
improve histology capacity.
Together, these investments resulted in more
than 3,200 screenings of women for cervical
pre-cancer, of whom approximately 28 percent
required and received treatment.
2013 ANNUAL REPORT
Women celebrate successful screenings
Girls line up for their HPV vaccinations
17
TOP ROW Mrs. Laura Bush, Former First Lady; George W. Bush, Former President; Mrs. Michelle Obama, First
Lady; His Excellency Jakaya Kikwete, President of Tanzania; Her Excellency Mama Salma Kikwete, First Lady
of Tanzania BOTTOM ROW Her Excellency Mrs. Roman Tesfaye, First Lady of Ethiopia; Her Excellency Mrs.
Matilda Amissah-Arthur, Wife of the Vice President of Ghana; Her Excellency Mrs. Maria da Luz Dai Guebuza,
First Lady of Mozambique; Her Excellency Mrs. Sia Koroma, First Lady of Sierra Leone; Her Excellency Mrs.
Nompumelelo Zuma, First Lady of South Africa; Her Excellency Mrs. Janet Museveni, First Lady of Uganda
THE UNITED REPUBLIC OF
TANZANIA
President and Mrs. Kikwete launched Pink
Ribbon Red Ribbon in the United Republic of
Tanzania at the Bush Institute’s African First
Ladies Summit in July 2013.
Because the United Republic of Tanzania boasts
a total of 30 regions and an estimated 44.9
million people, Pink Ribbon Red Ribbon has
agreed with the Ministry of Health and Social
Welfare to adopt a regional approach to maximize
the effectiveness of our partners’ investments
and activities. Pink Ribbon Red Ribbon will
support local Tanzanian partners in Dar es
Salaam, and in three Regions with a high HIV
prevalence and cervical cancer burden: Iringa;
Mbeya; and the Lake Zone, around Mwanza.
In 2013 PEPFAR handed over 16 cryotherapy
machines to the United Republic of Tanzania
which will be used in selected regions to
18
dramatically increase the number of women
who have access to cervical cancer screening
and treatment services. Plans for 2014 call for
PEPFAR to equip and train three regional hospitals
and their surrounding networks of health centers
to implement the “See-and-Treat” model.
partners, to ensure
HIV-positive women are fully
engaged in—as well as
beneficiaries of—Pink Ribbon
Red Ribbon programming
in Tanzania.
With support from the Bristol-Myers Squibb
Foundation, five indigenous community
organizations (Medical Women Association of
Tanzania, T-MARC Tanzania, Mbeya HIV/AIDS
Network Tanzania, the Tanzania Youth Alliance,
and the Wanawake Na Maendeleo Foundation)
have received funding to increase awareness,
conduct screening and treatment campaigns,
provide transportation, and support women
in need of higher-level treatment at the three
regional hospitals. UNAIDS will also provide
financial and technical assistance to several Pink
Ribbon Red Ribbon Tanzanian implementing
In addition, Pink Ribbon Red Ribbon
partners will explore ways to improve
the quality and availability of cancer
care at Ocean Road Cancer Institute in
Dar es Salaam and Bugando Medical Centre
in Mwanza. Women in need of cancer care
often have to travel to distant cities where
they have no family or relatives and no
long-term accommodation options. To address
this challenge, Pink Ribbon Red Ribbon will
work to establish hostels for women located
near the advanced treatment facilities.
His Excellency Jakaya Kikwete, President of Tanzania; Her Excellency Mama Salma Kikwete, First Lady of Tanzania;
Her Excellency Mrs. Nompumelelo Zuma, First Lady of South Africa; Her Excellency Mrs. Sia Koroma, First Lady of Sierra Leone
INVESTING IN WOMEN: STRENGTHENING AFRICA
On July 2-3, 2013, the George W. Bush Institute hosted the African First Ladies Summit, “Investing
in Women: Strengthening Africa,” in Dar es Salaam, Tanzania.
The two-day summit brought together Heads of State, current and former First Ladies, government
officials, academics, and representatives from non-profit and private-sector organizations around
the world, including Pink Ribbon Red Ribbon, to focus on effective investments in women that
lead to greater stability and prosperity.
The Summit highlighted the critical role First Ladies play as advocates for women and girls,
and provided examples and models of programs that are working to improve the lives of women
and girls across the continent.
PINK RIBBON RED RIBBON
Her Excellency Dr. Christine Kaseba-Sata, First Lady of Zambia, Julie Gerberding, President, Merck Vaccines
THE PATH
FORWARD
FINISH THE JOB IN CURRENT PARTNER COUNTRIES
The lessons learned in 2012 and 2013 teach us that varied populations, economics, and pre-existing
infrastructures mean there is no one-size-fits-all solution for individual partner countries.
As the successes of Pink Ribbon Red Ribbon become more widely known, we expect new
opportunities in each country that can take the form of deepened commitments with current
local partners, and expansion to new partners and Regions.
ADVANCE SUSTAINABLE SOLUTIONS
CLINICAL CARE
As education and information about cervical and breast cancers become increasingly available
in partner countries, demand will increase for screening and treatment services. Pink Ribbon Red
Ribbon partners are working with local health and administrative personnel to refine clinic
operations and practices to increase their ability to serve more women efficiently.
In the Republics of Botswana and Zambia, Pink Ribbon Red Ribbon has supported a solid
foundation for the continued growth of quality services on cervical cancer by advancing plans for
the nationwide roll-out of HPV vaccination and services to screen for, and treat, pre-cancerous lesions.
The partnership will also work to strengthen the availability and quality of care and treatment for
women’s cancers, and support training for health workers in clinical breast examination.
Additional training of health workers in clinical breast examinations and fine-needle aspiration
for breast cancer, led by Susan G. Komen, as well as integrating molecular testing pioneered by
QIAGEN for screening for HPV infection, are two interventions that will improve clinical care.
In the United Republic of Tanzania, Pink Ribbon Red Ribbon will focus, at first, on three regions
of the country (the Lake Zone, Mbeya, and Iringa) and Dar es Salaam. The expansion of cervical-cancer
screening and treatment over the next two years will accompany assistance to upgrade
capacity-building and treatment options for cervical and breast cancers.
Involving the private sector and expanding mobile delivery are both key to bringing screening
opportunities to more women. The community-based awareness efforts funded by the
Bristol-Myers Squibb Foundation will create innovative ways of reaching women—through
traditional healers, marriage counselors, and birth attendants, among others—and will
provide important lessons on how to guide women toward services in the future.
EXPAND INTO NEW COUNTRIES
In 2014 and beyond, Pink Ribbon Red Ribbon is committed to strategic expansion in new countries
through a tiered strategy that involves full engagement in certain places and more-targeted
technical assistance, advocacy, capacity-building, and limited direct financial contributions in others.
In addition, Pink Ribbon Red Ribbon is exploring opportunities in Latin America, and pursuing new
corporate and foundation partners, including more local organizations in sub-Saharan Africa.
SERVICE DELIVERY
INNOVATION
Innovative technologies are necessary to overcome barriers of logistics and cost. One example is
the need to find ways to deliver cryotherapy that do not rely on carbon dioxide or nitrous oxide.
Since the inception of Pink Ribbon Red Ribbon, the price of one cylinder of gas necessary for
cryotherapy has increased tenfold—not to mention it can be difficult and fragile to transport.
Another is the need to visually document screening results, interpret them, and explain them to
patients. Cervicography (a procedure in which a health professional takes a photo of the cervix)
is one such tool that can be used to assure quality care. Pink Ribbon Red Ribbon will work with
partners and subject matter experts to help develop long-term solutions to problems like these.
Innovation in telepathology and new collaborations with organizations such as the American
Society for Clinical Pathology and the National Cancer Institute of the U.S. National Institutes of
Health will also further improve the quality of histological diagnoses over long distances, and
find solutions to improve the tracking of patients through the referral chain.
20
PINK RIBBON RED RIBBON
2013 ANNUAL REPORT
21
Houses the Pink Ribbon Red Ribbon Secretariat, and plays an active role in the partnership’s governance and administration. Led by
President George W. Bush and Mrs. Laura Bush, supports various activities in all three Pink Ribbon Red Ribbon countries.
Supports screening and treatment to prevent cervical cancer in high-risk HIV-vulnerable women, and plays an active role in Pink Ribbon Red Ribbon’s leadership.
Leads the coordination of Pink Ribbon Red Ribbon’s activities in breast cancer, and in awareness-raising/education for both cervical and breast cancer.
Provides training for health professionals on the early detection and management of breast cancer.
Provides technical expertise on the integration of cervical cancer and HIV interventions, and supports the inclusion of HIV-positive women in
Pink Ribbon Red Ribbon programs. Plays an active role in Pink Ribbon Red Ribbon’s leadership.
Provides training for, and deep discounts on, BD products, such as liquid-based diagnostics and slide-processors, and donations of
others, such as auto-destruct syringes.
SPECIAL
THANKS
Provides financial support to the Pink Ribbon Red Ribbon Secretariat, WHO, various non-governmental organizations (NGOs) and
others engaged in the development of improved technologies and programs to prevent and control cervical cancer.
Provides training of community-based lay workers and staff at primary health facilities to improve the screening and
early detection of cervical and breast cancer. Funds capacity-building for NGOs in monitoring, evaluation, and financial management.
Provides the Pink Ribbon Red Ribbon Secretariat with financial support.
PINK RIBBON RED RIBBON PARTNERS
Provides assistance for pathology diagnostics and training, and financial support to the Pink Ribbon Red Ribbon Secretariat.
Provides HPV vaccines and pain medication for women with cancer, as well as capacity-building for its management. Provides financial
support to the Pink Ribbon Red Ribbon Secretariat.
Provides strategic-planning expertise in Kenya through the IBM Corporate Service Corps.
Provides HPV vaccines and training in the Republics of Botswana and Zambia. Provides financial support to Susan G. Komen for community
sensitization by the African Centre of Excellence for Women’s Cancer Control in Zambia and the Cancer Prevention Alliance of Zambia, and
for communications activities of the Pink Ribbon Red Ribbon Secretariat.
Provides training and deep discounts for careHPV™ molecular testing in Rwanda, as well as financial support to the Pink Ribbon Red Ribbon Secretariat.
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PINK RIBBON RED RIBBON
2013 ANNUAL REPORT
23
WELCOME
NEW FRIENDS
PINK RIBBON RED RIBBON RECEIVED FINANCIAL SUPPORT AND TECHNICAL EXPERTISE FROM NEW COLLABORATORS IN 2013
The National Breast Cancer Foundation funded a national health promotion manager in the
Republic of Zambia, and supported travel costs for five Zambian doctors for an exchange visit to Texas.
The University of Texas M.D. Anderson Cancer Center hosted an exchange visit which exposed
Zambian doctors to the latest methods of care and treatment for breast and cervical cancers.
The LIVESTRONG Foundation provided funding for a Pink Ribbon Red Ribbon Secretariat position
for three years in its efforts to reduce cancer-associated stigma.
The CDC Foundation will manage a new project funded by the Bill & Melinda Gates Foundation
that will enable the George W. Bush Institute, the U.S. Centers for Disease Control and Prevention
and the WHO to work with Pink Ribbon Red Ribbon to improve data for decision-making in global
cervical cancer programs.
The American Society for Clinical Pathology is innovating solutions for improved and
technologically-enhanced histological diagnoses, beginning in the Republic of Botswana.
The National Cancer Institute (NCI) of the National Institutes of Health (NIH) within the
U.S. Department of Health and Human Services (HHS) provided technical guidance to the partnership,
and will fund a National Cancer Registrar in the Republic of Zambia for three years.
The American Cancer Society has contributed funds to make the printing of this
Pink Ribbon Red Ribbon Annual Report possible.
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PINK RIBBON RED RIBBON
2013 ANNUAL REPORT
25
2013 PINK RIBBON RED RIBBON CO-CHAIRS
LISA CARTY, MPH
DIRECTOR, U.S. LIAISON OFFICE -THE JOINT UNITED
NATIONS PROGRAMME ON HIV/AIDS (UNAIDS)
PINK RIBBON RED RIBBON
RESOURCES FACILITATED
TO COUNTRIES FOR
PROGRAM ACTIVITIES
1
Philanthropic Foundations
71.9
%
16.2%
9.4%
%
2.2
%
0.3
Corporate Foundations
DIRECTOR OF THE DIVISION OF GLOBAL HIV/AIDS (DGHA),
U.S. CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC)
Dr. Deborah Birx is a renowned national and international expert in the field
of HIV/AIDS. Dr. Birx has served successfully as the Director of the Division of
Global HIV/AIDS (DGHA) in the CDC Center for Global Health (CGH) at the U.S.
Department of Health and Human Services. In this capacity, she was ultimately
responsible for all of the agency’s global HIV/AIDS activities under PEPFAR,
which affect more than 79 countries; she oversees 2,200 staff, and managed
an annual budget of more than $1.5 billion. In March 2014, the U.S. Senate
confirmed Dr. Birx as Ambassador-at-Large and U.S. Global AIDS Coordinator.
PINK RIBBON RED RIBBON EXECUTIVE DIRECTOR
She brings with her decades of qualifications, including managing
multi-million-dollar projects, empowering African institutions and
governments to execute effective and tailored health programs,
and management responsibility as a professor, head of pediatrics,
and a public health practitioner for 30 years.
Corporations
United States Government
DEBORAH BIRX, M.D.
Dr. Doyin Oluwole is the founding Executive Director of Pink Ribbon
Red Ribbon at the George W. Bush Institute. In this capacity, she leads
Pink Ribbon Red Ribbon’s global efforts.
whose gifts support the work of the
Pink Ribbon Red Ribbon Secretariat
TOTAL: $18,299,196
Lisa Carty has worked for more than three decades in the fields of global
public health, humanitarian relief, and international women’s issues.
She has had leadership roles in both the public and non-profit sectors,
including 25 years with the U.S. Department of State, with overseas
assignments in Asia, the Middle East, and Russia. Her United Nations
career has included work with the United Nations Relief Works Agency for
Palestinian Refugees, as well as a posting as UNAIDS’ Country Director
for the Russian Federation. Earlier in her career, Ms. Carty helped lead the
work of the Bill & Melinda Gates Foundation’s Global Health Program.
DOYIN OLUWOLE, M.D., MRCP, FRCP, FWACP
THANKS TO
OUR PARTNERS
Other
PINK RIBBON RED RIBBON
SOURCES OF SECRETARIAT
SUPPORT 2013
TOTAL: $1,332,209
Corporate Foundations
39.5
%
2.6
%
Corporations
Philanthropic Foundations
57.9
26
PINK RIBBON RED RIBBON
1
%
Corporate and foundation giving reflects actual amounts paid out to grantees in 2013.
2013 ANNUAL REPORT
27
TOGETHER
WE
WILL
GO
FAR.
www.pinkribbonredribbon.org