Escolar Documentos
Profissional Documentos
Cultura Documentos
Contents
Abbreviations/Acronyms Turning dreams into reality 01 01 02 04 04 07 07 07 07 07 07
08 08 09 10 11 13 13 13 15 16 18 19 20 Introducing WEG Prevailing Health Scenario
Inherent Challenges The Pink Ribbon Campaign Rationale Vision Mission Ideology
Objectives The Stakeholders Strategic Approach The March Starts
Working with the Government Strategic Alliances Networking with Women Groups
Rousing Youth Lady Health Worker’s Program Survivor’s Network Encouraging Corporate
Social Responsibility Celebrity Endorsement
Campaigning Through Media Extending Friendly Hand Pink Ribbon Merchandise Moving
Ahead-Future projects
Abbreviations/Acronyms
ACSU AKU AIDS BBC BRCA CD CSR DFS FJMC FJWU FP GDP HIV IEC ICG IPRA American Cancer
Society University Aga Khan University Acquired Immune Deficiency Syndrome British
Broadcasting Company Breast Cancer Compact Disc Corporate Social Responsibility
Disease Free Survival Fatima Jinnah Medical College Fatima Jinnah Women University
Family Planning Gross Domestic Product Human Immuno-defficiency Virus Information,
Education and Communication Islamabad College for Women International Public
Relations Association LCWU LHW LUMS MET MoU NGO NuPA NWFP OPF OS PFOWA PID PR RH
SES WEG Lahore College fro Women University Lady Health Worker Lahore University of
Management Sciences Minimal Expected Treatment Memorandum of Understanding Non
Governmental Organization Nutrition and Physical Activity North West Frontier
Province Overseas Pakistanis Foundation Overall Survival Pakistan Foreign Office
Women Association Press Information Department Public Relations Reproductive Health
Socio Economic Status Women’s Empowerment Group
Working Together Turning dreams into reality
A young woman of 30 dying of CA Breast is not merely a death of an individual or a
female in fact it's the first step towards the destruction of healthy home,
insecurity for her children and misery for the whole family. Cancer is a growing
health problem in the country. A milestone in the healthcare system of Pakistan has
been achieved with the publication of this report of the Women’s Empowerment Group
that provides some eye opening facts about the alarmingly high incidence of breast
cancer in Pakistan. During the course of The Pink Ribbon Campaign Pakistan, it was
realized that one fatal and lethal danger to women in Pakistan was regarding their
health, careless towards their health, they often tend to ignore many things. With
the increasing incidence of CA breast patients pouring in at the national hospitals
and that too at very late stage, is enough food for thought in motivating us to
launch an effective and efficient program to create awareness regarding CANCER OF
BREAST.
Introducing WEG
With a vision to become the center of excellence for gender issues in Pakistan, the
Women’s Empowerment Group (WEG) came into existence in 1999. The founders of WEG
included a group of young motivated professionals who planned to work for the
uplift of the society with special emphasis on the rights of women and children.
WEG is a not for profit, non-governmental organization registered as a Trust,
aiming to accelerate the process of socioeconomic development and empowerment of
unprivileged segments of the society at the grass roots level without ethnic,
racial or religious discrimination. In its efforts to improve the quality of life
of womenfolk in Pakistan and to provide them with equal opportunities, WEG
dedicated its efforts in the following areas: Health, Economic Empowerment,
Education, Gender Equity and Equality, Legal and Political Rights and Sustainable
Development.
result of the difficulty of delivering health care under these conditions, the
country has one of the highest rates of maternal mortality in the world (6-8 per
1,000). In Pakistan, 1 in every 38 women dies from pregnancy-related causes while
in Sri Lanka, it is 1 in 230.
In Pakistan, the total spending in health sector is 0.57% of the GDP, whereas in
South Asian Region, it is 4.7% of GDP
Pakistan has the highest rate of breast cancer among all the Asian countries. It is
the commonest cancer observed in females, representing more than one third of
female cancers and about one fourth of all malignancies. Approximately, 1 out of 9
women in Pakistan are likely to suffer from breast cancer at some point in their
lives whereas, in India it is 1 in 22 (Indian Council of Medical Research - ICMR).
Every 5th woman in Pakistan develops breast cancer after the age of 40. About 77
percent of invasive breast cancers occur in women over 50 years of age. Average age
at diagnosis is 64. Approximately 90,000 cases are diagnosed with breast cancer
every year however, the number of unreported cases is expected to be much more. Out
of the reported cases, advanced breast cancer accounts for 43.7% of cases; over
40,000 deaths per year in Pakistan.
Approximately 1 out of 9 Pakistani women are likely to suffer from breast cancer at
some point in their lives
Pakistan is a classic example of people having varied life style of both liberals
and conservatives but surprisingly the basic characteristics of female population
remains one and the same. Both live under fear of male domination. The majority of
Pakistani women, thus, are reluctant to consult and be examined by doctors. Due to
social stigma, the women even after discovering breast cancer conceal it. As a
result, Pakistani women are at high risk of developing breast cancer.
occurrence of breast cancer and its vicious effects. The greatest challenge lies in
directing a message that is easy to understand, enlightening and provides early
detection and self diagnosis steps for urban as well as rural women, without
offending the stern social and cultural beliefs of these women and their families.
• Taboos: The success of a campaign depends on a large extent the way it is
communicated to its target audience and the way they perceive it. Unwillingness to
understand, resistance or rejection of sensitive matters is not an issue of the
illiterate only, the masses at large have prescribed principles and indigenous
cultural beliefs on the basis of which they tend to accept or reject a particular
notion. The taboos affirm that the disease is a result of an evil eye, a curse or
wrong doings of the sufferer. Breast cancer is a very sensitive issue and women
generally shy away from addressing breast related issues and feel uncomfortable in
discussing breast cancer. This reluctance further increase with a fear that
disclosure of the disease will tend to affect the future of sisters and daughters
of the patient by not getting married. Hence, reaching out to women, removing their
shyness and misconceptions and educating them on preventive and early diagnosis
method is a tremendous challenge relevant to all segments of women alike.
Inherent Challenges
Whenever any campaign is launched or any developmental project is initiated with an
aim to bring change in the society, several impediments must be faced. Furthermore,
in a country like Pakistan, change is acquired over an even extended period of time
as diverse challenges exist. The inherent challenges encountered during the Pink
Ribbon Campaign include: • Illiteracy: In Pakistan, overall female literacy rate is
36% ♣ , whereas 77% of the females have not completed higher secondary school. Lack
of education, knowledge and understanding has rendered women oblivious of the
90,000 cases of Breast Cancer are reported every year in Pakistan, out of which
over 40,000 women die of it…
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Rationale
Diagnosis of cancer begins a long journey that can affect physical health, mental
well-being and relationships with loved ones. Quality of life - the overall well-
being of a cancer patient, is greatly influenced by a number of factors and has a
lot more effects on other aspects of the patient as well as her family. Some of the
common contributory factors to breast cancer include early menarche, late
menopause, no breast feeding, no or late pregnancy and dietary factors. In
Pakistan, though, the role of BRCA (Breast Cancer) genes, relating to a positive
family history, is becoming more apparent. This could be one of the reasons that
younger females, early twenties and late twenties are pouring in with the 4
With Early detection… the chances of surviving Breast Cancer are more than 90%
Breast feeding
Strong association has been noted between low SES and advanced breast cancer, delay
in diagnosis, limited access to Minimal Expected Treatment (MET) and inferior
Disease Free Survival (DFS) and Overall Survival (OS). On the other hand, almost
all rural women and a large percentage of women of urban lower income families are
directly involved in income generation for the family. The family income is thus
tangibly affected if the health of women is not assured.
Multiple studies have demonstrated that breast feeding is associated with reduced
risk of breast cancer. In addition, the longer a woman breast feed the better are
her chances of cancer protection. Breast feeding protects the baby from various
diseases, develops bond between mother and baby and is a source of natural birth
spacing. However, there is evidence that breast feeding is on the decline in many
developing countries. In 1991-92, a nationwide survey was conducted in Pakistan to
collect baseline health information on a variety of maternal and child health
issues. Survey results indicated that fewer mothers are currently breast feeding
their children, and that mothers who do breast-feed often supplement breast milk
unnecessarily and/or stop breast feeding earlier. Possible explanations for the
decline in breast feeding need to be explored and more effective breast feeding
promotion campaigns should be designed.
Reproductive Health
Not having children or late motherhood tend to increase the possibility of breast
cancer. Women who have their first child after
Scientific evidence suggests that about one-third of the cancer deaths that occur
in industrialized countries each year are due to nutrition and physical activity
factors, including obesity. This proportion is thought to be about 20% in
developing countries, but is likely to grow as other countries adopt a more
“Western lifestyle”. Among women increased body weight and weight gain during
adulthood are linked with a higher risk of breast cancer after menopause. Alcohol
also increases risk to some extent, especially in women whose intake of folate is
low.
For victims of breast cancer, it involves more than just physical sickness,
patients and their families often suffer the psychological consequences of trying
to come to grips with this deadly disease. It severely impacts women’s personal
lives and relationships, sometimes shattering them completely as they feel that
they cannot perform wifely acts and the disease has strong effect on sexuality.
This problem is particularly pronounced in the Pakistani culture and society where
relationships are so powerfully governed by social norms and rules. An increase in
divorce rate amongst women who are diagnosed with breast cancer has also been seen.
Thus women who are diagnosed with breast cancer not only need physical treatment
but they also need the psychological and emotional support.
Life is precious… in order to save it the Idea of Nutrition and Physical Activity
(NuPA) emphasizes community to change their eating habits and include exercise in
their daily routines.
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Vision
Pink Ribbon Pakistan strives to significantly reduce breast cancer mortality in the
country by creating widespread awareness on early detection and increased access to
treatment.
Mission
To create widespread awareness about breast cancer and to become a Center of
Excellence for Breast Care Information in Pakistan.
Ideology
The Ideology of the campaign focus on the following points: 1. The dangerously high
level of incidence of breast cancer in Pakistan 2. The disease is curable and need
not be made fatal 3. The disease can be detected early, even by simple self
diagnosis and 4. That life after cancer is worth living
Pink Ribbon Campaign’s strategy is to solicit wide support for the campaign, create
a nationwide awakening to the problem and build long term sustainable platform
The stakeholders
• • • • • • • Women, 16+ age group, in all walks of life and both urban and rural.
The Media Local, provincial and federal governments National and International
funding agencies Corporate sector for their Corporate Social Responsibility The
medical profession, especially female doctors The general public
Objectives
The objectives of the campaign are to: • Make Breast Cancer an acceptable topic in
the public domain in Pakistan • Create widespread awareness about Breast Cancer and
key aspects – its high incidence, its seriousness leading to fatality, impact on
the life of the sufferer and the whole family and also the good news that if
detected early, Breast Cancer may be cured • Promote understanding and practice of
self diagnosis • Evoke empathy in the right quarters to support the cause •
Motivate people to contribute funds for campaign execution
Strategic Approach
The framework of the campaign has been woven around the following strategies and
guiding principles a) Establishing the need and the urgency to launch this
campaign, b) Soliciting wide support, c) Creating a national level awakening to the
problem, d) Creating a long-term, sustainable platform.
Involving Youth
Media
Celebrity Endorsement
Pink Ribbon being a humanitarian cause has been fortunate to have support of
Government dignitaries beyond political affiliation.
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Strategic Alliances
In its efforts to expand its scope, the campaign intends to build linkages with
different teaching hospitals, health related institutions and health care
professionals. The strategic alliances so far developed include:
A Memorandum of Understanding (MoU) between Aga Khan University Karachi and Pink
Ribbon Pakistan has been signed. Both organizations agreed to collaborate in
extending advisory services, academic support and developing case studies for the
Government of Pakistan for inclusion of breast cancer in reproductive health
package and setting up a cancer registry in Pakistan. AKU will also provide support
to Pink Ribbon in nationwide training program of lady health workers.
Another MoU has been signed between National Breast Cancer Awareness Campaign and
Fatima Jinnah Medical College (FJMC). According to this MoU, FJMC will facilitate
with trained human resource. A Well Women Clinic has also been established in Ganga
Ram Hospital as an outcome of the joint collaboration of both the organizations.
The possibility of developing such linkages with other institutions is also being
explored.
An orientation was given by Pink Ribbon Pakistan at Girl Guide House on the eve of
annual Youth convention; ‘Voices of Young Leaders’. The audience mainly comprised
of young girl guides from various educational institutes from all over the Punjab
hence the occasion was quite appropriate to sensitize maximum number of young girls
even from the remote areas. Since Girl Guides act as team leaders and are engaged
in various social activities they were the right target audience to spread the
message at a large scale.
A workshop was arranged in collaboration with the Pakistan Foreign Office Women
Association (PFOWA) at Foreign Office Islamabad. This Association has been formed
by the wives of the bureaucrats working in the Foreign Office. PFOWA contributes to
the empowerment of women, promotion of education, provision of welfare facilities,
medical assistance, disaster relief, assisting the disabled and financial aid for
widows and orphans. PFOWA has also agreed to conduct more awareness and fund
raising activities for Pink Ribbon Pakistan.
A community based awareness drive has been initiated at Masroor Air Base, Karachi
by a volunteer of Pink Ribbon Pakistan. It is the largest Air Base of Pakistan with
almost 4,000 households. In its efforts to impart awareness, information material
about self examination and early detection has been distributed among the wives of
PAF officers. The owners and workers of beauty parlors 10
Rousing Youth
Recent trends have shown that young girls in early twenties are also very likely to
be hit by breast cancer and due to prevailing misconceptions no one ever suspects
this deadly disease in a young girl. Pink Ribbon Youth Awareness Program was
initiated on “World Cancer Day” i.e. 4th February 2007 with an aim to reach 300,000
girls through 300 girls colleges and universities of Pakistan, recognized by Higher
Education Commission. It intends to provide knowledge through leaflets and posters
in both English and Urdu, followed by a series of seminars and lectures of
specialist doctors. Through this campaign, young women will be informed about self-
examination and early diagnostic methods, and may also resultantly prove to be
influencers for their mothers and other women in their families to remain health
conscious and get regular check-ups.
arranged by the students on a voluntary basis, reflected their passion and proved
to be a source for polishing their skills as well.
Enthusiastic Youth… from the Mass Communication Department of Lahore College for
Women University prepared two documentaries and a short play for the Pink Ribbon.
This Mock Media Campaign on Awareness regarding Breast Cancer,
Report Pink Ribbon Pakistan
In continuation of this program, seminars have been held at: • Kinnaird College for
Women, Lahore • Lahore University of Management Sciences (LUMS) • Fatima Jinnah
Medical College, Lahore • King Edward Medical College, Lahore • Lahore College for
Women University, Lahore • Punjab University, Department of Applied Psychology •
Islamabad College for Girls, Islamabad • International Islamic University Women
Campus, Islamabad 11
A Life Worth Living…
• • • Overseas Pakistani Foundation School and College, Islamabad Fatima Jinnah
Women University, Rawalpindi Aga Khan University, Karachi
Musical concert was organized by the students of Kinnaird College for Women,
Lahore. This volunteer driven event raised awareness amongst the students and also
helped to generate funds for the campaign.
Other than Pakistani students, many international students have also shown keen
interest in the Pink Ribbon Pakistan. The campaign has hosted interns from Houston,
Florida and McGill. One of the Pink Ribbon intern was given Violet Richardson Award
by Soroptimist International while another intern acquired Fulbright Scholarship on
the basis of the recommendation from the campaign. The campaign also receives
requests from international students for research projects. Some of the requests
have been from: Seneca College, Toronto, Canada; Stanford University, California
and Parson’s School of Design, New York.
A Pink Ribbon Week was celebrated at LUMS. Main events organized during the week
included: Sale of Pink Ribbon Merchandise for fund raising, Panel discussion
emphasizing the social and psychological aspects associated with Breast Cancer and
an informal female only session on breast self examination. This volunteer driven
initiative, attracted many more volunteers for the campaign.
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• •
Conduct one-to-one interviews with survivors to learn more about how they are
dealing with their cancer and how their care can be improved. Connect members with
other survivors
Survivor’s Network
The Pink Ribbon Campaign has initiated a Breast Cancer Survivor’s Network to
improve survival from Breast Cancer and the quality of life after diagnosis for
patients and their loved ones… The scope of the Survivor’s Network includes: •
Social and emotional support • Link survivors with patients as role models •
Provide culturally specific educational materials to survivors and their families
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A Pink Ribbon dinner was organized, to introduce the campaign to the corporate
world and to seek their support, at the British High Commission Karachi hosted by
Mrs Sheila Lyall Grant and Mr Mark Lyall Grant (British High Commissioner). The
event was attended by business elite and heads of the leading national and
international corporations like; Karachi Chamber of Commerce and Industry, Karachi
Stock Exchange, Unilever, Atlas Group of Companies, Shell, Dadabhoy Cement, Oxford
University Press, Bank Al Habib, Sheraton Hotel, Novartis Pharma, Eli Lilly,
Philips, Reckitt Benckiser, HSBC, ABN-Amro Bank and Citibank N.A.
lectures almost 200 female employees were trained about the risk factors, early
detection and self examination. The campaign also plans to replicate such
initiatives at other corporations so as to raise awareness level of the employees
regarding CA Breast and to help organizations in fulfilling their Corporate Social
Responsibility.
‘Pink Ribbon Day’ was celebrated at the Head Office of UniLever Pakistan in
Karachi. This activity served two purposes’ on one hand it provided information
about breast cancer situation in Pakistan and on the other hand it also inculcated
the idea of Corporate Social Responsibility. UniLever Manager CSR while speaking on
the occasion said “Huge responsibility comes after taking this initiative, but
since Unilever believes in the concept of Pink Ribbon, it will extend every support
to the campaign”. Awareness material was also distributed among the staff.
Mobilink, the leading mobile network company, was approached and sensitized on the
issue. As a result of which, a series of nine lectures were delivered at Mobilink
Call Center, Lahore. In these
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Celebrity Endorsement
Support Continues… Having lost a very dear aunt to breast cancer, I am determined
to help keep women talking about the signs, how to spot them and what to do if they
find a breast change. That is one of the reasons why, for the last seven years,
I’ve been Patron of Breast Cancer Care, the organization that has been listening
and talking to people about breast cancer for over 30 years. I’m lucky to be able
to help spread a vital message that I’m passionate aboutthat all women, regardless
of age or background, need to know their own bodies and should feel able to talk to
their doctor should they find a change in their breast that’s unusual for them.
which was considered a forbidden subject by the government and masses alike.
“Women in Pakistan are so shy that more than 50% of breast cancer patients do not
even report to healthcare professionals and eventually fall in the trap of death”
During her visit, she met the First Lady, for the confirmation of her support in
this epic cause. She also met wife of Prime Minister, Patron of Friends of Pink
Ribbon Pakistan, who hosted a dinner in her honor. Mrs. Blair also attended a
seminar at Fatima Jinnah Medical College where she shared her experiences with
leading doctors from all over the country and voiced her concern about Third World
countries with regard to Breast Cancer. A fundraising dinner was also held at the
Governor's House Lahore where renowned businessmen and philanthropists were present
to pledge their support to the cause. 15
I send my best wishes and support you in your efforts to raise awareness of breast
cancer.
(Cherie Blair) Mrs. Cherie Blair, wife of former British Prime Minister Tony Blair,
made a private visit to Pakistan in April 2006 on the invitation of Pink Ribbon
Pakistan. Her stay was of just eight days but she accomplished a great deal in this
short time for the cause
Support from Mrs. Cherie Blair still continues with an increased level of interest
in the cause as she plans to revisit Pakistan in the near future.
Ghazal Maestro, Jagjit Singh, was invited to Pakistan by the National Breast Cancer
Awareness Campaign for a musical tour themed “Music for Peace”. The legend
performed live in Pakistan for the first time. The concert was not only
entertaining for thousands of people attending the event but also proved to be an
excellent fund raiser for the campaign. Main objective of the event was to spread
breast cancer awareness to all echelons of the society and it served its purpose
well. The Prime Minister of India, sensitized on the issue of high prevalence of
Breast Cancer in the region and to support Pink Ribbon Pakistan, sent Jagjit Singh
as his “Goodwill Ambassador”.
Beyond Borders
Ashwariya Rai, former Miss World and a renowned Bollywood star, in recognition of
the efforts being done by the campaign, showed her deep concern over the increasing
number of breast cancer patients in Pakistan and lack of awareness about the
disease. In response to the invitation from Pink Ribbon Pakistan she also showed
interest in visiting Pakistan to support the campaign.
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The media coverage gave a boost to the campaign by bringing to the limelight
different events organized at the National and Provincial levels. The National
Coordinator of the campaign has been invited by different TV Channels for special
interviews and briefings elaborating the objectives and achievements of the
campaign, especially during October, the Pink Ribbon Month. Similarly, various
newspapers and magazines printed special articles on the situation of breast cancer
in Pakistan and the services Pink Ribbon Pakistan is extending to curb this deadly
monster. Along with these special transmissions and publications, the media also
gave due coverage to various Pink Ribbon activities carried through out the country
on an ongoing basis. In 2006 Press Information Department (PID) aired Public
Service ads, first time ever on Breast Cancer, from all State run TV channels.
These ads were aired in support of the campaign and the wife of the Prime Minister
of Pakistan delivered the message.
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As part of the National Breast Cancer Awareness Campaign, in the future the
families of the patients will also be trained to better understand the disease so
that they can be pillars of emotional and psychological support for those who have
breast cancer.
Mobile Mammogram
Since there is a lack of medical facilities and doctors in the rural areas, where
people have to walk many miles to get to a hospital, it is extremely difficult for
women to get a mammogram regularly. To aid this, the campaign plans to acquire
mobile mammogram bus so that even in locations where there is no easy access to
hospitals, women can get regular checkups.
Initiating Research
Pink Ribbon Pakistan also plans to establish a 0-800 toll free helpline where
people can call and get more information about breast cancer, its risk factors,
symptoms etc. 20