Makna Mobile Mammography Screening Unit

Amount allocated in 2017 for this initiative RM 754,892.00 (US$ 195,353 or CHF 187,509.16) Background and context: Urbanization and its discontent have seen more urban poor in need of immediate medical intervention. Only a small percentage of women ever performed mammogram due to medical screening cost and poor knowledge pertaining to mammography screening for breast cancer. A massive health education campaign through multiple methods and agencies is necessary to upend this deep-seated perception. Aim: MAKNA's mobile mammography screening unit aims to improve lifesaving chances of people afflicted by cancer through early detection of presymptomatic cancer, using approved and fully equipped vehicle with the latest technology available. Focusing in early detection Garnering resources inter alia to help the financially-challenged cancer patients Many cases that come to MAKNA come in the late stages where help of a cure is usually less than 30% Enhancing knowledge and awareness among general public Economic-wise: cheaper to screen for diseases compared with treating patient Reducing death rate from breast cancer by conduct and deliver nationwide campaign all over Malaysia from districts to cities, rural to urban dwellings Strategy: Equipment overall specs Breast screenings with mammography using full fledge digital unit (GE SENOGRAPHE 2000D) Primary objectives: To conduct mammograms and clinical breast examinations (CBE) to public. To conduct general screening to public. Secondary objectives: To conduct cancer awareness and screening program to public. To educate staffs on early detection of cancer. To raise fund for financially challenged cancer patients via MAKNA various fundraising projects Key messages: Early detection saves lives - know the early warning signs and get screened. Care for yourself and others -help us to help the financially challenged cancer patient. (Cancer treatment is very expensive.) Get involved! -Participate in our activities Further targeted communities: Rural interior villages across Malaysia Costs and returns: A. Total 2007-2017: Total costs: RM 5,787,634 (US$ 1,497,398 or CHF 1,437,713) (RM 2,499,500 for fixed assets + RM 3,288,134 for services) Total ROI: Total screenings: 204 locations Results (by case): Normal: 20,027 Benign: 2434 Abnormal/referred: 383 Cancer diagnoses: 23 B. Year of 2017´s impacts: Costs: RM 753,109 (US$ 194,878 or CHF 187,083) ROI: 6378 screenings: 47 locations Result (by case) Normal: 5329 Benign: 956 Abnormal/referred: 93 Cancer diagnoses: 7 What was learned: Majority of cancers are the result of unhealthy lifestyle rather than inherited genetic faults. Breast cancer rate by ethnic: highest in Chinese > Malay > Indian > others. Early stage of breast cancer most detected. Patient navigation program to improve follow-up with positive cases. Overall, this is a scalable solution. Specifically in good prospect to operate in Borneo, East Malaysia with 2 more units.