2020 Global Health Case Competition

GLOBAL HEALTH CASE COMPETITION CENTER FOR GLOBAL HEALTH AT THE UNIVERSITY OF VIRGINIA

CASE STUDY IN WOMEN’S HEALTH: CERVICAL CANCER IN RWANDA The annual Global Health Case Competition (GHCC) will be held on February 1st, 2020.

The goal is to create a proposal for building an innovative, effective, implementable, and financially sound solution to address issues that will be presented to a panel of judges representing the Rwandan Ministry of Health. Importantly, the idea of a sustainable project is stressed (e.g., leveraging existing resources, such as government institutions, health programs, NGOs; integrating the solution into communities) for appropriate response to assess and offer solutions to improve women’s health.

Rwandan schoolgirls who have been vaccinated against HPV. Photo Credit: UNICEF

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Participants’ Competition Day Schedule Team Check-in & Presentation Deadline 11:00 am – 12:00 pm Newcomb Lobby

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Team members check in individually at the check-in table starting at 11:00 am Teams must submit their final presentations in .ppt or PDF format to Collab by 11:20 am • LUNCH IS AVAILABLE IN THE Newcomb Lounge at 11:30AM ● Please be seated by 11:55 am

Welcome Address 12:00 pm – 12:30 pm Ballroom

● Welcome address by Dr. Rebecca Dillingham, director of the UVA Center for

Global Health ● All competition participants must be in attendance

First Round of Presentations 12:30 pm – 1:45 pm Commonwealth Room South Meeting Room Newcomb Ballroom

● Teams will have 10 minutes to present, followed by 5 minutes of Q&A by

judges. ● Teams awaiting their presentation time can wait in the lobby or ballroom, but

are NOT permitted to watch other presentations until after they have presented.

Afternoon Break (judges deliberate) 1:45 pm – 2:15 pm Ballroom and Lounge

● Opportunity to network with other competition participants, attendees, and

guests. ● Coffee is available in the Main Lounge area Presentations of 3 Finalist Teams 2:15 pm – 3:00pm Ballroom

● All participants are highly encouraged to attend and ask questions during Q&A

rounds ● Finalist teams awaiting their presentation time can wait in the lobby, but are

NOT permitted to watch other finalist presentations until after they have presented Selection and Announcement of Winning Team 3:30 pm Ballroom

● Awards will be announced

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Butaro Hospital, Rwanda. Photo Credit: Sara Krivacsy

Case Summary The case asks participants to think about how a comprehensive program for cervical cancer prevention and care can be implemented in Rwanda. Cervical cancer is a preventable and treatable disease, yet 90% of attributable deaths occur in low and middle-income countries. In East Africa, it is the number one cause of cancer incidence and in Rwanda, it is the number one cause of cancer mortality. Cervical Cancer is almost entirely caused by the human papillomavirus (HPV), and 70% of cases can be attributed to high risk types 16 and 18, for which vaccines exist. Rwanda has achieved incredible success in HPV vaccination programs, achieving coverage of 96% for eligible girls. However, appropriate screening, treatment, and palliative care options have yet to be rolled out on a national scale. Competitors are challenged with developing a sustainably financed, culturally appropriate, and equity based proposal to the Rwandan Ministry of Health on one aspect of cervical cancer prevention and treatment or the full spectrum of care.

Participating teams in the 2020 UVA Global Health Case Competition are asked to create a proposal for building an innovative, effective, implementable, and financially sound solution to address these issues that will be presented to a panel of judges. While they have not been given a specific monetary budget, teams must be able to provide a detailed budget for how they would implement a solution within a five-year timeframe. In addition, the idea of a sustainable project is stressed (e.g., leveraging existing resources, such as government institutions, health programs, NGOs; integrating the solution into communities).

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Welcome Address The UVA Center for Global Health (CGH) engages multiple disciplines across the University of Virginia, as well as across cultural, economic, and geographic divides to focus on improving health and well-being.

It has been an honor working on the case and supporting the 2020 Global Health Case Competition which includes over 65 student participants, outstanding faculty and guest judges representing multiple critical disciplines, and a diverse and dynamic group of peer mentors whose experience and guidance is essential.

We are delighted and proud of the support and guidance of Dr. Rebecca Dillingham, director of the UVA Center for Global Health. She offers expertise and serves as an invaluable asset to this endeavor. In the spirit of collaboration, we welcome each and every one of you. Thank you for being here today.

Case Competition Participants MSF Simrat Jassal Ranjodh Sandhu Swetha Kota Kiran Kahlon Brianna (Bree) Cattelino Logan Brich

Girl Up Lisa Romanzak Maya Hatley Karmine Malhi Savvy Holmes Edie Tepper

For the Whole Sydney Stanley Brian DeRose Andy Skipper Zhiwen Xu Lauren Cox

MSF at UVA Aishu Hombal Ishrya Sharma Ramya Ravi Jack Boyd Iksha Rohatgi Gabi Diskin

Team Konfidence Pranavi Gopanapalli Katherine Zain Logan Cunningham Bryden Sandifer

You got Cerved!

Hannah Moriarty Rachel Alexander Kayla Kim

Eclectic Health Courtney Rogers Ana Estrella You Catherine Owsik Maria Tahamtani Himika Rahman

Khayaal Rishub Handa Avantika Mehra Aparna Kola Yuying Zhang

Team 1 Zhongwen Luo Maxine DeVeaux Sarah Whiteside

Doctors Without Borders Daniel Alvarenga Emily Leventhal Kaitlyn Cheng Abraham Castillo

Hoo’s for Health?

Arnav Mehra Rithik Yelisetty Aditya Singh Suchet Taori

Team 2 Kiana Newman Paige St. John Breanna Ricks Seth Norton

Lefavorites Carleigh Schafer Sophia MacLean Emma Lunn Ester Rekhelman

Healthy Hoomans Tori Cook Helen Schmedtje Elyse Morris Paige Kobza Alex Fry

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Case Competition Judges We are deeply grateful for the contributions of the GHCC judges each year. Their expertise, insight, and attention to each team make the case competition a rich experience.

Fern Hauck – School of Medicine, Director of the International Family Medicine Clinic Christian Ndaribitse – Visiting Fellow, University of Rwanda Eugene Tuyishime – Visiting Fellow, University of Rwanda Marie Grace Mutuyimana – Visiting Fellow, University of Rwanda Brianna (Bree) Campbell – Medical Resident Emma Mitchell – School of Nursing Kamila Esfahani – Medical Resident Amna Adrees – 2019 CGH University for Global Health Equity (UGHE) Scholar Sara Krivacsy – 2020 GHCC Committee Chair, 2019 CGH UGHE Scholar Christopher Colvin – Public Health Sciences Edwin Niwagyira – Mbarara University of Science and Technology

Writing The Case The 2020 UVA Global Health Case Competition team greatly appreciates the efforts and time of our lead case writer, Sara Krivacsy. The writing team consisted of Owen Little, Olivia Liu, Neemah Koromah, Navya Annapareddy, Lauren Falk, Kristen Laaman, Maeve Winter, and Jonathan Laredo. We also gratefully acknowledge valuable inputs and expert review from Dr. Emma Mitchell and Dr. Rebecca Dillingham.

Acknowledgements and Thanks The Center for Global Health gratefully acknowledges the collaborative expertise of all those who aided in the development of this year’s Case Competition. We are also grateful for the dedication of time and effort of the Global Health Case Competition judges. Sincere thanks to the CGH Student Advisory Board, and Student Liaisons, Erica Stephens and Austin Thomas. Congratulations and thanks to the case writers for developing a nuanced, real world case, and to each participant for your dedication and drive.

The Case Competition and CGH Scholars programs are made possible by institutional support from the University of Virginia, including: President James E. Ryan; Executive Vice President and Provost M. Elizabeth Magill; Ian Baucom, PhD., Buckner W. Clay Dean, College and Graduate School of Arts and Sciences; Pamela Cipriano, Interim Dean of the School of Nursing; Craig H. Benson, PhD, School of Engineering and Applied Sciences; David S. Wilkes, MD, Dean, UVA School of Medicine; Ambassador Stephen D. Mull, Vice Provost for Global Affairs; Louis Nelson, PhD, Vice Provost for Academic Outreach; Archie Holmes, Jr., PhD., Vice Provost for Academic Affairs.

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Rwandan adolescent girls get vaccinations against HPV. Photo Credit: UNICEF

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