When I was in Zambia I saw ways in which nurses treat cervical cancer in low resource settings. Women who do not benefit from the HPV vaccine and still develop cervical cancer are often subject to visual inspection of the cancer typically with a digital camera followed by cryotherapy to freeze the diseased part of the cervix. Some researchers question whether this approach to cervical cancer treatment is effective in low-and-middle income countries. Globally, the cervical cancer burden falls disproportionately upon women in low and middle-income countries. In fact, approximately 90% of deaths from cervical cancer occur in these countries like Bolivia, Guinea, and Swaziland. Rates are highest in Central America, sub-Saharan Africa, and Melanesia.
Continue reading “Radiotherapy will be required to treat cervical cancer in low-and-middle income countries”
By Dr. Leslee Jaeger
Roseline had delivered her baby during the chaos of our first day at Mama Baby Haiti, a birthing center for women near CapHaitian, Haiti. Mondays are the busiest day at the center, located on a dirt road just off Highway 1, as it is the intake day for expectant mothers that are new to the program. Three of us had arrived the night before from the early spring of Minnesota weather to be greeted by unseasonable warm Haitian weather – 95 degrees and high humidity.
While we were teaching 10 Haitian nurses and physicians asked about cervical cancer screening in a low resource setting and Roseline was laboring with the aide of a Haitian trained nurse midwife to deliver her healthy baby girl. She graciously agreed to be interviewed only hours after the birth of her child and shortly before she was to depart for her home (patients stay at the center for only 4 hours after an uncomplicated birth).
As is true for many of the 30-40 women who deliver at Mama Baby Haiti each month, she had heard of the program through a friend. She lives 20 minutes away and had been seen for five prenatal visits. She was appreciative of the nurse midwives that seemed to listen to her concerns and the cleanliness of the birthing center. This was Roseline’s first child. The father of her baby was sick and unable to work and she supported herself with side jobs and help from her family. The cost of her care at the center was much reduced from what her care would have cost at the local hospital. Without the services of Mama Baby Haiti, she would have had to deliver at home, either by herself or with an unskilled birth attendant.
Continue reading “Cervical Cancer: Haitian Women’s Next Biggest Killer”
One of the beautiful aspects of Africa is its beautiful, wide expanses. All over the continent you will be awed by how far-reaching your eyes can see especially when traveling through its spectacular countryside. But as much as it is beautiful, the size of Africa also poses a significant problem because without modern infrastructure, including the Internet, and transport to major cities, those who live in the deepest, far-reaching rural areas are not privy to the best medical care they can receive.
In Botswana, this is about to change.
In partnership with the University of Pennsylvania, Microsoft, the University of Botswana, and other global partners, the Botswana-University Hub (BUP) has launched a new project, “Project Kgolagano,” to bring telemedicine to rural areas in the country to help diagnose maternal health cases as well as HIV, cervical cancer, and TB cases.
Using TV white spaces (unused broadcasting frequencies in the wireless spectrum) Internet broadband is able to reach even the most remote villages in developing countries. In fact, it has been reported that Microsoft and Google are both chasing white spaces in Africa where only 16 percent of the continent’s population is online. This is where solar power can be game-changing to keep Africa online despite its energy shortcomings. Just look at Kenya where Microsoft helped provide broadband Internet in rural areas even when electricity was nonexistent or very scarce.
Continue reading “Botswana Receives First White Space Telemedicine Service to Reach Rural Populations”
Today is World Cancer Day, a day to talk about and discuss cancer and the myths surrounding the global disease. On World Cancer Day we are focusing our efforts on cervical cancer and its effects on women in poor countries. Last year I met a cervical cancer nurse, Susan Banda, at the N’Gombe Health Clinic in Lusaka, Zambia who said she is treating more and … Continue reading Focusing on Cervical Cancer on World Cancer Day
With so many communicable diseases plaguing the African continent we often forget about the non-communicable diseases that ravish its people as well. Did you know that cervical cancer is the number one cancer killer of women in Africa? Taking the lives of roughly 270,000 African women each year, Jhpiego, an affiliate of Johns Hopkins University, has been studying the rate of cervical cancer in women … Continue reading Why African Women Are Dying of Cervical Cancer