Radiotherapy will be required to treat cervical cancer in low-and-middle income countries

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.

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NEW: Drug That Prevents PostPartum Hemorrhage Added To WHO Essential Medicines List

As I have written many times before postpartum hemorrhage (PPH) or excessive uterine bleeding after childbirth is the leading cause of maternal mortality in low-and-middle income countries. The recommended drug to prevent PPH according to the World Health Organization (WHO) is oxytocin. When administered in its recommended dose it causes little to no side effects. Oxytocin, the WHO’s current gold standard therapy, however, must be refrigerated and administered by skilled health workers posing two obstacles to its wider use in low resource, tropical settings.

Some countries have approved misoprostol, an oral drug, to prevent PPH, but there are several concerns that its use can be misappropriated for abortions instead of used solely for PPH. The World Health Organization has listed misoprostol as an alternative to oxytocin if it is not available.

Now, another PPH preventative drug, carbetocin, has been added to the latest updated 2019 WHO Essential Medicines List. The announcement was made last week. Unlike oxytocin, even at high temperatures carbetocin remains effective. The recommendation is that carbetocin can be used when oxytocin is not available or if its quality is uncertain. Additionally, the cost must be comparable to oxytocin.

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Venezuela’s Health Systems are crumbling – and Harming Women in Particular

Health workers and patients protesting at the Hospital Dr. Jose Maria Vargas in Caracas, Venezuela. EPA/Edwinge Montilva

Pia Riggirozzi, University of Southampton

Venezuela sits on the world’s biggest oil reserves, but in terms of GDP growth per capita, it’s now South America’s poorest economy. It is mired the worst economic crisis in its history, with an inflation rate in the region of 500%, a volatile exchange rate, and crippling debts that have increased fivefold since 2006.

The economic crisis is inflaming a longstanding “economic war” between the government and the business sector – and a dangerous cycle of protest and repression is further polarising Venezuela’s already divided society.

In this scenario, violence of all sorts is approaching what could be a point of no return. The very ability of democracy to combine forces of transformation and resistance is at stake.

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5 Maternal Health Interventions That Save Mothers’ Lives

Every day 800 women die during childbirth or from pregnancy complications. This startling statistic represents women who not only live in sub-Saharan Africa where most maternal deaths occur but also throughout the world. In order to reduce the number of maternal deaths in low- and middle-income countries across the globe design teams, social entrepreneurs, innovators, and NGOs are creating innovative ways in which to save more … Continue reading 5 Maternal Health Interventions That Save Mothers’ Lives

Featured Video: Periods Change Lives

Once girls get their period in low- and middle-income countries where resources are low, their lives change — sometimes irreparably.

When girls get their periods they oftentimes have to drop out of school and work around their home instead. And on top of that, many cannot afford sanitary napkins.

Irise International, an East African organization, is fighting the stigma of menstruation and providing easy, affordable solutions for girls when they get their periods.

See their work in their video: Periods Change Lives

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Why Jhpiego is Honoring Moms Every Monday

Now that Mother’s Day has passed it doesn’t mean you have to wait an entire year to celebrate and honor your mom. Our friends at Jhpiego are honoring moms every Monday during their new “Thank You Momday” initiative. Moms deserve your thanks every day. In the spirit of giving moms their due, Jhpiego is designating Mondays as Thank You Momday. Join them today, and every … Continue reading Why Jhpiego is Honoring Moms Every Monday