Nicaragua: Multiplying Impact

[caption id="attachment_4750" align="aligncenter" width="480"]nicaragua-trip-1 Banner hanging over the clinic during a Screen and Treat campaign in San Juan del Rio Coco[/caption]

In late April, new Program Manager Ariel Irene Delaney traveled to Nicaragua to meet the local team and become acquainted with our current, longest-standing Grounds for Health program. [...]

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Field Testing: Community Health Promoter Curriculum

[caption id="attachment_3658" align="aligncenter" width="480"]Image from curriculum We Can Prevent Cervical Cancer: image from curriculum[/caption]

We recently finished the first round of formal field-testing of our Community Health Promoter Curriculum in Nicaragua. After months of editing, re-editing, seeking feedback and preliminary testing, we are finally close [...]

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Men's Perceptions of Cervical Cancer in Coffee-Growing Communities

[caption id="attachment_3648" align="aligncenter" width="480"]Knowing men's perceptions will help us improve our programs Amoxicillin For Sale, Knowing men's perceptions will help us improve our programs[/caption]

From January through June 2012, Dan Allen, a student at the Boston University School of Public Health, conducted research into men's perceptions of cervical cancer and cervical cancer prevention services in San Juan de Rio Coco, Madriz, Nicaragua. As we are well aware from our work, Amoxicillin dosage, Amoxicillin brand name, men are often the primary decision-makers regarding women's health. While Grounds for Health has always been interested in reaching out to men, cheap Amoxicillin no rx, Online buying Amoxicillin hcl, we lacked sufficient resources and knowledge. Dan's insight into men's attitudes and beliefs about cervical cancer screening has given us a strong foundation that we can build upon to reach out more effectively to men, buy cheap Amoxicillin. Amoxicillin use, [caption id="attachment_3649" align="alignright" width="150"]Dan Allen Dan Allen[/caption]

Dan spoke to men in many communities within Madriz. He interviewed men that he encountered on the streets, as well as men that he met while doing visits to the coffee-growing communities with staff from our coffee cooperative partners, Amoxicillin For Sale. He also organized two focus group discussions with members of the coffee cooperatives, order Amoxicillin online overnight delivery no prescription. Japan, craiglist, ebay, overseas, paypal, He asked men about their knowledge regarding cervical cancer, their attitudes towards screening for the women in their communities and their behaviors around supporting or prohibiting screening for their female family members, kjøpe Amoxicillin på nett, köpa Amoxicillin online. Doses Amoxicillin work, Some of the main findings of Dan's study include:

  • There is a pervasive lack of knowledge regarding cervical cancer, its cause, my Amoxicillin experience, Amoxicillin price, coupon, prevention methods and the scope and severity of the disease.
  • Reasons why women do not access prevention services:
    • Lack of time in her busy schedule
    • Idea that screening will cost a great deal of money
    • Embarrassment or shame due to the nature of the exam
    • Fear of the results
  • Men do not allow their partners to get tested for a variety of reasons, including:
    • Fear of the diagnosis
    • Jealousy which leads them to not want a doctor to look at or touch their significant other
    • Lack of value placed on the health of their significant other
  • Men's main concern was the cost of the screening and the cost of the treatment
  • While men are generally ignorant regarding cervical cancer, online Amoxicillin without a prescription, Is Amoxicillin safe, they are receptive to learning about it
Based on these findings, Dan made several recommendations we are considering as we expand our work with men, real brand Amoxicillin online. Amoxicillin from canada, These include:
  • Address the issue of costs directly. Amoxicillin For Sale, While families incur costs in terms of time and money when going to the clinic and getting screened, it is important to emphasize that screening tests save money in the long run. Dan found that using a car analogy—that women (and people in general) could be like cars, Amoxicillin trusted pharmacy reviews, Taking Amoxicillin, requiring some maintenance to keep running well—was an effective technique to illustrate this.
  • Link support for cervical cancer prevention to being a good husband and family men. Messaging can state that by increasing men's knowledge regarding cervical cancer, buy Amoxicillin from canada, Where can i cheapest Amoxicillin online, we can increase their ability to be a better provider for their family.
  • Train more men as community health promoters and male community leaders. Getting more men involved in all levels of the program is an important strategy for reaching more men.
According to Dan, buy cheap Amoxicillin no rx, About Amoxicillin, the most important finding is that even though men lack knowledge about cervical cancer and prevention, they are open to learning, order Amoxicillin no prescription, Purchase Amoxicillin for sale, which gives us great hope and potential.

We are grateful to Dan for his great work and look forward to using his information in continuing to improve our programs and reach out to more communities, Amoxicillin mg. Amoxicillin without a prescription, [caption id="attachment_3650" align="aligncenter" width="480"]Thank you for your great work, <b>Amoxicillin street price</b>, <b>Australia, uk, us, usa</b>, Dan! Thank you for your great work, Dan![/caption], where can i buy Amoxicillin online. Fast shipping Amoxicillin. Low dose Amoxicillin. Canada, mexico, india. Where can i buy cheapest Amoxicillin online. Where can i find Amoxicillin online. Amoxicillin without prescription. Cheap Amoxicillin. Amoxicillin no prescription. Purchase Amoxicillin online. Amoxicillin recreational. Amoxicillin pics.

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Nicaragua: Natural Born Trainers

[caption id="attachment_3400" align="aligncenter" width="480"]The waiting room at the clinic Buy Flagyl Without Prescription, The waiting room at the clinic[/caption]

It was the last day of our training and campaign in San Juan de Rio Coco. Buy Flagyl no prescription, Women were still waiting to be screened and a few women were waiting for cryotherapy. I was sitting outside in the waiting area chatting with a group of the coordinators from the coffee cooperatives, where to buy Flagyl, Where can i buy cheapest Flagyl online, the rest of our US-based staff and volunteers.

Yes, Flagyl price, coupon, Where can i find Flagyl online, there were women to be screened, yet we were all sitting around chatting, what is Flagyl. Flagyl photos, About VIA. About coffee, Buy Flagyl Without Prescription. About our families, Flagyl use. Flagyl pharmacy, We were no longer hovering over our newly trained providers, supervising their skills and guiding them as they did VIA and cryotherapy, Flagyl no rx. Online buying Flagyl hcl, Now that role was being fulfilled by our stellar Nicaraguan training team.

[caption id="attachment_3401" align="aligncenter" width="480"]Barinia (center, right) with Damaris, <b>Flagyl over the counter</b>, <b>Australia, uk, us, usa</b>, Milagros, and Lilliam (left to right) Barinia (center, Flagyl maximum dosage, Flagyl for sale, right) with Damaris, Milagros, Flagyl duration, Flagyl natural, and Lilliam (left to right)[/caption]

Dr. Buy Flagyl Without Prescription, Lilliam, Milagros and Damaris were introduced to Grounds for Health in September 2011 and immediately became star pupils. They quickly saw the advantages of using VIA and cryotherapy to screen and treat patients who came to the hospital and local health centre in San Juan de Rio Coco, low dose Flagyl, Order Flagyl online c.o.d, and they developed the technical skills necessary to provide high quality care.

Lilliam at a training

During her supportive supervision visits, Flagyl cost, Where can i buy Flagyl online, Grounds for Health's in-country physician Dra. Barinia noticed that these three providers possessed more than just the technical skills, Flagyl schedule. Flagyl dose, They were also compassionate, warm, about Flagyl, Buy Flagyl online no prescription, friendly, attentive and respectful—all skills that would make them excellent trainers, Flagyl recreational. When Dra, Buy Flagyl Without Prescription. Purchase Flagyl for sale, Barinia asked them if they would like to help us train this May, they quickly said, discount Flagyl, Flagyl treatment, "Si!"

Damaris at a trainingWhen we met with Dr. Lilliam, Flagyl overnight, Flagyl online cod, Milagros and Damaris to discuss their roles in the upcoming training, they were excited, buy generic Flagyl, Flagyl gel, ointment, cream, pill, spray, continuous-release, extended-release, but clearly a bit nervous about what they would do and how they would do it.

Yet, canada, mexico, india, Cheap Flagyl no rx, on the first day of the training, it became clear that they were natural born trainers, Flagyl from canadian pharmacy. They went beyond merely teaching the most important ideas about cervical cancer, VIA and cryotherapy. Buy Flagyl Without Prescription, They peppered their presentations with personal stories about the women they had screened and treated. They wrote a song about VIA. They led spirited games testing the knowledge of the participants.

Milagros observingAnd when we moved to the clinical portion of the training, they deftly and gently guided their colleagues through the steps necessary to provide effective, women-centered care.

Within just one week, these three providers moved far down that path from being competent providers to being trainers. The proof was in the 10 newly certified health care providers who benefited from the training skills of Dr, Buy Flagyl Without Prescription. Lilliam, Milagros, and Damaris.

Milagros and Dra. Barinia

Lilliam accepting her certificate

Damaris accepting her certificate.

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From the field: SJRC Nicaragua

Entering SJRC Tindamax For Sale, Hello from SJRC,

Kayla and I are just sipping coffee here at the hotel.  Rain is pattering down as it has been all night.  It seems to be letting up now!  It is 6:30 AM and we are just relaxing for a wink before breakfast and day 1 of the clinical training.

The didactic training was a roaring success.  Our three local trainers are excellent.  Poised, Tindamax coupon, Tindamax photos, professional, articulate, purchase Tindamax online no prescription, Tindamax natural, comfortable in front of the crowd.  Impressive.  Still some coaching work to do around managing a crowd and keeping the flow going. .., Tindamax price. Tindamax mg, but overall, we are completely thrilled and impressive, Tindamax gel, ointment, cream, pill, spray, continuous-release, extended-release. Buy Tindamax no prescription, We have 12 trainees.  A very strong group with no clear concerns at this point.  Very lucky!  Kayla, Rebecca and the volunteers set up the clinical spaces yesterday AM and we decided to make six spaces as we have quite a number of trainers and trainees.  Many talented hands.  Feeling lucky, Tindamax recreational, Fast shipping Tindamax, we are.

Sarah Morgan, buy cheap Tindamax, Tindamax long term, MD arrived yesterday by bus so now our volunteer team is complete.  A superb group of four - easy and warm and very strong.

Bueno.  All the best to you from SJRC, order Tindamax online c.o.d. Japan, craiglist, ebay, overseas, paypal, We'll be in touch as the week evolves.

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Trip Report: Nicaragua - September 2011

[caption id="attachment_2881" align="aligncenter" width="480"] Wellbutrin SR For Sale, Amanda, Kayla, and August with San Juan de Rio Coco coop collaborators Amanda, Kayla, and August with San Juan de Rio Coco coop collaborators[/caption]

From Sep 21- Sep 30, 2011, Grounds for Health trained a new cohort of 11 doctors and nurses on cervical cancer screening using Visual Inspection with Acetic Acid (VIA) and Pap, and treatment of pre-cancer with cryotherapy. Get Wellbutrin SR, Of the 11 providers, nine received certification in VIA and five of those also received certification in Cryo, Wellbutrin SR price, coupon. Rx free Wellbutrin SR, Two received certificates of participation only. Grounds for Health will support the trained providers as they put their new skills to use over the next several months, kjøpe Wellbutrin SR på nett, köpa Wellbutrin SR online, Buy cheap Wellbutrin SR, ensuring that they have the material and personnel resources needed to continue offering screening and treatment at their respective clinics,

During the course of the campaign, Wellbutrin SR canada, mexico, india, Fast shipping Wellbutrin SR, a total of 306 women were screened, 93% of whom were within the target age group of 30-55 years of age, where to buy Wellbutrin SR. Wellbutrin SR images, The high percentage of women seen in the target group is one indicator of success for the promoter training conducted previously.  Of the total women screened, 24% had either a positive pap, order Wellbutrin SR from United States pharmacy, Japan, craiglist, ebay, overseas, paypal, positive VIA test or both and 14% received same day treatment with cryotherapy. All (100 %) of high-grade paps were confirmed with VIA, Wellbutrin SR For Sale.

[caption id="attachment_2882" align="aligncenter" width="480"]Smiling faces after a talk on cervical cancer while waiting to be screened Smiling faces after a talk on cervical cancer while waiting to be screened[/caption]

This marks the first training / campaign at our new program site, purchase Wellbutrin SR online no prescription, Buy Wellbutrin SR online no prescription, San Juan del Rio Coco in the department of Madriz, Nicaragua, buy no prescription Wellbutrin SR online, No prescription Wellbutrin SR online, where we expect to continue working for three years. The event was carried out in close collaboration with our four co-ops partners at this site, Wellbutrin SR forum, Wellbutrin SR steet value, UCA San Juan, UCPCO, my Wellbutrin SR experience, Wellbutrin SR no prescription, PRODECOOP and CORCASAN. This collaboration with local, ordering Wellbutrin SR online, Wellbutrin SR from canadian pharmacy, community groups, will ensure that thousands more women receive the information and access to life-saving health services long after Grounds for Health leaves, order Wellbutrin SR online overnight delivery no prescription. Real brand Wellbutrin SR online,


  • Launched new screen and treat training program and campaign in San Juan del Rio Coco, Madriz.

  • Established the first treatment center in the region

  • Co-op coordinators demonstrated impressive management and coordination skills

  • Co-ops and SILAIS commitment mobilize local resources to help  women requiring further diagnosis and treatment

Next Steps:

  • Follow up on biopsy results and next steps for patients who require additional treatment

  • Donate cryo equipment at Hospital Primario Luis Felipe Mocado and one additional site staffed by provider trained to competency in cryotherapy

  • Donate biopsy punches to SILAIS Somoto

  • Establish schedule of supportive supervision for new provider cohort and conduct monitoring and supervision visits

  • Complete pilot project with SOPPEXCCA/SILAIS Jinotega and document results

  • Develop proposal for Master Training Program in Esteli and present proposal to PRODECOOP management during the pre-Assembly (later in 2011)

  • Conduct follow-up meeting with co-op coordinators to develop work plan for next phase focused on community outreach and education, Wellbutrin SR without prescription, Wellbutrin SR coupon, including mentoring for community health promoters

  • Expand on the current Co-op Coordinator’s guide; develop a comprehensive resource for co-op coordinators focused on community mobilization

  • Work with curriculum development experts to modify the Trainer’s guide and package it for use in the Master Training Program

[caption id="attachment_2889" align="aligncenter" width="480"]Making good use of readily available materials to practice Pap and VIA Making good use of readily available materials to practice Pap and VIA[/caption]

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[caption id="attachment_2879" align="alignleft" width="146"]Volunteer team Volunteer team[/caption]

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Update from Nica Campaign: VIA/Cryo Success

Directly on the heels of the New York Times Article: Fighting Cervical Cancer With Vinegar and Ingenuity Soma For Sale, , Executive Director August Burns sent us a quick note:

Stats from 1st day of campaign: 66 women seen today. 16 positive for VIA 12 treated, purchase Soma for sale, Buy Soma from mexico, 2 biopsies for invasive cancer, two will return tomorrow, low dose Soma. Soma treatment, We caught all three Pap positives with VIA confirming == as the NYT article states - it works quite well, including two Cancer in situs and 1 invasive cancer, Soma pharmacy. Canada, mexico, india, Lives probably saved.

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Off to San Juan del Rio Coco, Nicaragua


[caption id="attachment_2757" align="aligncenter" width="480"]Next stop: Nicaragua Buy Alesse (Ovral L) Without Prescription, Next stop: Nicaragua[/caption]

This past week has been a flurry of activity at the Waterbury office as Elisa helped me and August pack-up an absurdly large amount of supplies and training material into five enormous black suitcases destined for the northern highlands of Nicaragua. Where can i buy cheapest Alesse (Ovral L) online, The fact that this will be my first trip since joining Grounds for Health as the new program manager in June heightened the usual mix of excitement and nervous anticipation leading up to Sunday’s departure.

View San Juan del Rio Coco in a larger map

This trip marks the official launch of a new three-year program in Madriz, Alesse (Ovral L) treatment, Canada, mexico, india, Nicaragua.  The program will be largely based in the municipality of San Juan del Rio Coco, where Grounds for Health has recently entered into partnership with four co-ops: UCPCO, where can i buy Alesse (Ovral L) online, Online Alesse (Ovral L) without a prescription, UCA San Juan, Prodecoop and CORCASAN, australia, uk, us, usa. Alesse (Ovral L) description, Already, the four co-op coordinators at this new site have impressed us with their incredible management and organizational skills, Alesse (Ovral L) schedule. Order Alesse (Ovral L) no prescription, From navigating the murky waters of local health regulations to coordinating food, housing and transportation for staff, discount Alesse (Ovral L), Alesse (Ovral L) duration, volunteers and patients to shopping for essential supplies—this team of co-op coordinators has set the bar high for all involved, challenging us to make this program better than ever, Alesse (Ovral L) dosage.

Working closely with our in-country staff, Barinia and Amanda, the in-country team has trained 34 community health promoters (CHPs) and has tasked them with raising awareness about the risks of cervical cancer and the importance of screening and early detection, Buy Alesse (Ovral L) Without Prescription. Buy cheap Alesse (Ovral L) no rx, With the CHP’s hard at work, the co-op coordinators turned their attention to hand-selecting a group of trusted doctors and nurses to attend next week’s level 1 training, Alesse (Ovral L) price, coupon, Alesse (Ovral L) steet value, which will emphasize the Single Visit Approach.

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