Most Significant Change: Importance of Training

[caption id="attachment_4558" align="aligncenter" width="480"]Ena leading a training session Ena leading a training session[/caption]

Story Teller: Ena del Carmen Balarezo Ramirez
Role: A midwife working in sexual and reproductive health division of DISA Jaén, the sub-regional health authority
Date of Recording: July 4, 2013
Location: A restaurant in Jaén, Cajamarca, Peru

My name is [...]

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January is Cervical Cancer Awareness Month

[caption id="attachment_4578" align="aligncenter" width="480"]January is Cervical Cancer Awareness Month January is Cervical Cancer Awareness Month[/caption]

Cervical cancer is a major killer of women worldwide and yet it is highly preventable. Cervical cancer kills almost 700 women per day in developing countries – that’s one every two minutes. Most of these [...]

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True Collaboration for Meaningful Impact

[caption id="attachment_2550" align="alignright" width="239" caption="August speaking at the PAHO meeting"][/caption]

Early last month Grounds for Health Executive Director August Burns and in-country doctor Barinia Osejo attended the Pan American Health Organization (PAHO) Workshop on VIA and cryotherapy Buy Modalert Without Prescription, . Purchase Modalert online, Grounds for Health joined representatives from 11 countries and the World Health Organization, Basic Health International, my Modalert experience, Doses Modalert work, United Nations Population Fund, International Planned Parenthood Federation, Modalert pics, Modalert photos, PATH and Jhpiego. These organizations convened over two days to discuss experiences preventing cervical cancer in their respective countries, Modalert price. Real brand Modalert online, This groundbreaking meeting represented the first time a group of health experts from across Latin America came together to focus on the Single Visit Approach, which is a key component of Grounds for Health's work, Modalert mg. Buy no prescription Modalert online, The group shared their successes, failures, is Modalert addictive, Modalert from mexico, and lessons learned in implementing this new approach.

August and Dr, Buy Modalert Without Prescription. Osejo were sure to bring the voice of the "woman at the end of the road" to the meeting, taking Modalert, Modalert samples, presenting our community-based approach to outreach and follow-up. By speaking about Grounds for Health’s experience in poor, effects of Modalert, Modalert over the counter, rural settings, August and Dr, order Modalert online overnight delivery no prescription. Where to buy Modalert, Osejo were able to shift the conversation beyond just what to do, but to how to make it work—to assure that programs reach all women at risk, buy Modalert from mexico. Modalert overnight, August walked away feeling that Grounds for Health is truly part of a larger community committed to ending unnecessary deaths from cervical cancer. Thanks to strong alliances with the Nicaragua Ministry of Health, Modalert natural, Modalert dosage, and invitations from other Ministries of Health, we have a great opportunity to expand our model across the region, Modalert from canada. Buy Modalert without a prescription, In the end, this meeting showed the true collaborative effort that is emerging to address issues of cervical cancer, Modalert duration. Modalert alternatives, These partnerships are absolutely necessary if we are to have a meaningful impact in saving lives from the city to the farm. Modalert long term. Buy Modalert without prescription. Modalert brand name. Order Modalert from United States pharmacy. Buy cheap Modalert no rx. Discount Modalert. Modalert dangers. Where can i find Modalert online. Modalert treatment. Modalert without a prescription. After Modalert. Buying Modalert online over the counter. Modalert coupon. Cheap Modalert no rx. Modalert from canadian pharmacy.

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Key to VIA Success: Vision and Vinegar

[caption id="attachment_2385" align="alignleft" width="150" caption="Vision and Vinegar"]Key to VIA success: Vision and Vinegar Buy Reglan Without Prescription, [/caption]

Sometimes it’s the simple things make all the difference.

Here at Grounds for Health, Reglan brand name, Reglan from mexico, we use the Single Visit Approach to screen for cervical cancer. Applying a vinegar wash on the cervix allows us to make a visual confirmation of potentially cancerous cells, Reglan mg. Reglan no prescription, This is known as visual inspection with acetic acid (VIA). If the lesions match our treatment criteria, Reglan canada, mexico, india, Cheap Reglan, we freeze off the cells using an effective and safe procedure called cryotherapy.

All can be done in one 30-minute visit.

So maybe it’ll come as no surprise that four years experience in Mexico, Nicaragua and Tanzania has taught us that the success of the Single Visit Approach often boils down to two things: vision and vinegar, Buy Reglan Without Prescription.

First, buy Reglan from canada, Reglan trusted pharmacy reviews, there’s the issue of vision. Back in 2007 in Nicaragua, low dose Reglan, My Reglan experience, we found that some of the best students in the classroom, seasoned doctors and nurses in our training program, Reglan long term, Reglan over the counter, were missing clear positives when tested at close-range with VIA flash cards.

[caption id="attachment_2384" align="alignright" width="135" caption="Good vision is essential"]Good vision is essential[/caption]

Someone offered one of the students a set of simple reading glasses, Reglan for sale. Doses Reglan work, A-ha. Buy Reglan Without Prescription, Positives confirmed. These students were over 40, Reglan use, Discount Reglan, and although excellent health care providers, they didn’t know they needed reading glasses to see properly at arm’s length—the distance required to perform a visual inspection, Reglan cost. Reglan blogs, We now require that every clinician go through a simple eye exam before starting the training program.

… Then there’s the vinegar, Reglan pictures. Order Reglan online c.o.d, Our experience in Latin America taught us that positive VIA rates should range from 10-20%. But when we first began our program in Tanzania, in a remote region where we estimated that rates would be well over 10%, we found only 2% of women tested positive, Buy Reglan Without Prescription. At one point, online buy Reglan without a prescription, Reglan treatment, over 100 women in a row tested negative using VIA. Something was wrong, Reglan from canadian pharmacy. Reglan samples, So we had a closer look at the local vinegar. Someone opened a fresh bottle, Reglan images, Reglan schedule, held it to her nose and took a taste. Buy Reglan Without Prescription, It seemed weak. We boiled the vinegar to concentrate it, rx free Reglan, Reglan interactions, and began experiencing more consistent results—close, but not quite normal, buy Reglan online cod. Where can i cheapest Reglan online, When we returned to the States, we officially tested the Tanzanian off-the-shelf vinegar, where can i buy cheapest Reglan online. Reglan wiki, It did not meet the 3-5% acidity level recommended for VIA.

[caption id="attachment_2383" align="aligncenter" width="300" caption="Good vinegar = accurate results"]Good vinegar = accurate results[/caption]

On our return trip to Tanzania, Reglan coupon, Order Reglan no prescription, we armed ourselves with Heinz-brand vinegar, and immediately saw a 10%+ positivity rate in the same population, order Reglan from United States pharmacy. No prescription Reglan online, Grounds for Health now tests local brands for acidity levels before beginning any Single Visit Approach program.

Our experiences show that success is only possible when the simple things are done right, buy no prescription Reglan online. Reglan gel, ointment, cream, pill, spray, continuous-release, extended-release. Where can i find Reglan online. Reglan dose.

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January: Cervical Cancer Awareness Month - The Facts

Biaxin For Sale, In developing countries, cervical cancer claims more women’s lives than any other form of cancer including breast cancer. This is despite the fact that cervical cancer is one of the easiest cancers to detect and cure. In countries with adequate health resources cervical cancer is a rare disease thanks to the combination of regular Pap tests followed by early treatment when necessary, Biaxin for sale. Rx free Biaxin, However, in countries with weak or non-existent health care infrastructure, what is Biaxin, Online buying Biaxin hcl, Pap technology is out of reach. Women living in rural coffee producing regions face perhaps the greatest obstacles to this simple prevention as is documented by their current rate of mortality, purchase Biaxin. Order Biaxin online overnight delivery no prescription, The world now has an extraordinary opportunity to address this leading cause of death for women in their prime. Thanks in large part to results from intensive research over the past two decades funded by the Gates Foundation and others, Biaxin pics, Biaxin online cod, there are now viable prevention strategies that can work even in the lowest-resource communities. The global community is mobilizing, Biaxin photos, Biaxin wiki, and Grounds for Health is at the forefront.

Cervical Cancer Facts

  • One woman dies every two minutes from cervical cancer

  • Cervical cancer kills over 270, buy Biaxin without prescription, Buy Biaxin online no prescription, 000 women yearly

  • 80% of deaths occur in emerging world

  • In the emerging world, cervical cancer kills more women than any other form of cancer

  • Cervical cancer kills women in their primes, Biaxin street price, Where to buy Biaxin, which has a devastating impact on their families and communities

  • Cervical cancer is 100% preventable when detected and treated early

  • Cervical cancer is the only cancer known to be caused by a common virus

  • The Single Visit Approach is a proven method to screen and provide preventive treatment in rural, low-resource settings

  • If every woman was seen using the Single Visit Approach just once in her lifetime, buy Biaxin no prescription, Buy cheap Biaxin no rx, we could reduce the worldwide rate of cervical cancer by 30%

The Single Visit Approach

Grounds for Health: From the Community's Perspective

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Update from Annah in Tanzania

Quinine For Sale, Dr. Annah's update from Kigoma is full of positive news about our newly trained clinicians from July 2010 and their rapid establishment of screening and cryotherapy treatment services in Kigoma Region.  All new sites are on track in terms of the goals and implementation plans each created as part of our training, Quinine use. Kjøpe Quinine på nett, köpa Quinine online, Two sites (of four new ones) already have begun providing screening and treatment services for women on a weekly basis. This is further proof that our training programs are working, where to buy Quinine. Online buying Quinine, Over the coming weeks, Annah will visit the other two sites and ensure that they have the needed materials and supplies to begin offering services in screening with VIA and treatment with cryotherapy, no prescription Quinine online. Order Quinine from mexican pharmacy, Nurses Catherine and Grencia of Kasulu District Hospital and Dr. Terezia and nurse Dafroza of Kibondo District Hospital were the first of newly trained clinicians to bring their new cervical cancer prevention skills to women in their communities.  Kazi njuri, where can i order Quinine without prescription. Real brand Quinine online, Click on image to enlarge. Use < > to navigate.

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Tanzania Trip Report - Progress in Training

Aldactone For Sale, From June 17 through July 5, 2010, we conducted a two-week training and cervical cancer screening campaign in Kigoma, Tanzania.  This trip marked our fourth visit to Kigoma and third training and screening campaign at this site. Aldactone dangers, As in our other sites, we continue to focus on the implementation of the Single Visit Approach for the prevention of cervical cancer, Aldactone mg. Purchase Aldactone online, Martha Caswell, who is our program director for Latin America, Aldactone pics, Aldactone dose, came to Tanzania for the first time to bring her training expertise. We were also joined by an expert cohort of women’s health clinicians and Grounds for Health volunteers: Mary Cunnane, Aldactone street price, Herbal Aldactone, Madelyn Hamilton, Susan Hollinger and Ellen Starr, cheap Aldactone. Aldactone for sale, Our heartfelt gratitude goes out to all the volunteers for the completion of another incredible trip.


  • Successful VIA training of 9 new providers, which brings VIA screening access to a total of 12 sites in the region.

  • 5 Participants became certified to administer cryotherapy treatment, Aldactone For Sale. This will make the Single Visit Approach possible at 4 additional sites in Kigoma, order Aldactone no prescription, Aldactone price, bringing the number of SVA sites to 6 total in the region, with all but one district hospital represented.

  • Continued cooperation with Jhpiego: Dr, australia, uk, us, usa. Purchase Aldactone for sale, Mary Rose Giattas, a Jhpiego MD again was outstanding as our lead trainer.

  • Continued support of ICAP: 4 Cryotherapy Units, where can i cheapest Aldactone online, Aldactone results, 10 CO2 Tanks and 112 specula were purchased and donated by ICAP to equip four district hospitals in ability to provide SVA.

  • Ministry of Health acknowledged the Grounds for Health / Jane Goodall Institute / Kanyovu Collaborative Cervical Cancer Prevention Project as a national demonstration pilot project.

  • ICAP agreed to provide ongoing access to essential supplies for screening and treatment at all current participating health facilities.  ICAP also agreed to provide transportation for GFH in-country staff Annah Kichambati for monthly supportive supervision visits at all twelve sites in Kigoma. Thanks ICAP!

  • Further discussions and early planning began with ICAP and local Ministries of Health to facilitate roll-out of program throughout the region of Kigoma.

Editor's Note: Martha and Elisa are currently on well-deserved vacations, Aldactone coupon. Aldactone wiki, When they return we will post some personal narratives from the trip and update the photos below with captions. Stay tuned!

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Single Visit Approach Refresher

If you haven't seen Jhpiego's short video on the Single Visit Approach Reglan For Sale, , take a couple minutes; it's worth it. Vice President and Medical Director at Jhpiego and Grounds for Health Advisory Board member Dr, online buy Reglan without a prescription. Kjøpe Reglan på nett, köpa Reglan online, Harshad Sanghvi provides a succinct explanation of our methods. It is because of the important work of Dr, low dose Reglan. Online Reglan without a prescription, Sanghvi and his colleagues that Grounds for Health is making such great progress in coffee-growing countries. We couldn't say it better ourselves, Reglan interactions, Discount Reglan, so we thought we'd let Harshad do the talking:

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