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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Peru: Healthy Communities Ready for the Harvest

[caption id="attachment_4733" align="aligncenter" width="480"]Peru staff Kyle (far right) next to in-country coordinator Martha Pineda and three community health promoters in Monterrico[/caption]

In early March, as one of Grounds for Health’s new Program Managers, I made my way to Peru for my first Grounds for Health trip to the field. [...]

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Mexico Trip Report

[caption id="attachment_3237" align="aligncenter" width="480" caption="New trained Trainers proudly display their certificates"]Newly trained Trainers proudly display their certificates Buy Vibramycin Without Prescription, [/caption]

Late last month, Ground for Health staff, including Executive Director August Burns and Program Manager Kayla Moore, traveled to Chiapas, Mexico with the primary goals of developing a six-month work plan to transition full ownership of the cervical cancer prevention program to co-op partners and secondly, to evaluate the success of the project. Vibramycin for sale, Since beginning work in the region, Grounds for Health has trained 53 local healthcare providers and approximately 100 community health promoters on cervical cancer prevention, Vibramycin gel, ointment, cream, pill, spray, continuous-release, extended-release, Vibramycin photos, screened over 5,000 women, Vibramycin class, Vibramycin canada, mexico, india, and provided same-day treatment to over 81% of women testing positive during screen-and-treat campaigns in Chiapas.

During this last trip, herbal Vibramycin, Vibramycin overnight, after various meetings and interviews with co-op leadership and members, we came away with some encouraging findings:


  • Our projects have led to increased awareness of cervical cancer among co-op members and a heightened importance of screening

  • Co-op leadership now recognizes cervical cancer prevention as an essential service for ensuring the well-being of their members and that it has a positive impact on the financial success of the co-op

  • Training of community health promoters contributed to the recognition of women as leaders in a number of communities, order Vibramycin from mexican pharmacy. Vibramycin duration, After becoming Community Health Promoters, some women were elected as delegates to represent their community’s interest in the co-op.


We also received great feedback that while the program has been far-reaching, where to buy Vibramycin, Online buying Vibramycin hcl,   there are still some women who have not accessed services. Reasons include shame, Vibramycin from canada, Where can i buy Vibramycin online, fear of a positive result, their husbands prohibit it, Vibramycin dosage, Vibramycin mg, or other cultural beliefs. The co-ops believe other strategies could be employed for outreach in these mostly indigenous communities, such as conducting talks with the men, repeat visits, and one-on-one talks that directly address the woman’s fears, Buy Vibramycin Without Prescription. There are also women in very remote areas that have not been reached because of their location, Vibramycin long term. Purchase Vibramycin online no prescription, Grounds for Health and our in-country staff will continue to monitor and evaluate the program to make sure the co-ops can assume complete ownership by a projected Fall 2012 handover. A few of the activities planned for the next six months include:

  • Two mini-campaigns in Siltepec, online buying Vibramycin, Order Vibramycin from United States pharmacy, a particularly remote region with a large unscreened population

  • Training for additional doctors and nurses to be conducted by newly trained local trainers

  • Radio spots and talks with Dra. Lupita to correct misinformation about cervical cancer prevention and treatment

  • Additional community health promoter trainings and community outreach and education

  • Developing tools to improve and assess the effectiveness of community outreach activities


 

[caption id="attachment_3240" align="alignnone" width="480" caption="Women waiting to be screen, Vibramycin brand name, Where can i buy cheapest Vibramycin online, many for the first time"]Women waiting to be screen, <b>Vibramycin over the counter</b>, <b>Real brand Vibramycin online</b>, many for the first time[/caption]

 

[caption id="attachment_3242" align="alignleft" width="230" caption="Not a bad classroom"]Not a bad classroom[/caption]

[caption id="attachment_3241" align="alignleft" width="230" caption="Small groups hard at work"]Small groups hard at work[/caption]

 

[caption id="attachment_3243" align="alignnone" width="480" caption="Silvia, Manuel, Vibramycin without a prescription, Order Vibramycin no prescription, Lupita and Kayla on the patio at CESMACH after the training of trainers"]Silvia, Manuel, <b>Vibramycin from canadian pharmacy</b>, <b>Order Vibramycin online c.o.d</b>, Lupita and Kayla on the patio at CESMACH after the training of trainers[/caption]

 

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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,

Highlights:



  • 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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