June 22, 2018

A woman in rural Peru wakes up, makes breakfast for the family, preps her children for school, then sets out on her day of work which may consist of household chores, going to the market, preparing food, and even going to work herself.  The act of seeking preventative healthcare, then, can be seen as a time consuming and resource burden. Recognizing these hurdles, the Peruvian NGO, La Liga Contra El Cancer has set out to bring...

June 20, 2018

Today at La Liga we met with a man named Omar who I've been excited to meet with all week, since we first heard about him on Monday. He works within the research department at the organization, using La Liga patient data to study all sorts of things. Today we were specifically interested in using that data to look at patient follow up rates. He told us that forty percent of patients who have positive screening results fail to...

June 20, 2018

Today we visited a health outpost that is a part of the MINSA system and spoke to a midwife there who was very excited about the potential of the Pocket Colposcope. We learned that she currently uses her cell phone to assist her with VIA, showing the patients the images to motivate them to go to their referral appointments, and also sending the image to expert gynecologists to get additional opinions. She envisioned the Pocket...

June 20, 2018

I spent a year working at an orphanage in Honduras before starting med school and today I was reminded of how much I miss my kids there by two sweet little girls I met, one 3 y/o and the other 5 y/o, who were accompanying their mom to one of the mobile clinics.  As I approached the girls’ mom to ask if she would be willing to help fill out a patient survey, I heard the older girl bemoaning the fact that her mom was spending ti...

June 20, 2018

Today, once again, perhaps the most valuable part of the day was a conversation I had in the car. While the traffic and the long drives are huge barriers for women trying to access quality cervical cancer care, they provide great opportunities for insightful conversations with Dr. Jeronimo and others at La Liga. Today in the car I followed up with Dr. Jeronimo on the idea of having both screening and treatment happen in the mo...

June 20, 2018

Today we visited one of the mobile clinics on the outskirts of Lima and I really enjoyed my time interviewing the promoters. Seeing first-hand how passionate they are about their mission to reduce cancer mortality through education and empowerment in the rural communities was inspiring.  All the promotors we met were excited to be interviewed, but we, unfortunately, only had time to sit with a few. I am so excited about the re...

June 20, 2018

Today we drove from the main La Liga clinic, to a mobile clinic site, to the referral clinic where patients would be sent if they tested positive at the mobile clinic. At each of these locations, I learned valuable information and collected important data, but perhaps nothing was more meaningful than what I learned in between these places. The commute between these clinics is worse than I imagined. Venturing all the way to the...

June 20, 2018

We began our first day at La Liga by meeting with Dr. Jerónimo, the clinic manager, two midwives, and two administrators. This meeting went incredibly well and it was exciting to visibly see everyone in the room so interested in the Pocket Colposcope. After we explained our goals, demonstrated the device, and went through our surveys, the people at La Liga started brainstorming some fantastic ideas for how the care paradigm co...

June 20, 2018

It’s a fine line. That is what the manager at La Liga Contra el Cancer in Lima, Peru said about delivering a cervical cancer or even a pre-cancer diagnosis when asked how results are ultimately provided to their patients. The focus of our current project in Peru is to reduce loss to follow up for cervical cancer treatment. We hope to do so by eliminating a step in the treatment pathway via implementation of the Pocket Colposco...

June 20, 2018

  1. Ryan, Marlee, Emily, and I make a great team! We were able to combine and use our individual strengths in a really efficient and effective way throughout the week. Ryan kept us organized/energized, Marlee kept us going/meeting with the right people, Emily kept us thinking about costs/always had good questions, and I kept us understood as the translator/provided medical insight. 

  2. As a general observation, the Pocket wa...

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