Kisumu Nurse Spotlight: Everline Oruko

Kisumu Nurse Spotlight: Everline Oruko

Everline Oruko is a nurse at Migosi sub-County Hospital, one of three sites in Kisumu, Kenya, that offers cervical cancer screening and treatment. As the Nursing Officer in Charge, Everline leads a team of nurses and staff to improve uptake of cervical cancer screening and cryotherapy treatment for those who test positive. Despite many fits and starts, Everline has remained a constant in the effort to reduce cervical cancer among women in Kisumu. Our Kisumu site coordinator, Faith Otewa, sat down with Everline to talk about her job and her commitment to her work in cervical cancer prevention: Everline was first employed by the Ministry of Health at Ahero Health Facility after she graduated in 1993 with a Diploma in Nursing. She further enrolled for certificate courses in Counseling and HIV Testing Services (HTS) because she felt these would make her service delivery better. Everline then became sponsored for a course in counseling supervision because of her commitment at work. Upon...
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South Korea Poses Amendment for Anti-Abortion Law

South Korea has fostered an anti-abortion law for 66 years which names abortion a crime with repercussions of heavy fines and women facing up to a year in jail and doctors facing up to two years. Last Thursday, South Korea’s Constitutional Court ruled this law unconstitutional and concluded that Parliament must revise the law by 2020 or else it will become invalid. There are a few exceptions to the law which allow for abortions under the situations of pregnancy from rape or incest, pregnancy which poses great risk to the mother’s health, or pregnancy that will result in a child with a serious deformity. However, a study does prove that since the law has been enacted, there have been huge amounts of illegal abortions—49,7000 abortions took place in 2017 and an estimated 94% of those were performed illegally. There also seems to be a general shift in trends of what South Koreans think of abortion because a poll shows that...
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Introducing the New mSaada Mobile App for Community Health Volunteers

Introducing the New mSaada Mobile App for Community Health Volunteers

Guest Blog by Catie Grasse Meaning "help" in Swahili, the mobile "saada"  application aims to improve the efficacy and efficiency of community health volunteers screening patients for cervical cancer in Kisumu, Kenya. This project is the extension of a previous project for the Duke class CS408: Delivering Software to Client, which pairs student developers and designers with a client team to build a specialized application. The mSaada developer team is composed of four Duke seniors: Our designer, Rachel Settle is a Computer Science major, Visual Media Studies minor, and pursuing the Information Science certificate. Working on the user experience is Carly Levi, a senior studying Computer Science and Global Health who is particularly interested in women's and reproductive health and hopes to use her background in technology to come up with effective interventions around the world. Focusing on the back-end database design is Catie Grasse, a senior majoring in Computer Science and minoring in Visual Media Studies.  Also working on the...
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Tumaini La Maisha Health Services Organization

Tumaini La Maisha Health Services Organization

This is a non-profit organization that works jointly with Kisumu Hospice Center established at Jaramogi Oginga Odinga Teaching and Referral Hospital (JOOTRH) on cancer projects. Breast, cervical, prostate and esophageal cancers are its focus. The Kisumu Hospice serves the local community and supports a satellite hospice center at the Siaya District Hospital. On average, the hospice aids 50 patients each month. The organization promotes cancer awareness and helps navigation through patient referall by community screening and linkage. The foundation has established an accommodation unit in Nairobi that hosts a total of six patients at a time who have been referred for radiotherapy. It has also established a school in Nyakach (Kisumu County) for vulnerable children and offers support to the school. The organization works with partners like Aga Khan Health Services, JOOTRH and Oncology Department to offer services to cancer patients. The organization takes the lead in participating in national events, organizing medical camps and community outreach programs with an aim to...
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World Cancer Day

World Cancer Day

Yesterday, on February 4th, the world celebrated World Cancer Day. Initiated in February 2000 at the World Summit Against Cancer for the New Millennium in Paris, the event is an initiative of the Union for International Cancer Control. The Paris Charter aims to promote research, prevent cancer and raise awareness. 2019 marks the beginning of the organization's "I Am and I Will" campaign, which will last till 2021 and emphasize each individual's personal commitment to reducing cancer's impact. In concurrence with World Cancer Day, the UN World Health Organization released a statement explaining that incidences of cervical cancer will likely increase by almost 50 percent in 2040. It noted that the number of new cases could be reduced if all girls between the ages of 9 and 14 are vaccinated for HPV. The organization stressed the importance of collaboration between governments, UN agencies and healthcare professionals to preventing increased rates of cervical cancer....
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Plan International Meeting

Plan International Meeting

I met with Plan International on January 17th. Plan International is an independent children’s rights organization committed to supporting vulnerable and marginalized children and their communities. The organization directly works with the community, schools, Ministry of Health, Ministry of Education and County Government. PLAN International works in 18 counties across Kenya: Nairobi, Machakos, Kajiado, Tharaka Nithi, Siaya, Bungoma, Busia, Taita Taveta, Kilifi, Mombasa, Kwale, Vihiga, Kakamega, Kisii, Migori, Homabay, Kisumu and Marsabit. PLAN’S key areas of focus are; Child protection Improving access to basic, quality education and early childhood development Quality healthcare including water, sanitation and hygiene, as well as adolescent and child health Youth employment and economic opportunities Resilience-building through disaster risk management To achieve part of this core activities, PLAN implements an Adolescent Sexual and Reproductive Health Rights (ASRHR) Project in Kisumu County, in the 2 sub-counties Kisumu West and Seme. The project targets children, parents and the community at large to enhance the wellbeing of the youth. The project implements: Training...
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Eradicating Human Diseases: Opportunities and Risks

Eradicating Human Diseases: Opportunities and Risks

The Director of the Center for Global Reproductive Health, Dr. Megan Huchko, participated in a panel on November 28th entitled "Eradicating Human Diseases: Opportunities and Risks." Dr. Gavin Yamey (Director for the Center for Policy Impact in Global Health) moderated the event, which featured Dr. Christopher Plowe (Director of the Duke Global Health Institute), Dr. Lavanya Vasudevan (Assistant Professor in Community and Family Medicine) and Dr. Osondu Ogbuoji (Deputy Director of the Center for Policy Impact in Global Health) as additional panelists. While the panelists disagreed on the definition of eradication, they all commented upon 'donor fatigue' and the economic and political difficulty of completing eradication as cases dwindle. The panel discussed the difficulty global health programs face in second-world countries, which don't benefit from the same economic resources as first-world countries or as many donations as third-world countries. The panelists stressed the importance of continued screenings, especially in the case of cervical cancer, and emphasized the necessity of childhood vaccinations....
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The KCHSSIP 2018-2022 Validation Meeting

The KCHSSIP 2018-2022 Validation Meeting

The KCHSSIP (Kisumu County Health Sector Strategic and Investment Plan) 2018-2022 validation meeting held at the Acacia Hotel on 9th Nov 2018 saw the Kisumu County Health Department and a consortium of partners come together to finalize a plan, which is based on data from county health services over the last 5 years, as well as experiences and lessons learned during implementation of the first strategic plan from 2013 to 2017. The plan attempts to effectively position the County Health Department in the correct contexts of the health system pillars: human resources for health, health technology and infrastructure, pharmaceutical and medical supplies, health governance and leadership, health service delivery, health financing, health information system, health sector policies and context and health sector social outcomes. It also examines county health burdens such as malaria, HIV/AIDS, diarrheal diseases, skin diseases, pneumonia, tuberculosis and other respiratory diseases and non-communicable diseases. The document has gone through a process of stakeholder’s participation and input and is now...
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World Health Organization Releases New App

World Health Organization Releases New App

The World Health Organization has recently launched its new app entitled “Medical Eligibility Criteria For Contraceptive Use.” The purpose of the app is to allow anyone with a smartphone to be able to access recommendations for the best and proper contraceptive methods according to one's medical conditions. The WHO released the fifth edition of the medical eligibility criteria (MEC) in 2015 as a 276 page document as “part of the process for improving the quality of care in family planning” for “guidance on the safety of various contraceptive methods for use in the context of specific health conditions and characteristics.” The app condenses this information into an easily accessible and user-friendly interface. MED takes into account a woman’s medical condition and history in order to note which contraceptive methods would adversely affect the woman and to note if the condition could interfere by making the contraceptive method less effective. It truly emphasizes safety as a priority to promote female reproductive...
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Ovarian Cancer Needs more Attention and Awareness

Ovarian Cancer Needs more Attention and Awareness

Ovarian cancer is the 7th most common cancer in the world. Nearly 300,000 women are predicted to develop ovarian cancer this year and less than half of these women diagnosed are expected to survive after 5 years. However, there is very little awareness of ovarian cancer and its effects. A survey conducted by the World Ovarian Cancer Coalition gathered information from 1,531 women across 44 countries. The women who participated were from high, middle, and low income countries and were asked to answer online questions about their experiences with ovarian cancer. The study points to the fact that over two thirds of women who participated had never even heard of ovarian cancer or knew nothing about it before they were diagnosed. Additionally, less than half of these women attempted to find care or answers for their symptoms within the first month they appeared, and one in every ten women did not seek medical help for 6 months. This data is important...
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