A few weeks have passed since our departure from Kisumu, and as I reflect on our experience, I’d like to echo some key insights shared by Kelsey and Sahil in their final reflections.   Our work was characterized by its dynamic and multifaceted nature.  Kelsey emphasized the importance of laying foundational groundwork—an often-overlooked aspect that, though not always immediately visible, is crucial for a project's future success. While urgent and important tasks may appear different, they are equally vital for overall success. Sahil highlighted the necessity of workflow improvements, noting that in resource-constrained situations, adapting our tasks and optimizing workflow are not just helpful but essential. This became evident as we managed limited resources and numerous ongoing tasks. Streamlining workflow was critical to enhancing team efficiency and achieving our goals.   A key project where many of these lessons came to fruition was the U54 initiative, which aimed to screen women for HPV and vaccinate young girls across Siaya County through community health fairs....

We have officially passed our halfway mark here in Kisumu, and time has flown by! Picking right up where Sahil and Kelsey left off in their posts, our work on the Elimisha survey visits has continued to evolve.  From our first visit to our current fifth visit at different facilities, we've observed significant changes.  Starting with the clinics furthest from town, such as Kinasia and Nyakongo, we've gradually moved closer to Kisumu proper through Bunde and Ahero, and now to the Central and West Kisumu districts.  As we've moved closer, we've noticed discernible differences in the facilities and the time it takes for women to complete the surveys.  Women at the more distant facilities faced greater challenges with literacy and digital literacy.  The conditions of the facilities themselves also differ significantly.  This underscores the importance of adapting to the wide range of conditions and contexts that each site presents.  It has been a powerful reminder of the necessity of adaptability in...