Community health worker training in cervical cancer prevention

Promotora training in cervical cancer prevention

Siempre Salud colored logo - cropped 2 2015-08-30Siempre Salud trains community health workers (promotoras)  to perform vaginal speculum exams, apply acetic acid to and then photograph the cervix, the latter to provide documentation of exams. Interpretation of an exam is subjective in nature and performed by the physician who then decides, in the case of a positive result, whether to perform cryotherapy (freezing) immediately or refer the patient to the Siempre Salud clinic for colposcopy (magnified visualization of the cervix) and biopsies. In our experience nearly all positive results qualify for immediate (same-visit) cryotherapy and follow-up visits in three months (to verify that lesions have been satisfactorily eliminated).  This gallery contains photographs of promotora training in cervical cancer prevention in Keiko Sofia during early 2013.

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