Tuesday, October 27, 2015

PINCC in Nyabondo and Muhoroni, Kenya


We have just completed our work in the small towns of Nyabondo and Muhoroni.  Our trainees have been exceptional -  sharp, adaptable, eager to learn.  By seeing as many patients as they could over the course of a week, they have built solid skills in VIA, a few certifying in cryotherapy and LEEP.  They are warm and kind as they teach their patients the importance of cervical cancer screening or how to do a self breast exam, and they take time to connect with each patient, caring for them as if they were family members.  I am especially impressed by the caliber of our Kenyan nursing colleagues, many of whom bring years of career experience not only diagnosing and treating patients, but simultaneously managing the ward, covering administrative duties, processing labs, and providing outreach and case management.    

Each day, with headlamps donned, we stocked and set up our five clinic rooms, careful to make our few precious linens, instruments, and supplies last.  Women arrived by busload from neighboring villages, sometimes traveling overnight to reach our clinic.  All day they sat and waited patiently to be screened - quiet, stoic, but with enthusiastic eyes.  Each woman was eager to enter our simple, sweltering exam room, for her turn to learn the results about her screening exam.  Some received news that they would need further treatment that day, while a few were found to have advanced cancer.  But I will never forget the relief and excitement of the majority of the women screened who received the much anticipated news that they do not have any signs of cervical cancer.  Many of these women would go on to tell friends, sisters, aunts and coworkers to come for VIA screening for the very first time.  

by  Kimberlee Honda, Family Nurse Practitioner.  This was my first PINCC trip! 

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