Empowering Rural Women: The Fight Against Cervical Cancer in Lesotho
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In the remote,mountainous regions of Lesotho,misconceptions and limited access to healthcare create critically important barriers for women facing cervical cancer. Mabohlokoa Selemele, a 31-year-old “Mentor Mother” wiht mothers2mothers (m2m), is on a mission to change that.Selemele travels to rural communities, armed with essential diagnostic tools and a wealth of knowledge, to educate women about cervical cancer and the importance of early detection.
“Some people in the deep rural areas don’t believe that there is cervical cancer and that it can affect them,” Selemele explains. “some believe it is indeed a myth, and there are a lot of misconceptions that prevent people from seeking medical help.”
Selemele’s work is vital in a country where cervical cancer remains a significant health threat. Lesotho, a landlocked nation in southern Africa, faces unique challenges in addressing the disease, including limited healthcare access, cultural stigmas, and a high prevalence of risk factors such as HIV. Despite these obstacles, organizations like m2m are making strides to ensure women can access lifesaving care.
The Burden of Cervical cancer in Lesotho
Cervical cancer is one of the most preventable and treatable forms of cancer when detected early. However, in Lesotho, the story is different. With over 771,897 women aged 15 and older at risk, the disease claims the lives of 362 women annually. Each year, an estimated 541 women are diagnosed with cervical cancer,highlighting the urgent need for intervention.
Selemele’s daily routine reflects the challenges of her work. she conducts home visits, seeing up to 13 households in a day, and spends time at Mafikeng Hospital, where she interacts with 25 to 30 women daily.Her efforts extend beyond screening; she also educates adolescents about the human papillomavirus (HPV) vaccine, which can prevent cervical cancer.
Breaking Down Barriers
one of the biggest hurdles Selemele faces is overcoming misconceptions about cervical cancer. “it is not easy for people to screen because most say they are healthy and don’t see the need to screen,” she says. “So relationship building is crucial until we get them to a point of screening.”
Lesotho’s mountainous terrain and poor road infrastructure further complicate access to healthcare. Rural women,often isolated and with limited education,are particularly vulnerable. The combination of geographical challenges, low literacy rates, and cultural stigmas leaves many unaware of the benefits of screening and prevention.
A Community-driven Approach
Organizations like m2m are addressing these challenges through a community-driven approach. By employing Mentor Mothers like Selemele, they bring healthcare directly to those who need it most. These community health workers not only provide screenings but also build trust and educate women about the importance of early detection and prevention.
Selemele’s work is a testament to the impact of grassroots efforts. Her dedication to educating and empowering women in Lesotho underscores the importance of addressing cervical cancer at the community level. As she continues her journey, her efforts serve as a beacon of hope for women in rural areas, proving that change is possible even in the most challenging circumstances.
For U.S.readers,the story of Lesotho’s fight against cervical cancer serves as a reminder of the global disparities in healthcare access. While cervical cancer is largely preventable with timely intervention, millions of women worldwide still lack access to the care they need. Initiatives like m2m’s mentor Mothers program highlight the power of community-based solutions in overcoming these barriers.
As the world continues to grapple with health challenges, stories like Selemele’s remind us of the importance of education, collaboration, and unwavering commitment to improving lives.
stories/fast-facts-hpv-cervical-cancer?gad_source=1&gclid=CjwKCAiA9IC6BhA3EiwAsbltOOGG-OfD2NNKPq7Uxbq2Z4kD8VeqFaeKPLch7xnVryWtfV1-qRhtERoCH6oQAvD_BwE”> HPV vaccination.Mentor Mothers have creatively met this challenge, using motorbikes, horses, boats, and even helicopters when available to reach remote communities. “In this line of work,I have learned to value shepherds so much that they have become my best friends. They help us to cross the river with our medical supplies on a pumped [air] mattress. They sometimes walk us along the path so that we feel safe,” Selemele explains.
Mothers2Mothers
Exterior of St Joseph’s Health Center, Koro Koro, Maseru, Lesotho on nov. 6, 2024.
Mothers2Mothers
Maqenehelo Mphunyetsane prepares the necessary equipment for a cervical cancer screening procedure at the St Joseph’s Health Centre in Koro Koro, Maseru, Lesotho, on Nov. 6, 2024.
Mothers2Mothers
Maqenehelo Mphunyetsane presents VIA results to her client regarding a cervical cancer screening at the St Joseph’s Health Centre in Koro Koro, Maseru, Lesotho on Nov. 6, 2024.
Maqenehelo Mphunyetsane, a m2m maternal and child health nurse, highlights another barrier: fear and misinformation. “There are a lot of perceptions on cervical cancer and HPV. Most believe it is indeed due to sexual exposure and bad behavior. Some people believe that screening and testing are only for HIV-positive people. That is where we come in and give the correct information and why it is important to screen and test,” Mphunyetsane adds.
She also notes that demonstrating the instruments used during screenings has been a game-changer. “When we show the people what we use and how we use it, it calms them down. They are now more open to doing the screening and asking questions,” she says.
These innovative strategies and community-centered approaches have led to better cervical cancer prevention and care.
Understanding Cervical Cancer and HPV
Cervical cancer develops in the cells of the cervix, the lower part of the uterus that connects to the vagina. Almost all cases are caused by persistent infections with certain high-risk types of HPV, a common sexually transmitted infection.
While most HPV infections clear up on their own, persistent infections with high-risk types can lead to abnormalities in cervical cells that may develop into cancer over time. While HPV affects both men and women,cervical cancer disproportionately impacts women,particularly those without access to preventative care. “Without regular screening and early detection,” Mphunyetsane says, “many women in lesotho only discover they have cervical cancer when it has reached advanced stages, making treatment more challenging and less effective.”
As of August 2024, Lesotho has made significant strides in preventing cervical cancer, achieving 93% HPV vaccination coverage among girls ages 9 to 14, with more than 139,000 girls vaccinated. This surpasses the 90% target set for the campaign and the 91% coverage achieved in a previous campaign that was halted in 2015.
Maqenehelo Mphunyetsane, a m2m MCH Nurse, prepares the HPV vaccine for girls between the ages of 9 and 14 yrs at the St Joseph’s Health Centre, Koro Koro, Maseru Lesotho, on Nov. 6, 2024.
“We go to schools and make sure those that are eligible for the HPV vaccine get it,” says Mphunyetsane. “There is also still a huge challenge with the learners as they don’t see the need, but with information sharing and highlighting the benefits, more and more learners are open to taking the vaccine.”
mothers2mothers: A Mission of Hope
mothers2mothers (m2m) was established in 2001 in South Africa during the height of the HIV epidemic. At that time, stigma and a lack of knowledge prevented many people from accessing the care they desperately needed.
the organization pioneered a community-based model, employing
Transforming Lives: How mothers2mothers is Revolutionizing Healthcare in Africa
In a groundbreaking initiative that has spanned over two decades, mothers2mothers (m2m) has been at the forefront of transforming healthcare in Africa. Founded with the mission to prevent mother-to-child transmission of HIV, m2m has grown into a extensive health organization, impacting the lives of millions across the continent.
Originally focused on training local women as Mentor Mothers, m2m has evolved into a powerful force in healthcare. These Mentor Mothers, often women living with HIV themselves, work alongside medical professionals to provide essential care, support, and guidance to those affected by the virus. This unique approach has not only ensured that HIV-positive individuals stay on treatment but has also created a network of support that extends far beyond medical care.
Fast forward to 2023, and m2m has achieved a significant milestone: the virtual elimination of HIV transmission from mother to child among its enrolled clients. This remarkable feat was made possible through the tireless efforts of Mentor Mothers and the unwavering support of partners and health facilities across ten African countries. today, m2m’s impact extends to over 16 million pregnant women, new mothers, children, adolescents, and families, with more than 3 million at-risk women and children kept alive thanks to their interventions.
Expanding the Mission: Holistic Healthcare for All
While HIV prevention and treatment remain central to m2m’s mission,the organization has broadened its scope to include a range of holistic healthcare services. This includes screening for non-communicable diseases, tuberculosis, and malaria, as well as addressing cervical cancer—a critical issue in many parts of Africa.
In Lesotho, where m2m first began its operations in 2007, cervical cancer prevention has become a cornerstone of their work. Dr.Leseli Letsatsi, the technical project director for m2m in Lesotho, underscores the importance of their comprehensive approach. “If we can screen for most diseases in one sitting, it will be a win,” she says. “We aim to provide user-pleasant services, and this is where Mentor mothers play a critical role.”
Dr. letsatsi also highlights the challenges of addressing cervical cancer in Lesotho. “Cervical cancer screening is a crucial step in early detection, but access to screening facilities is scarce in the lowlands,” she explains.“We conduct regular vaccination drives in rural schools,targeting girls before they reach an age where they might be exposed to HPV. However, the logistical challenges are considerable: rural schools are often hard to reach, and some communities are spread out over vast distances.”
A Model for Lasting Healthcare
m2m’s model of healthcare delivery is not only innovative but also sustainable. By empowering local women as Mentor Mothers, the organization creates a ripple effect of health and empowerment within communities. These women not only provide essential healthcare services but also serve as role models and advocates for health and well-being.
The organization’s “one-stop shop” approach to health services is particularly impactful for those who struggle to access traditional health facilities. By offering a range of services under one roof, m2m ensures that individuals can receive comprehensive care without the need for multiple visits to different locations.
As m2m continues to expand its reach and impact, the organization remains committed to its core mission: to create a world where no mother or child dies of AIDS. Through education, accessible screening, timely treatment, and dedicated health workers, m2m is not just saving lives—it’s transforming them.
To learn more about the unbelievable work being done by mothers2mothers, visit their website at m2m.org. Together, we can support initiatives that make a real difference in the fight against HIV, cervical cancer, and other health challenges facing communities in Africa.
Global Citizen Festival: A Celebration of Unity and Action
The Global Citizen Festival, a star-studded event aimed at promoting global unity and action, recently concluded with a powerful message of hope and change. Held in New York City, the festival brought together world leaders, activists, and celebrities to address pressing global issues such as poverty, climate change, and inequality.
A Call to Action
The festival, which has become an annual tradition, featured a lineup of renowned artists including Coldplay, Billie Eilish, and Metallica. These performances were not just about entertainment; they served as a backdrop to inspire action and raise awareness about critical global challenges.
“We are here to make a difference,” said Coldplay’s lead singer, Chris Martin. “It’s about coming together and showing that we can create a better world if we all work together.”
Addressing Global Issues
One of the key focuses of this year’s festival was climate change. Activists and leaders emphasized the urgent need for global cooperation to combat this crisis. “The time for action is now,” said environmental activist Greta Thunberg. “We cannot afford to wait any longer.”
In addition to climate change, the festival also highlighted the ongoing fight against poverty and inequality. Speakers and performers alike called for increased funding for education, healthcare, and economic opportunities in developing countries.
Celebrity Support
The event saw a plethora of celebrities using their platforms to advocate for change. Billie Eilish, known for her activism, spoke passionately about the need for youth involvement in global issues. “Young people have the power to make a real difference,” she said. “We need to use that power to create a better future.”
metallica, another headliner, also used their performance to raise awareness about mental health. “It’s critically important to talk about these issues and break the stigma,” said drummer Lars Ulrich.“We all need to support each other.”
A Legacy of Impact
Over the years, the Global Citizen Festival has successfully mobilized millions of people to take action on various global issues. Through campaigns and initiatives, the festival has raised billions of dollars for causes such as education, healthcare, and environmental protection.
“The impact of this festival is undeniable,” said Hugh Evans, CEO of Global Citizen.“Each year, we see more people joining the movement, and that gives us hope for the future.”
Looking Ahead
As the festival wraps up, the focus now shifts to the continued efforts of Global Citizen and its partners. The organization aims to build on the momentum generated by the event and continue pushing for meaningful change on a global scale.
“This is just the beginning,” said Evans.“We will keep fighting for a world where everyone has the chance to thrive.”
the Global Citizen Festival not only provided a platform for advocacy but also reminded the world of the power of unity and collective action. as the movement continues to grow, the hope is that more people will join the cause and work towards a brighter, more equitable future.
Ldplay’s lead singer, Chris Martin, during the festival. “It’s not enough to just enjoy the music; we need to use this platform to push for real change.”
The Global Citizen Festival has become a powerful platform for advocacy, with attendees and viewers encouraged to take action by signing petitions, contacting their representatives, and supporting initiatives aimed at addressing global issues. Over the years, the festival has successfully lobbied for commitments worth billions of dollars towards eradicating poverty, improving access to education, and combating climate change.
Highlighting the Work of mothers2mothers
This year’s festival also shone a spotlight on the incredible work of organizations like mothers2mothers (m2m). The organization’s community-based model and it’s impact on healthcare in Africa were featured prominently during the event, with several speakers and performers highlighting m2m’s achievements in preventing mother-to-child transmission of HIV and expanding its services to address other critical health issues.
“mothers2mothers is a perfect example of how local solutions can have a global impact,” said Hugh Evans, CEO of global Citizen. “By empowering women and communities, m2m is not only saving lives but also creating a lasting model for healthcare that can be replicated across the world.”
The festival’s emphasis on the importance of community-based healthcare resonated with many attendees, who were inspired to learn more about m2m’s work and how thay could support its mission.Through social media campaigns, live interviews, and on-stage presentations, the festival helped to amplify m2m’s message and mobilize support for its initiatives.
A Commitment to Global Health
The Global Citizen Festival’s focus on global health underscores the critical need for continued investment and action in this area. With millions of people still lacking access to essential healthcare services, the work of organizations like m2m is more important than ever.
“We cannot afford to ignore the health challenges facing our world,” said Billie Eilish during her performance. “It’s up to all of us to take action, to support organizations like mothers2mothers, and to ensure that everyone has access to the care they need.”
As the festival concluded, the message was clear: the fight for global health and equality is far from over. But with the continued support of individuals, organizations, and governments, there is hope for a brighter, healthier future for all.
to get involved and support the work of mothers2mothers, visit m2m.org and join the global movement for health and equality. Together, we can make a difference.
