Pocket Colposcope: Increased Distribution and Adoption (2017-2018)

Cervical cancer affects the lives of 500,000 women worldwide each year, resulting in more than 270,000 deaths annually. Because the majority of cases occur in low-income countries that cannot afford the tools commonly used in the United States, new solutions must be found.

To address this challenge, researchers at Duke’s Global Women’s Health Technologies Center have developed a Pocket (Point-of-Care Tampon) Colposcope to screen for cervical cancer in low-resource settings.

In 2016-2017, the team conducted a global value chain analysis where the identification of specific actions can help increase the likelihood of adoption of the Pocket Colposcope in Peru. The 2017-2018 team focused on the activities involved in launching a community health provider program to implement Pocket colposcopy at the primary care setting.

The team evaluated the best practices for creating a training program for community-level providers and developed a comprehensive and culturally appropriate training manual to be iterated on based on feedback from community health providers working with La Liga Contra el Cancer. The team also conducted preliminary field testing of their training protocols in Lima, Peru, and assessed the impact of the training model on the Peruvian community health providers.

The team produced a training toolkit for Pocket implementation; a promotional video for patient advocacy an awareness in the Peruvian context; a physical platform prototype for demonstrating the Pocket Colposcope; a cost-effective analysis of the device in Peru; and a qualitative stakeholder assessment.

Timing

Summer 2017 – Summer 2018

Team Outcomes

Cervical Cancer Care in Peru: Leveraging the Pocket Colposcope to Reduce Loss to Follow Up (poster by Nimmi Ramanujam, Jose Jeronimo, Megan Huchko, Ernesto Ortiz, Marlee Krieger); Audience Choice Winner at Bass Connections Showcase, April 18, 2018

Mueller J*, Asma B*, Lam C, Krieger M, Asiedu M, Gallagher J, Hariprasad R, Malliga J, Mchome B, Oneko O, Taylor P, Venegas G, Wanyoro A, Muasher L, Schmitt J, Ramanujam N. 2017. "Evaluation of a point of care tampon (POCkeT) colposcope as a screening device for cervical cancer among international physicians." Journal of Lower Genital Tract Disease 21(2):112-119. *Authors contributed equally.

Lam C, Mueller J, Asma B, Asiedu M, Krieger M, Chitalia R, Dahl D, Schmitt J, Ramanujam N. "Integrated strategy for improving durability, contrast, and portability of the POCkeT Colposcope for cervical cancer screening." PLoS one, submitted.

Reflections

Celia Mizelle

Key Findings

Transforming Fear into Empowerment

Promotoras Poderosas

The Fine Line

Final Thoughts and Take-aways

Ryan Fitzgerald: Day 1Day 2Day 3Day 4Day 5

Mobile Screening in Peru

Emily Mason

Ryan Fitzgerald

Video

Bass Connections 2018 - Working on Site in Lima, Peru

This Team in the News

Class of 2019: Learning What It Takes to Take Innovative Health Care Global

Concept to Care Delivery of the Pocket Colposcope: A Unique Ph.D. Experience

Bass Connections Showcase Presents Research Highlights from Durham to Malaysia

Three DGHI Faculty and Students Receive CUGH Awards

Ramanujam, Asiedu Receive the 2018 Velji Award for Global Health

Invented @ Duke

GWHT in Anno Review 2017

The Most Visually Stunning Science Stories of 2017

Cleaning Lab Equipment Leads to a Breakthrough Discovery

Engineering a New Narrative

Duke Celebrates Innovation and Entrepreneurship at the First Annual Invented at Duke Celebration

A New Way to Help Prevent Cervical Cancer, Invented at Duke

Duke Inventors Show How Their Ideas Came to Market

The Speculum Finally Gets a Modern Redesign

See related teams, Pocket Colposcope: Analysis of Bringing Elements of Referral Services to Primary/Community Care (2018-2019) and Pocket Colposcope: Increased Distribution and Adoption (2016-2017).

Fieldwork in Peru

Team Leaders

  • Megan Huchko, School of Medicine-Obstetrics and Gynecology
  • Marlee Krieger, Pratt School of Engineering-Biomedical Engineering
  • Ernesto Ortiz, Duke Global Health Institute
  • Rae Jean Proeschold-Bell, Duke Global Health Institute
  • Nimmi Ramanujam, Pratt School of Engineering-Biomedical Engineering

/graduate Team Members

  • Mercy Asiedu, Biomedical Engineering-PHD, Biomedical Engineering-MS
  • Claire Edelman, Primary Care Leadership-MD
  • Emily Mason, Business Administration-MBA, Health Sector Management

/undergraduate Team Members

  • Kayla Corredera-Wells, African/African Am St (AB), Cultural Anthropology (AB2)
  • Ryan Fitzgerald, Biology (BS), Global Health (AB2)
  • Siera Lunn, Biology (BS)
  • Kiera Lunn, Evolutionary Anthropology (BS)
  • Cecelia Mizelle, Biology (BS)

Theme(s):