|Dr Vuma and Dr Cingonzoh|
As in Harare, there is no hospice building but there is an "at home" palliative care service provided by Island Hospice. We had 4 palliative care nurses who helped run the palliative care session. Thank you to all of them.
The last session of the day is a discussion about community projects. Mater Dei Hospital is about to open a well woman clinic which will be run by Dr Makosa, an obstetrician and gynaecologist. Her presentation urged all health care workers to put into practice the examination of a woman's breasts at any available opportunity. She listed examples that were appropriate times: the time of cervical screening, antenatal visits and any woman admitted to the hospital for a routine procedure.
|Noma taking notes in the discussion session|
Some of the common misconceptions concerning causality included:
1. Money stored in the bra
2. Cell phones carried near the breast
3. Witchcraft: -dreaming of a black cat breast feeding form one of the breasts
-a neighbour casting a spell
As a result, many women will consult a traditional healer before a health practitioner.
Language is a problem: as the disease is often advanced at the time of diagnosis, many women associate the word cancer with death. The word for radiotherapy in Shona is "kupiswa" and in Ndebele is "ukutshiswa". Both words mean "you will be burnt". Understandably, people are reluctant to consider having treatment.
|A huge thanks to Prof Lynne Blackburn, Prof Karen Lasater and Sr Lieske|