Fighting cancer with cell phones: Innovation to save lives in Africa
- A Canada-backed body is sponsoring health innovators to pursue creative ideas
- The goal is to improve access to care in developing countries
- Grants of $100,000 have been given to 68 projects, 38 of which will be implemented in Africa
- Successful projects will be able to apply for funding of up to $1 million
More than 50,000 women die each year of cervical cancer in Africa, according to World Health Organization estimates, as more than 80% of the cases are detected in late stages.
In countries such as Tanzania, where nearly 4,500 women
die annually from the disease, the problem is exacerbated by an acute
shortage of medical experts and a lack of quality screening services,
especially in rural areas.
But now a group of
Canadian and Tanzanian health innovators have joined forces to apply
simple and safe mobile technologies to improve cervical cancer screening
and thus potentially reduce mortality rates in the East African
country.
The idea is to send teams
of two trained non-physician healthcare workers in remote Tanzania to
examine women living several hours away from health centers. The nurses,
who will be equipped with cervical screening and treatment tools as
well as standard smartphones, will take a photograph of the cervix with
their phone and send it via SMS to a medical expert in a specialized
clinic.
Trained doctors will then
be able to review the image immediately and text the diagnosis back to
the health worker, as well as give instructions about treatment.
"That's the beauty of it
-- for early grade cancers, those will be able to be treated right in
the field, right in the rural area," says Dr Karen Yeates, of Queen's University, Ontario, the principal investigator of The Kilimanjaro Cervical Screening Project.
The effectiveness of the
idea will be put to the test in the coming months as Yeates was named
Thursday amongst the 68 innovators to receive $100,000 Canadian grants
to pursue bold concepts for tackling health issues in developing
countries.
In total, some $7
million has been awarded to 51 innovators in 18 low and middle-income
countries, and to 17 Canadian projects, by Grand Challenges Canada,
a group sponsoring breakthrough concepts to improve health in poor
parts of the world. Thirty-eight of these projects will be implemented
in Africa.
"This is probably the
largest pipeline of innovation in global health from the developing
world," says Peter Singer, chief executive of Grand Challenges Canada,
which is funded by the Canadian government. "It shows that poor
countries are very rich in ideas because talent is everywhere,
opportunity is not, and what we are trying to do is to bring opportunity
to talent to improve health."
Poor countries are very rich in ideas because talent is everywhere,
opportunity is not and what we are trying to do is to bring opportunity
to talent to improve health.
Peter Singer, Grand Challenges Canada, CEO
Peter Singer, Grand Challenges Canada, CEO
Amongst the Africa-based projects is a new trading system in Kenya
where researchers will create a barcoded vaccination card that people
can redeem for farm seeds and fertilizer as part of efforts to encourage
vaccination of children.
Benson Wamalwa, of the
University of Nairobi, says the project "would powerfully incentivize
parents to seek and adhere to their children's immunization schedule
even when hard pressed financially to reach a distant vaccination
center. The idea is a practical solution that would significantly boost
small farm productivity and incomes for poor households while
safeguarding the general health of children in farming villages through
up-to-date immunizations."
Other programs include restoring native freshwater prawns
in Senegal to eat the populations of snails that are responsible for
the spreading of the parasitic disease schistosomiasis; paying youth in
Uganda to collect and sort garbage and deliver it to a plant for
conversion to fertilizer and biogas in order to improve sanitation; and
anti-diarrhea kits for children hitching a ride on Coca-Cola's
distribution chain to improve the availability of life-saving drugs.
Grand Challenges Canada says it will repeat its Stars in Global Health
program every six months, funding hundreds of projects over the coming
years. It also plans to work with partners to provide scale-up funding
of up to $1 million to those ideas that are proved to be successful so
that they can have a bigger impact in a more sustainable way.
Singer says that many of
the traditional approaches when it comes to aid have proved to be
inadequate. Instead, he argues, fostering innovation and investing in
the ideas of the people can be an effective exit strategy from poverty.
"There are only two ways
for a country to develop, there's only two sources of wealth in the
world," he says. "Either you mine the ground for resources and minerals,
if you do that in a non-corrupt manner, or you mine the brains of your
citizens for their bold ideas and help them to create social
enterprises, to create businesses that can improve the local conditions
in a broader scale."
He adds: "I do think
that these innovators can help the problems of their community -- in
fact, they are the only thing that can."
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