A central aspect of our work improving health in rural Guatemala is prevention.

That means not only providing access to life-saving screenings, but also offering culturally relevant education and follow-up care so that patients have the information and ongoing support they need to respond to health concerns that otherwise can be frightening and overwhelming.

Confusion and worry kept Doña Mayra from receiving treatment for cervical cancer for years before we encountered her at a community information session. Doña Mayra, a weaver and mother of five, had her first test for cervical cancer, a Pap test, as part of a government program that provided financial support for her children. She was ashamed and afraid to undergo the test and did not understand its purpose, but it was required for participation in the program. Weeks later, she learned that her test showed potentially cancerous cells. But she felt fine and did not believe there was reason for concern.

Eventually, she consulted a private doctor, who confirmed the results and recommended surgery. She was still doubtful and uncertain about the test and its meaning. In the meantime, she became pregnant and the option of surgery was off the table.