Protecting Women’s Health and Forests: The Link Between Cervical Cancer Prevention and Climate Justice
In Madagascar, where climate shocks severely impact infrastructure and healthcare systems, Health In Harmony is bridging gaps in healthcare access — an urgent need voiced by local communities through Radical Listening.
Climate disasters disrupt essential health services, including sexual and reproductive healthcare, leaving women and girls disproportionately affected. These disruptions often result in increased rates of unintended pregnancies and exacerbate gender inequalities.
Meeting the expressed healthcare needs of women and girls is not only critical for their well-being but also for fostering sustainable livelihoods, empowering decision-making, and strengthening community resilience to the cascading effects of climate change.
In Madagascar, cervical cancer prevention is a pressing health concern. As the most common cancer among women in the country, early detection through screenings is vital, especially since the HPV vaccine remains unavailable. “Cervical cancer affects more young women under 35, so early detection is essential,” explains Dr. Andry Tsirimanana, Health In Harmony’s Medical Coordinator in Madagascar. “Of the women screened around the Manombo rainforest, 10% tested positive. When diagnosed early, cervical cancer can be easily treated, which is why this work is so important.”
Cervical cancer screening and treatment also directly contribute to climate resilience. “When community members are healthy, they can work, support their families, and avoid catastrophic health expenses,” Dr. Tsirimanana notes. “Without these costs, people are less likely to turn to forest extraction for income, helping to protect the environment.”
Solange, a mother of five from Volihava, shared her story:
“If the disease is treated in time, our expenses are reduced, and we can save money for our future.”
Through Health In Harmony’s efforts, 647 women were screened for cervical cancer last year, but currently, within the region screenings are only accessible to those living within the organization’s supported catchment area.
Your generous donations make this critical work possible, enabling accessible healthcare as a vital component of climate justice. Together, we can improve lives, protect forests, and build resilient communities.