But now he and other public health doctors are testing a simple one-visit procedure that could save many of the thousands of women, most in the third world, who die each year of the disease.
The procedure is particularly promising, the doctors say, because it can be done with relatively simple equipment in one visit.
When asked if it would not be simpler to do a one-on-one visit between a VHT and someone from each of the households, as that would be much friendlier than a group of five people coming in at once, Tito replied: People in this community are hard and they do not want to be advised.
The question on everyone's lips was "How did you get Michelle Obama to visit your program?" The answer is simple: one of our students asked.
This treatment is defined as: 'non-surgical treatment involving scaling, polishing, and simple periodontal treatment including oral hygiene instruction, requiring only one visit'.
One visit coincides with game season, and the simple genius of plonking a sensibly hung grey-legged partridge on top of St John sourdough toast so the gamey juices soak into the bread.
