Cervical cancer is a detectable and treatable disease. In Nicaragua, the cervical cancer mortality rate is 18.3 deaths per 100,000 women, which is highest rate in all of the Americas. More than 40% of the Nicaraguan population lives in rural areas and receives health care from mobile clinics. Currently, mobile clinicians reach rural villages by foot or horseback and are limited in the equipment they can carry. As a result, gynecological exams are performed on makeshift surfaces rather than sterile, standard tables. This system compromises cervical cancer screening accuracy, creates discomfort for clinicians and patients, and limits exam efficiency. These makeshift surfaces also introduce risks for the patient by increasing the likelihood of false negatives. Project MESA aims to alleviate the risks of rural exam environments by introducing a portable gynecological exam table. The table provides an accurate, sterile, and comfortable environment for general examinations and cervical cancer diagnosis. We aim to increase the overall cervical cancer screening rate for rural women and transform the way maternal healthcare operates in rural, developing areas. Our current design is lightweight and collapsible. The table can be carried like a backpack. It is constructed form metals and fabrics that are durable and sanitizable. To cater specifically to gynecological exams, our design has adjustable stirrups that properly position the patient and increase access to the pelvic region. We are currently finalizing our pilot launch plan, distribution channels, and manufacturing partnerships. Within the year, we hope to officially launch our product and deliver tables to clinics in need.