scholarly journals Overview of Cervical Cancer Prevention Services in Khartoum State – December 2018: A Case Study

2021 ◽  
pp. 81-100
Author(s):  
Amira Burhan
Keyword(s):  
Cervical Cancer ◽  
Cancer Prevention ◽  
Service Providers ◽  
Qualitative Interviews ◽  
Cancer Control ◽  
Holistic Approach ◽  
Cervical Cancer Prevention ◽  
Service Research ◽  
Control Programs ◽  
Prevention Services

Background: Although cervical cancer is largely preventable, it continues to be an important cause of morbidity and mortality in Sudan, due to the lack of national control programs. This study aimed to evaluate the availability of cervical cancer prevention services and assess the facility readiness in Khartoum state, as a base for future plans. Methods: This study was an observational, mixed-method, health service research. Purposive sampling method was used to select focal persons to explore the current situation and the available services qualitatively. Observation through standardized checklists of screening and colposcopy centers was conducted, and service providers were interviewed. Thematic analysis and descriptive statistics were used to analyze data. Results: Based on the qualitative interviews, Khartoum Oncology Hospital is the only specialized center providing chemotherapy and radiotherapy services for the state. Although six screening and nine diagnostic centers were surveyed, services were not available in most localities. Reasonable but unutilized resources in the secondary level exist at the time of the study, primary-level efforts to control cervical cancer are uncoordinated and ineffective, with no linked efforts at the community level. Since initiatives to reduce cervical cancer mortality need to adopt a holistic approach to the disease continuum, a comprehensive model was suggested and explained, the gaps and challenges were discussed. Conclusion: Cervical cancer prevention still remains a highly unaddressed need in Sudan. Sustainable financing of robust programs is necessary to achieve elimination. Contextually relevant devices must be selected to improve resource allocation. These results might be useful for the establishment of cervical cancer control in Sudan. Keywords: cervical cancer, screening, health system, developing countries, Sudan

scholarly journals Motivations and experiences of women who accessed “see and treat” cervical cancer prevention services in Zambia

2012 ◽  
Vol 33 (2) ◽  
pp. 91-98 ◽  
Author(s):  
Heather L. White ◽  
Chishimba Mulambia ◽  
Moses Sinkala ◽  
Mulindi H. Mwanahamuntu ◽  
Groesbeck P. Parham ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Prevention ◽  
Cervical Cancer Prevention ◽  
Prevention Services ◽  
Experiences Of Women

scholarly journals Uptake and determinants of cervical cancer prevention services among female college students in Kenya: A cross-sectional survey

2020 ◽  
Author(s):  
Elisha Ngetich ◽  
Irene Nzisa ◽  
Alfred Osoti
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cancer Prevention ◽  
Cervical Cancer Screening ◽  
Cervical Cancer Prevention ◽  
Female College Students ◽  
Cross Sectional ◽  
Prevention Services ◽  
Parametric Data ◽  
Screening Services

AbstractIntroductionCervical cancer is the leading cause of cancer death in women in low- and middle-income countries. In Kenya, cervical cancer incidence and prevalence have been increasing and in 2018 alone, there were 3286 deaths from cervical cancer. Previously, studies on cervical cancer prevention strategies have focused on women above 30 years old. However, as the risk factors for cervical cancer are acquired as early as in the teen years, an understanding of the awareness, uptake and determinants of screening services among college female students will help inform prevention strategies. This study sought to determine the awareness, uptake, determinants and barriers to cervical cancer screening services among colleges students in Kenya.MethodsThis was a multicenter cross-sectional study conducted in eight universities spread all over Kenya. Participants were interviewed using a self-administered structured questionnaire on sociodemographics, reproductive history, awareness on cervical cancer including screening practices, and attitude towards cervical cancer prevention services. Descriptive statistics were summarized using means and standard deviation (SD) for parametric data and median and interquartile range (IQR) for non-parametric data. Univariable and multivariable logistic regression analyses were done to determine odds ratios of factors associated with uptake of cervical cancer screening services. P-value of <0.05 was considered statistically significant.ResultsBetween January 2017 and Sept 2017, we screened 800 and enrolled 600 female colleges students from eight universities in Kenya. In total, 549 of the 600 (92%) participants completed the questionnaire. The median age (IQR) was 21(20,22) years. Nearly two-thirds 338(62.7%) were sexually active, while 54(16%) had concurrent sexual partners. The main form of contraception was oral postcoital emergency pills 123(64.7%). Only 76(14.4%) had screened for cervical cancer, and the commonest approach was a Pap smear 47(61.8%). About one half 40(54.1%) did not like their experience due to pain, discomfort and bleeding. Four out of five participants (439, 80.7%) had poor knowledge on cervical cancer screening. On bivariate analysis, increased level of awareness (odds ratio [OR] 1.08 95% Confidence Interval [CI] 1.03,1.18, p = 0.004), knowledge of someone with cervical cancer(OR 0.43 CI 0.23,0.78 p=0.006) and a perception of self-risk (OR2.6 CI 1.38,4.98 p=0.003) were associated with increased odds of uptake of cervical cancer screening. In the multivariate analysis, high awareness was significantly associated with increased odds of cervical cancer screening (OR 1.12 CI 1.04, 1.20 p=0.002).ConclusionsFemale college students in Kenya had low levels of awareness on cervical cancer and had very low uptake of cervical cancer screening. However, high perception of self-risk and perceived benefit was associated with increased odds of cervical cancer screening.RecommendationsSince female colleges students are generally thought to be more knowledgeable and have better access to information compared to the general population, the low levels of knowledge and uptake of cervical cancer screening, calls for a rethink of strategies that focus on the younger population including those in primary, high school and universities. Such strategies include HPV vaccination and incorporation of cancer prevention in school curriculum.

scholarly journals Implementation of ‘see-and-treat’ cervical cancer prevention services linked to HIV care in Zambia

AIDS ◽  
2009 ◽  
pp. 1 ◽  
Author(s):  
Mulindi H Mwanahamuntu ◽  
Vikrant V Sahasrabuddhe ◽  
Krista S Pfaendler ◽  
Victor Mudenda ◽  
Michael L Hicks ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Prevention ◽  
Cervical Cancer Prevention ◽  
Hiv Care ◽  
Prevention Services

scholarly journals Enhancement of underused cervical cancer prevention services in rural Oaxaca, Mexico

2008 ◽  
Vol 23 (2) ◽  
pp. 135-143 ◽  
Author(s):  
Martha Givaudan ◽  
Iwin Leenen ◽  
Susan Pick ◽  
Andrea Angulo ◽  
Ype H. Poortinga
Keyword(s):  
Cervical Cancer ◽  
Cancer Prevention ◽  
Cervical Cancer Prevention ◽  
Prevention Services

scholarly journals Implementation of cervical cancer prevention services for HIV-infected women in Zambia: measuring program effectiveness

HIV Therapy ◽  
2010 ◽  
Vol 4 (6) ◽  
pp. 713-722 ◽  
Author(s):  
Groesbeck P Parham ◽  
Mulindi H Mwanahamuntu ◽  
Vikrant V Sahasrabuddhe ◽  
Andrew O Westfall ◽  
Kristin E King ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Prevention ◽  
Program Effectiveness ◽  
Cervical Cancer Prevention ◽  
Prevention Services
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