scholarly journals Iterative Development of a Mobile Phone Application to Support Community Health Volunteers during Cervical Cancer Screening in Western Kenya: Qualitative Study (Preprint)

10.2196/27501 ◽  
2021 ◽  
Author(s):  
Jacob Stocks ◽  
Yujung Choi ◽  
Ibrahim Saduma ◽  
Megan Huchko
2021 ◽  
Author(s):  
Jacob Stocks ◽  
Ibrahim Saduma ◽  
Lawrence Park ◽  
Megan Huchko

BACKGROUND Mobile phone ownership among women of reproductive age in western Kenya is not well-described and our understanding of its link with care-seeking behaviors is nascent. Understanding access to and use of mobile phones among this population, as well as willingness to take part in mhealth interventions, is important in improving and more effectively implementing mhealth strategies. OBJECTIVE We sought to describe patterns of mobile phone ownership and use among women attending cervical cancer screening, as well as to identify key considerations for the use of SMS-guided linkage to treatment strategies. METHODS This analysis was nested within a two-phase cluster-randomized trial evaluating varying strategies for HPV-based cervical cancer screening and prevention in a rural area of western Kenya. 3,299 women were surveyed at the time of screening and treatment. Questionnaires included items detailing demographics, health history, prior care-seeking behaviors, and patterns of mobile phone ownership and use. RESULTS Rates of mobile phone ownership and reported daily usage were high among women. The majority of women were comfortable receiving their screening results via SMS text message, although the most commonly preferred method of notification was via phone call. Higher levels of education, missing work to attend screening, and previous cervical cancer screening were significantly associated with a higher odds of attending treatment if hrHPV+. Those who shared a mobile phone were significantly less likely to attend treatment compared to those who owned a phone. CONCLUSIONS While rates of mobile phone ownership and daily use among women of reproductive age in western Kenya are high, there is a need for multi-pronged approaches to augment mhealth interventions to ensure equity for women without mobile connectivity or mobile phone access. Further research is needed in order to understand the usefulness of text-based interventions among this population as well as strategies to increase reach and appeal of text approaches.


2021 ◽  
Vol 9 (10) ◽  
pp. 632-638
Author(s):  
Gregory Okonya Sakwa ◽  
◽  
Peter Bukhala ◽  
Zachary Kwena ◽  
Mary Kipmerewo ◽  
...  

Main objective was to describehealth facility and human resource related factors supporting uptake of cervical cancer screening in Kakamega County.Design; descriptive cross-sectional study adopting quantitative methods. Setting; Kakamega County within 16 community units in 8 sub counties.Sampling;multistage sampling was used to sample 48 community health volunteers and 16 health facilities.Interviewer administered questionnaire was used to collect data from Community Health Volunteers and the heads of link health facilities.Validity and reliability of questionnaire was ensured through expert review.Analysiswasby use of descriptive statistics. Results;Majority of participants were female (91.7%) aged between 30-50 years (75%), with primary level of education(47%) and had worked for more than five years as Community Health Volunteers (60%). More than 95% ofCommunity Health Volunteers visited clients’ homeson monthly schedule(77%).Regarding cervical cancer screening,60% of Community Health Volunteers agreed that they were involved in referring women for cervical cancer screening.Almost all(92%)of Community Health Volunteers had not been trained on aspects of cervical cancer screening. Further, 94% of Community Health Volunteers confirmed that cervical cancer screening was part of the health education package they discuss with women. Approximately 81% of health facilities were health centers and offeredcervical cancer screening services weekly (75%).Conclusion;Health facilities offer cervical cancer screening adequately. Community Health Volunteers have established network to reach women but lack capacity to sensitize women on cervical cancer screening. Recommendation: Community Health Volunteersshould be empowered to mobilize women for cervical cancer screening.


2005 ◽  
Vol 61 (12) ◽  
pp. 2528-2535 ◽  
Author(s):  
Milica Markovic ◽  
Vesna Kesic ◽  
Lidija Topic ◽  
Bojana Matejic

PLoS ONE ◽  
2016 ◽  
Vol 11 (6) ◽  
pp. e0157217 ◽  
Author(s):  
Elkanah Omenge Orang’o ◽  
Juddy Wachira ◽  
Fredrick Chite Asirwa ◽  
Naftali Busakhala ◽  
Violet Naanyu ◽  
...  

2018 ◽  
Vol 3 (1) ◽  
pp. 184
Author(s):  
Meta Rikandi ◽  
Nova Rita

<p><em>Based on cancer data in 13 laboratory pathology centers, cervical cancer is a type of cancer that has the largest number of patients in Indonesia, which is as many as 36% of patients. Data from Lubuk Buaya Community Health Center were obtained that performed IVA examination as many as 50 people (0,4%) from 14,199 target. This study aims to determine factors related to visual inspection of Acetic Acid on Women of Infertile Age in the Work Area of Lubuk Buaya Community Health Center in 2017. The study employed the survey deskriptif analitik ,the data analis used chi squre, population is 384 people fertile age women, the research sampel were 384 stratified random sampling. The result showed that 60.9% of women of childbearing age had never done cervical cancer early testing by IVA method, 45.6% knowledge was low, 50% negative attitude, 77,9% did not get husband support, 38,8% did not get health promotion . There was a significant relationship between knowledge (P = 0,000), attitude (P = 0,000), husband support (P = 0,000), promotion (P = 0,000) health with early cervical cancer screening by IVA method. Lubuk Buaya Community Health Center and local officers should pay more attention to the success of early cervical cancer screening program IVA method with the formation of cadres in each Urban Village so that the information can be given thoroughly.</em></p><p> </p><p>Berdasarkan data kanker di 13 pusat laboratorium patologi, kanker serviks merupakan jenis kanker yang memiliki jumlah penderita terbanyak di Indonesia, yaitu sebanyak 36% penderita. Data dari Puskesmas Lubuk Buaya didapatkan yang melakukan pemeriksaan IVA sebanyak 50 orang (0,4%) dari 14.199 sasaran. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan pemeriksaan Inspeksi Visual Asam Asetat pada Wanita Usia Subur di Wilayah Kerja Puskesmas Lubuk Buaya tahun 2017. Metode yang digunakan <em>deskriptif analitik</em> dengan analisis data <em>chi square</em>, populasi adalah wanita usia subur yang berjumlah 384 orang. Pengambilan sampel yaitu stratified random sampling sebanyak 384. Teknik pengumpulan data dilakukan dengan wawancara kepada pasien dengan menggunakan kuesioner. Analisis data yang digunakan yaitu univariat dan bivariat. Hasil Penelitian didapatkan 60,9% wanita usia subur belum pernah melakukan pemeriksaan dini kanker serviks dengan metode IVA, 45,6% pengetahuan rendah, 50% sikap negatif, 77,9% tidak mendapat dukungan suami, 38,8% tidak mendapat promosi kesehatan. Ada hubungan yang bermakna antara pengetahuan(P=0,000 ), sikap(P=0,000), dukungan suami(P=0,000), promosi (P=0,000) kesehatan dengan pemeriksaan dini kanker serviks dengan  metode IVA. Pihak Puskesmas Lubuk Buaya Padang serta petugas setempat harus lebih memperhatikan keberhasilan program pemeriksaan dini kanker serviks metode IVA dengan adanya pembentukkan kader pada setiap kelurahan sehingga pemberian informasi dapat diberikan secara menyuluruh.</p>


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