scholarly journals Awareness and Knowledge About Screening Tests for Cervical Cancer in Patient Attending Obstetrics and Gynaecology Out Patient Department at a Tertiary Care Hospital in Lalitpur

2018 ◽  
Vol 17 (2) ◽  
pp. 12-18
Author(s):  
Meenu Maharjan ◽  
Heera Tuladhar

Introduction: Cervical cancer is the leading cause of cancer deaths for women worldwide. Early diagnosis of cervical cancer may be done by a simple and cost effective technique of Pap smear. The morbidity and mortality could be significantly reduced with an active cervical cancer screening programme.Methods: A cross sectional interview based study was done among 200 patients attending Obstetrics and Gynaecology OPD of one of the tertiary care hospital at Lalitpur, to assess the knowledge and awareness of patient regarding screening methods of cervical cancer and its prevention and early detection. Results: Among all the participants, 76.5% (n-153) were literate and 23.5% (n-47) were illiterate. Only 41% had heard about the Pap test and only 1% had heard about other methods of screening test like VIA(Visual Inspection with Acetic acid). Only 16% think that infection of the genital tract and 12.5% think that multiple partners is the leading cause of cervical cancer. Among them 51% (n-102) think that regular screening will prevent cervical cancer. But only 22.5% (45) had done Pap smear once and 67% did not know the risk factor of cervical cancer.  Only 7% had heard of HPV vaccination but did not know  details about it.Conclusions: There is very low level of knowledge about cervical cancer, Pap smear and HPV among the participants attending Obstetrics and Gynaecology OPD. For using Pap smear as a preventive method for cervical cancer, it is necessary to inform women about cervical cancer and the Pap smear test. An aggressive campaign with in depth teaching about cervical cancer by media and health care providers is mandatory. 

Author(s):  
Bhabani Pegu ◽  
Niharika Dhiman ◽  
Jaya Chaturvedi ◽  
Suresh K. Sharma

Background: Cervical cancer is one of the commonest cancers among women which cause morbidity and mortality worldwide. Though, it is a preventable disease, most of the women with cervical cancer present in advanced stage due to lack of knowledge about the disease and screening among general population. The objective was to assess the level of knowledge and explore attitude towards cervical cancer screening among female nursing staff.Methods: A cross sectional, questionnaire based study was conducted on 34 female nursing staff in a tertiary care hospital of Uttarakhand, India in the month of January 2015. With the help of predesigned questionnaire, information was collected regarding demographic profile, knowledge about cervical cancer and attitude towards screening techniques.Results: In this study, 79% of the respondents had knowledge about screening methods for cervical cancer and 91% had knowledge about HPV vaccine. Though 82% of them were aware of pap smear and 89% had good attitude towards it, 85.29% respondent knew about colposcopy as one of the screening technique for cervical cancer. None of the respondent had undergone a pap smear themselves.Conclusions: The study showed that, female nursing staff had average knowledge and positive attitude towards cervical cancer screening. They were not aware of the routine screening guidelines and had limited understanding of different types of cervical cancer screening techniques. Hence, it is recommended that routine training should be given on regular basis to all the health care providers.


Author(s):  
Shazia Zargar ◽  
Nikita Gandotra

Background: The uncontrolled wave of cesarean rates has increased globally which has resulted in a significant amount of maternal mortality and morbidity. The present study aims to evaluate the trend in cesarean section rates in Jammu, India. Methods: The present retrospective study was carried out at the department of Obstetrics and Gynecology, SMGS Hospital, Jammu, India. We collected data based on total number of deliveries and cesarean sections performed at the hospital during (March2015-Feb2020) along with indications for CS.Results: The percentage of cesarean sections has increased drastically from 39.4% during (2015-16) to 49.9% in (2019-20). The study shows that the most common indication for CS is post CS followed by NPOL, Fetal distress, breech, APH, CPD, PIH and others.Conclusions: There is a growing concern among public and health care providers regarding the escalating and uncontrolled trend of cesarean sections which needs to be curtailed within optimal limits recommended by WHO. 


Author(s):  
Suneeta Dubey ◽  
VK Tadia ◽  
Monalisa LNU

ABSTRACT Accreditation is an integral part of quality and it is not a onetime process. This study was done to know the extent to which hospitals maintain the standards after obtaining accreditation. This study tries to find out the gaps in standards during the postaccreditation period. The objective of the study was to assess the policies of the intensive care unit (ICU) with reference to standard protocols of the National Accreditation Board for Hospital and Health Care Providers (NABH) and measures taken by the management to maintain the standards. Data was collected from a 285-bedded NABH-accredited hospital that had five ICUs and four recovery rooms by means of nonparticipant observation, semistructured interviews. Data on indicators was collected by using the hospital management information system; the questionnaire on satisfaction was filled by 30 patients/relatives who were admitted in the ICU for more than a week. Quality team was interviewed to know the perception of the management toward quality and accreditation. To know the compliance of the staff to the NABH standards, a surprise check was done in three ICUs of the hospital. Data analysis showed that the organization was not able to maintain the standards, as it had done at the time of accreditation. The quality team strongly accepted that accreditation helps in maintaining and improving quality, whereas the data from ICUs showed a wide variation in compliance. Three ICUs from the same hospital were having different compliance rates for standards, which shows that staff was not aware about the standard protocol to be followed. The patient-satisfaction questionnaire also showed that the patients were not satisfied with the services given. How to cite this article Tadia VK, Monalisa, Dubey S. Accreditation is not a One-time Process: Quality Assessment of Intensive Care Unit during Post-NABH Accreditation Period in a Tertiary Care Hospital. Int J Res Foundation Hosp Healthc Adm 2017;5(1):29-41.


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