scholarly journals Knowledge and Awareness About Risk Factors of Cervical Cancer, Its Screening and Vaccination Among the Women Attending Chittagong Medical College Hospital

2015 ◽  
Vol 14 (2) ◽  
pp. 57-60
Author(s):  
Fahmida Shirin Papri ◽  
Zubaida Khanam ◽  
Fahmida Islam ◽  
Md Monjurul Hakim

Cervical cancer is one of the leading causes of morbidity and mortality amongst the gynaecological cancer in Bangladesh.This study was carried out to assess the knowledge of cervical cancer, awareness of the women towards the cervical cancer screening program and its vaccination in Bangladesh. A cross- sectional interview based study was conducted using a self administered questionnaire between January 1 ,2013 and June 31, 2013 on 508 respondents. Convenience sampling was applied among the women attending at Gynae Out Patient Department (GOPD) of Chittagong Medical College Hospital for VIA (Visual Inspection with Acetic Acid) test. Of the 508 respondents only 211(41.54%) told that they had idea about cervical cancer, while only 114 (22.44%) knew that VIA is the screening test for cervical cancer.A total of 390 (76.77%) respondents did not know any cause of cervical cancer.Most of the respondents (80%) came for VIA due to doctor’s advice.After doing VIA among 229 respondents, 149 (65.07%) told that they had been counseled for the next follow - up by the health professionals and 118 (51.52%) were ready for routine periodic screening.Majority (85.88%) of the respondents were absolutely ignorant about the vaccine of cervical cancer. Age and marital status did not influence their knowledge but the level of education and occupation was found to positively influence their knowledge of cervical cancer and their acceptance of the screening test.This study highlights that majority of women in Bangladesh are not adequately equipped with knowledge concerning cervical cancer. Adequate health information and counseling on cervical cancer and regular screening test need to be emphasized in our country.Chatt Maa Shi Hosp Med Coll J; Vol.14 (2); Jul 2015; Page 57-60

2019 ◽  
Vol 33 (1) ◽  
pp. 11-16
Author(s):  
Mst Moonmoon Begum ◽  
Ferdousi Sultana ◽  
Hasina Ferdousy

Background: Prevention of cervical cancer is the easiest with regular screening tests and follow up. CIN is a pre-malignant condition, detection of which is possible by VIA and colposcopy. Objective: To identify the performance of Cervical Cancer Screening Program in Rangpur Medical College Hospital through 11 Years. Methods and materials: Apparently healthy, married or sexually active women (>10 years) and women aged >30 years attending Gynae OPD were included in this study. After counseling and informed consent a speculum examination was performed for direct visualization of cervix to identify the squamo-columner junction. Freshly prepared 5% acetic acid was applied to the cervix for one minute. All the VIA positive women were further evaluated by colposcopy. Women with negative VIA were advised for 3 yearly VIA test. Suspected CIN cases were evaluated by colposcopy guided punch biopsy or LEEP biopsy and histopathology. Results: VIA screening was provided for 11,792 women from August 2005 to August 2016 and 932 (7.9%) were positive VIA. From November 2007 to August 2016, total women underwent colposcopy were 1548. Among them 632 (40.8%) were normal, out of abnormal cases 730 (80.3%) were CIN-1, 147 (16.1%) were CIN-2, 14 (1.5%) were CIN-3, 17 (1.8%) were invasive and 8 (0.5%) were unsatisfactory. From November 2007 to August 2016 punch biopsy was taken in 384 women and total 568 women were treated by LEEP. Conclusion: In a low resource setting like Bangladesh VIA and colposcopy can detect 80% pre-invasive cervical lesion and may be one of the most important tool to prevent cervical cancer and its mortality. Bangladesh J Obstet Gynaecol, 2018; Vol. 33(1) : 11-16


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Rozhin Amin ◽  
Ali-Asghar Kolahi ◽  
Nader Jahanmehr ◽  
Ali-Reza Abadi ◽  
Mohammad-Reza Sohrabi

Abstract Background One of the most important concerns in every healthcare system is the elimination of disparities in health service utilization and achievement of health equity. This study aimed to investigate the disparities in cervical cancer screening participation in Iran. Methods A cross-sectional study was conducted using data from the National Non-Communicable Risk Factors Survey in 2016 (STEPs 2016). Data on cervical cancer screening in addition to demographic and socio-economic factors from 15,975 women aged 18 and above were analyzed. The distribution of surveyed women with regard to cervical cancer screening practice was described. Chi square and logistic regression were used to assess the association of demographic and socio-economic factors with cervical cancer screening participation. Results Overall, 52.1% of women aged 30–59 years, had undergone cervical cancer screening at least once in their lifetime. Participation rate in cervical cancer screening programs varied between provinces; ranging from 7.6% in Sistan and Baluchestan to 61.2% in Isfahan. Single marital status, illiteracy, being employed, and having no insurance coverage were associated with lower participation. Age and area of residence were insignificant predictors for participating in cervical cancer screening program. Analysis of the cervical cancer uptake rates across the socio-economic levels revealed that the service is less utilised by high income groups. Conclusions Participation in cervical cancer screening program in Iran is not optimal and could be improved. With regard to the distribution of cervical cancer screening practice, social and geographical disparities indicate the need for further research and more comprehensive strategies in order to reduce them.


2020 ◽  
Author(s):  
Rozhin Amin ◽  
Ali-Asghar Kolahi ◽  
Nader Jahanmehr ◽  
Ali-Reza Abadi ◽  
Mohammad-Reza Sohrabi

Abstract Background: One of the most important concerns in every healthcare system is the elimination of disparities in health service utilization and achievement of health equity. This study aims to investigate the disparities in cervical cancer screening participation in Iran.Methods: A cross-sectional study was conducted using data from the National Non-Communicable Risk Factors Survey in 2016 (STEPs 2016). Data on cervical cancer screening in addition to demographic and socio-economic factors from 15975 women aged 18 and above were analyzed. The distribution of surveyed women with regard to cervical cancer screening practice was described. Chi Square and logistic regression were used to assess the association of demographic and socio-economic factors with cervical cancer screening participation.Results: Overall, 52.1% of women aged 30-59 years, had undergone cervical cancer screening at least once in their lifetime. Participation rate in cervical cancer screening programs varied between provinces; ranging from 7.6% in Sistan and Baluchestan to 61.2% in Isfahan. Single marital status, illiteracy, being employed, and having no insurance coverage were associated with lower participation. Age and area of residence were insignificant predictors for participating in cervical cancer screening program. Analysis of the cervical cancer uptake rates across the socio-economic levels revealed that the service is less utilised by high income groups.Conclusions: Participation in cervical cancer screening program in Iran is not optimal and could be improved. With regard to the distribution of cervical cancer screening practice, social and geographical disparities indicate the need for further research and more comprehensive strategies in order to reduce them.


2014 ◽  
Vol 30 (1) ◽  
pp. 25-28
Author(s):  
Nasreen Banu ◽  
Jannatul Ferdoush ◽  
Tahera Begum

Bangladesh is overburdened with cervical cancer. In each year 13,000 new cases enter in this series. Visual inspection of cervix with acetic acid (VIA) is adopted as national cervical cancer (ca cx) screening program, in Bangladesh. Positive VIA, abnormal cytology, positive HPV or suspicious looking cervices are referred for secondary screening (Colposcopy). Chittagong Medical College Hospital (CMCH) acts as a primary screening and secondary referral center. With the aim to identify the weakness of present ca cx screening system one year (April 2013 to March 2014) records were evaluated. A total 1853 VIA & 714 colposcopy cases were analyzed from records of CMCH, Bangladesh. The age of population range from 16 -71 years and most were between 30-49 years. In primary screening VIA +ve cases were 6% (n=120). After secondary screening 43.69% (n=312) were identified as abnormal; among those precancerous lesion (CIN) 37.82% (n= 270); ca cx 1.54% (n=11); suspicious 4.34% (n=31). Histopathology proven CIN 12.04% (n=86) & ca cx 2.10% (n=15). Cases received treatment (LEEP) were only 09.38% (n=67). Finally among total population, 56.30% (n=402) were declared normal, 14.15% (n=101) had definite pathology and 29.55% (n=211) remained undetermined (as they failed to re-produce their histology report at the final step of secondary screening). This study found a bottleneck caused by present service delivery systems; lack of prompt referring and re-reporting to primary center within a schedule time (after receiving management) and lack of recall system both from primary and secondary screening center. To make the program successful have to have schedule for re-reporting and recalling.DOI: http://dx.doi.org/10.3329/bjpp.v30i1.20790 Bangladesh J Physiol Pharmacol 2014; 30(1):25-28


2020 ◽  
Vol 73 (suppl 6) ◽  
Author(s):  
Jamile Mika Yoshikawa Kurebayashi ◽  
Márcia Barbieri ◽  
Maria Cristina Gabrielloni

ABSTRACT Objectives: to analyze the screening for cervical cell atypias in women assisted in Primary Care. Methods: quantitative, retrospective and cross-sectional study, with analysis of 190 medical records of women who had atypical results from the cervical cytopathological exam collection from 2012 to 2014. Results: the most frequent atypias found were possibly Non-neoplastic squamous (ASC-US, 57.4%) and Low-grade intraepithelial lesion (LSIL, 23.2%). The time elapsed between the exam and the result was 24 days. The professional’s conduct after the result of the last cervical cytopathology was adequate for 51.1% of women. Conclusions: there is a need to improve the cervical cancer screening program and correctly target the atypia identified, aiming at the access of the target population for the diagnostic investigation and treatment of precursor lesions of cervical cancer.


1970 ◽  
Vol 19 (2) ◽  
pp. 98-101 ◽  
Author(s):  
R Khanom ◽  
DK Saha ◽  
K Begum ◽  
J Nur ◽  
S Tanira

Objective: This study aims to describe main perpetrator of violence area and prevention of violence against women. Study design: A cross sectional study was carried out in One-stop Crisis Centre (OCC) of Dhaka Medical College Hospital, Dhaka, Bangladesh during the period of June 2006 to May 2007. Methods: 284 victims reported in OCC during the study period were selected as cases for the study and quantitative information was collected from them using cross sectional for the present study. Results: Study shows that most of the violence is done by husband (46.48%) and prevalence is more in rural areas (80.98%) in comparison to urban area (19.02%). Physical assault is the most common type of violence (50.35%), followed by sexual assault (36.63%) and burn (13.02%) Housewives are tortured more (67%). Conclusion: Proper implementation of existing rules and community based interventions for raising awareness about the domestic violence against women are recommended. Key words: Violence against women; assault; human rights; one-stop crisis centre (OCC); Bangladesh. DOI: 10.3329/jdmc.v19i2.7077J Dhaka Med Coll. 2010; 19(2) : 98-101


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