A comparative analysis of cervical cancer prevention between Nigeria and Nordic countries that have experienced a decline in cervical cancer incidence
| Autor: | Anna M Foss, Helen Anyasi |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Health (social science) cervical cancer review MEDLINE Nigeria Uterine Cervical Neoplasms Review Article CINAHL Scandinavian and Nordic Countries Cochrane Library Danish 03 medical and health sciences 0302 clinical medicine Global health Humans Medicine prevention and control 030212 general & internal medicine Early Detection of Cancer Cervical cancer business.industry Incidence Public Health Environmental and Occupational Health General Medicine Grey literature Monitoring and evaluation medicine.disease language.human_language AcademicSubjects/MED00390 public health systems research 030220 oncology & carcinogenesis Family medicine language Female business |
| Zdroj: | International Health |
| ISSN: | 1876-3405 1876-3413 |
| Popis: | Background A modelling analysis carried out in 2014 suggested that, without cervical cancer screening programmes, the incidence of cervical cancer in Denmark, Finland, Norway and Sweden would have been as high as that in some low- and middle-income countries. We compare programme strategies between Nigeria and these Nordic countries and develop translatable recommendations. Methods A literature review using a systematic approach through Medline, Popline, Global Health, CINAHL PLUS, Cochrane Library, EMBASE, Google Scholar, Africa Wide and WHO databases was conducted. Results Fifteen journal articles and two grey literature reports met our criteria. Six descriptive studies from Nigeria noted that services in Nigeria were mainly provided in urban secondary/tertiary facilities and that uptake was low even where screening was free. Trials in Nigeria and Sweden noted that subsidies and free programmes alone did not improve uptake; a Danish trial demonstrated that reminders and invitations issued by general practitioners improved participation. Conclusion Free screening programmes are important but should also consider incentivisation of treatment when needed and demand creation among health workers. Additionally, effective monitoring and evaluation of programme data are key to improving and maintaining quality. More broadly, we suggest that Nigeria can build success through stakeholder-led implementation of well-defined policies with national consensus to ensure coordination and sustainability. |
| Databáze: | OpenAIRE |
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