Assessment of the scale-up of cervical cancer screening in Abidjan stratified by HIV status
| Autor: | Apollinaire Horo, Innocent Adoubi, Antoine Jaquet, François Dabis, Didier K. Ekouevi, Mesmin Adié, Eugène Messou, Simon Boni, Kouassi Comoe, Boris Tchounga, Privat Guie |
|---|---|
| Přispěvatelé: | Bordeaux population health (BPH), Université de Bordeaux (UB)-Institut de Santé Publique, d'Épidémiologie et de Développement (ISPED)-Institut National de la Santé et de la Recherche Médicale (INSERM) |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Population Human immunodeficiency virus (HIV) Uterine Cervical Neoplasms Cryotherapy HIV Infections Cervical cancer screening medicine.disease_cause Article IDLIC 03 medical and health sciences 0302 clinical medicine 5. Gender equality Health care medicine Humans Mass Screening 030212 general & internal medicine PACCI 10. No inequality education Early Detection of Cancer Retrospective Studies Cervical cancer education.field_of_study business.industry Obstetrics Obstetrics and Gynecology General Medicine medicine.disease Confidence interval 3. Good health Cote d'Ivoire 030220 oncology & carcinogenesis Female [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie Hiv status business |
| Zdroj: | International Journal of Gynecology and Obstetrics International Journal of Gynecology and Obstetrics, Elsevier, 2019, 147 (2), pp.246-251. ⟨10.1002/ijgo.12959⟩ Int J Gynaecol Obstet |
| ISSN: | 0020-7292 |
| DOI: | 10.1002/ijgo.12959⟩ |
| Popis: | OBJECTIVE: To report the successes and challenges of scaling up a population-based cervical cancer (CC) screening program from HIV clinics to various healthcare facilities in Abidjan, Cote d'Ivoire. METHOD: A retrospective analysis of characteristics, outcomes, and follow-up of women attending an initial CC screening visit in Abidjan between January 2010 and December 2014. Data were collected via forms that were systematically completed during CC screening visits. Data from the 2014 population census was used to estimate screening coverage. RESULTS: Among 16 169 women attending an initial CC screening, 1616 (10.0%) had a positive VIA test. Among 848 women eligible for immediate cryotherapy, 618 (72.9%) underwent the "see-and-treat" approach. The 1-year follow-up rate after cryotherapy was 23.1% (143/618), and was higher among women with HIV (111/362, 30.7%) than among other women (32/256, 12.5%) (P=0.001). The estimated coverage of CC screening in Abidjan was 1.2% (95% confidence interval, 0.6-3.1). CONCLUSION: Despite successful expansion of CC screening from HIV clinics to other facilities, the estimated screening coverage of the targeted population remained low. Follow-up of positively screened and treated women is a major challenge, especially outside HIV clinics, and would benefit from an innovative information system proving unique identification and tracking systems. This article is protected by copyright. All rights reserved. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text