An Insight Into Cervical Cancer Screening and Treatment Capacity in Sub Saharan Africa.

Coleman, Jenell S; Cespedes, Michelle S; Cu-Uvin, Susan; Kosgei, Rose J; Maloba, May; Anderson, Jean; Wilkin, Timothy; Jaquet, Antoine; Bohlius, Julia; Anastos, Kathryn; Wools-Kaloustian, Kara (2016). An Insight Into Cervical Cancer Screening and Treatment Capacity in Sub Saharan Africa. Journal of Lower Genital Tract Disease, 20(1), pp. 31-37. Lippincott Williams & Wilkins 10.1097/LGT.0000000000000165

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OBJECTIVE Approximately 85% of cervical cancer cases and deaths occur in resource-constrained countries where best practices for prevention, particularly for women with HIV infection, still need to be developed. The aim of this study was to assess cervical cancer prevention capacity in select HIV clinics located in resource-constrained countries. MATERIALS AND METHODS A cross-sectional survey of sub-Saharan African sites of 4 National Institutes of Health-funded HIV/AIDS networks was conducted. Sites were surveyed on the availability of cervical cancer screening and treatment among women with HIV infection and without HIV infection. Descriptive statistics and χ or Fisher exact test were used as appropriate. RESULTS Fifty-one (65%) of 78 sites responded. Access to cervical cancer screening was reported by 49 sites (96%). Of these sites, 39 (80%) performed screening on-site. Central African sites were less likely to have screening on-site (p = .02) versus other areas. Visual inspection with acetic acid and Pap testing were the most commonly available on-site screening methods at 31 (79%) and 26 (67%) sites, respectively. High-risk HPV testing was available at 29% of sites with visual inspection with acetic acid and 50% of sites with Pap testing. Cryotherapy and radical hysterectomy were the most commonly available on-site treatment methods for premalignant and malignant lesions at 29 (74%) and 18 (46%) sites, respectively. CONCLUSIONS Despite limited resources, most sites surveyed had the capacity to perform cervical cancer screening and treatment. The existing infrastructure of HIV clinical and research sites may provide the ideal framework for scale-up of cervical cancer prevention in resource-constrained countries with a high burden of cervical dysplasia.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine

UniBE Contributor:

Bohlius, Julia

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

1089-2591

Publisher:

Lippincott Williams & Wilkins

Language:

English

Submitter:

Doris Kopp Heim

Date Deposited:

22 Dec 2015 14:57

Last Modified:

09 Sep 2017 08:50

Publisher DOI:

10.1097/LGT.0000000000000165

PubMed ID:

26579842

BORIS DOI:

10.7892/boris.74471

URI:

https://boris.unibe.ch/id/eprint/74471

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