Motivations and experiences of women who accessed "see and treat" cervical cancer prevention services in Zambia.
Motivations and experiences of women who accessed "see and treat" cervical cancer prevention services in Zambia.
复制标题
DOI：
10.3109/0167482x.2012.656161
复制
发表时间：
2012-06
期刊：
影响因子：
--
通讯作者：
Chamot E
中科院分区：
文献类型：
--
作者：
White HL;Mulambia C;Sinkala M;Mwanahamuntu MH;Parham GP;Kapambwe S;Moneyham L;Kempf MC;Chamot E
赞比亚是一个艾滋病毒普遍流行的国家，按年龄调整的宫颈癌发病率是世界上最高的。2006年，赞比亚UAB传染病研究中心和赞比亚卫生部在卢萨卡启动了一项基于醋酸（VIA）的视觉检查“看和治疗”宫颈癌预防方案。所有服务都纳入了现有的政府经营的初级保健设施。研究目的是：1）确定妇女进行宫颈筛查的动机; 2）记录妇女进行筛查的经验; 3）描述接受宫颈筛查的妇女与其社交网络之间的潜在相互影响。焦点小组讨论（FGD）和深入访谈（IDI）进行了与妇女谁接受筛选和护理提供者。进行低级别内容分析以识别参与者引发的主题。在2009年9月至2010年7月期间，60名妇女和21名护理人员参加了8个家庭指导方案和10个家庭综合发展方案。妇女提出的筛选不同的需求和期望。大多数人与他们的社交网络成员讨论了他们的筛选决定和经验。VIA筛查的关键强化因素和障碍被确定。需要采取干预措施，从有影响力的家庭成员和同龄人那里获得对筛查过程的支持。
In Zambia, a country with a generalized HIV epidemic, age-adjusted cervical cancer incidence is among the highest worldwide. In 2006, the UAB-Center for Infectious Disease Research in Zambia and the Zambian Ministry of Health launched a visual inspection with acetic acid (VIA)-based “see and treat” cervical cancer prevention program in Lusaka. All services were integrated within existing government-operated primary health care facilities. Study aims were to: 1) identify women's motivations for cervical screening; 2) document women's experiences with screening; and 3) describe the potentially reciprocal influences between women undergoing cervical screening and their social networks. Focus group discussions (FGD) and in-depth interviews (IDI) were conducted with women who accepted screening and with care providers. Low-level content analysis was performed to identify themes evoked by participants. Between September, 2009 and July, 2010, 60 women and 21 care providers participated in 8 FGD and 10 IDI. Women presented for screening with varying needs and expectations. A majority discussed their screening decisions and experiences with members of their social networks. Key reinforcing factors and obstacles to VIA screening were identified. Interventions are needed to gain support for the screening process from influential family members and peers.