Cervical cancer in Zimbabwe: a situation analysis.
Cervical cancer in Zimbabwe: a situation analysis.
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DOI：
10.11604/pamj.2017.27.215.12994
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Nhachi C
中科院分区：
文献类型：
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作者：
Kuguyo O;Matimba A;Tsikai N;Magwali T;Madziyire M;Gidiri M;Dandara C;Nhachi C
尽管发达国家广泛提供宫颈癌预防和筛查方案，但津巴布韦宫颈癌的发病率和死亡率仍然很高。有限的资源以及艾滋病毒的高流行率是宫颈癌高负担的原因。本文旨在分析津巴布韦宫颈癌管理的政策、框架和现行做法。对津巴布韦关于宫颈癌预防、筛查、治疗和知识的国家文件和出版文献进行了审查。进行了非正式访谈，以评估宫颈癌管理的做法。通过战略合作，HPV疫苗接种计划的试点正在进行中。VIAC国家宫颈癌筛查计划正在被纳入当前的医疗保健系统。关于癌前病变的治疗，我们发现阴道镜检查诊所已经实施了“看和治疗”计划。此外，两间中央公立医院设有两间综合癌症治疗诊所。在津巴布韦，对宫颈癌的一般知识和了解很少。资源、基础设施、人力、治疗延误和患者知识方面的限制，是津巴布韦宫颈癌发病率和死亡率高的原因。卫生部需要增加资金，以加快HPV疫苗和筛查计划的可用性。应制定社区参与倡议，提高对子宫颈癌的认识，以提供如何预防子宫颈癌的教育，并促进早期发现的筛查。
Despite the wide-spread availability of cervical cancer prevention and screening programs in developed countries, the morbidity and mortality rates of cervical cancer in Zimbabwe are still very high. Limited resources as well as the high HIV prevalence are contributors to the high burden of cervical cancer. This paper aims to analyse the policies, frameworks and current practices in the management of cervical cancer in Zimbabwe. A review of national documents and published literature on cervical cancer prevention, screening, treatment and knowledge in Zimbabwe was done. Informal interviews were conducted to assess the practices of cervical cancer management. Through strategic collaboration, a pilot for the HPV vaccination program is underway. The VIAC national cervical cancer screening program is being adopted into the current healthcare system. With regards to the treatment of precancerous lesions we found that the "see and treat" program has been implemented in colposcopy clinics. In addition, there are two multidisciplinary cancer treatment clinics installed in two central public hospitals. The general knowledge and understanding of cervical cancer is poor in Zimbabwe. Limitations in resources, infrastructure, manpower, delays in treatment and patient knowledge play a role in the high morbidity and mortality of cervical cancer in Zimbabwe. The Ministry of Health needs to increase funding to expedite the availability of HPV vaccine and screening programs. Community engagement initiatives to raise awareness on cervical cancer should be established to provide education on how to prevent the development of cervical cancer, as well as promote screening for early detection.