Healthcare provider challenges to early detection of cervical cancer at primary healthcare level in Rwanda.
Healthcare provider challenges to early detection of cervical cancer at primary healthcare level in Rwanda.
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DOI：
10.1016/j.gore.2021.100810
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发表时间：
2021-08
影响因子：
1.2
通讯作者：
Bazzett-Matabele L
中科院分区：
文献类型：
--
作者：
Nkurunziza C;Ghebre R;Magriples U;Ntasumbumuyange D;Bazzett-Matabele L
宫颈癌是女性第四大常见癌症，尽管它是一种可预防的疾病。患者和卫生系统因素都有助于延迟诊断。缺乏知识和设施造成了宫颈癌筛查和预防服务方面的差距。需要协调努力，将功能性宫颈癌预防方案纳入卢旺达卫生系统。我们的目标是评估导致卢旺达初级卫生保健水平宫颈癌诊断延迟的卫生设施相关因素。对基加利市和卢旺达东部省10个卫生中心门诊部的卫生保健提供者进行了调查。85名医疗保健提供者参与其中; 83.5%是护士，其余是助产士。只有15人（17.6%）报告了醋酸（VIA）宫颈癌筛查目视检查的培训，他们分布在10个卫生中心中的6个。然而，76.5%的受访者报告说，至少有一个人在他们的健康中心接受过VIA培训。据报告，宫颈癌评估所需的基本设备普遍具备。整体而言，只有31.8%的参与者对子宫颈癌普查有良好的基本知识水平。受访者对子宫颈癌筛检的知识与职业、教育程度、工作经验或曾接受过的VIA培训无关。在卢旺达的保健中心，有能力进行盆腔检查和VIA宫颈癌筛查的初级保健提供者的数量存在差距。由于保健中心是患者与保健系统的第一接触点，因此需要提高他们进行宫颈癌筛查和检测的知识和技能。
Cervical cancer is the fourth most common cancer in women despite being a preventable disease. Both patient and health system factors contribute to delay in diagnosis. Lack of knowledge and facilities create a gap in cervical cancer screening and prevention services. Coordinated effort is needed to integrate a functional cervical cancer prevention program into the Rwandan health system. Our objective was to assess the health facility related factors that cause delays in cervical cancer diagnosis at a primary healthcare level in Rwanda. Healthcare providers in outpatient clinics at 10 health centers in Kigali city and the Eastern province of Rwanda were surveyed. Eighty-five healthcare providers participated; 83.5% were nurses and the remainder were midwives. Only 15 (17.6%) reported prior training on visual inspection with acetic acid (VIA) cervical cancer screening, and they were distributed among 6 of the 10 health centers surveyed. However, 76.5% of respondents reported that at least one person was trained in VIA at their health center. The basic equipment necessary for cervical cancer evaluation was reported to be generally available. Overall, only 31.8% of participants had good basic knowledge level on cervical cancer screening. No association was found between respondents’ knowledge about cervical cancer screening and profession, education level, work experience or reported prior training on VIA. There is a gap in the number of primary healthcare providers with the skills to perform pelvic exam and VIA cervical cancer screening at health centers in Rwanda. As health centers are the first point of contact for patients with the healthcare system, there is a need to improve their knowledge and skills in performing cervical cancer screening and detection.
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影响因子：
--
作者：
Heena, Humariya;Durrani, Sajid;Abu-Shaheen, Amani
通讯作者：
Abu-Shaheen, Amani
影响因子：
5.9
作者：
Rosser JI;Hamisi S;Njoroge B;Huchko MJ
通讯作者：
Huchko MJ
影响因子：
2.6
作者：
Maseko FC;Chirwa ML;Muula AS
通讯作者：
Muula AS
DOI：
10.2147/ijwh.s85138
发表时间：
2015
期刊：
International journal of women's health
影响因子：
--
作者：
Kress CM;Sharling L;Owen-Smith AA;Desalegn D;Blumberg HM;Goedken J
通讯作者：
Goedken J
影响因子：
3.3
作者：
Zeleke S;Anley M;Kefale D;Wassihun B
通讯作者：
Wassihun B