Utilization and outcomes of cervical cancer screening services in Harare City, 2012-2016: a secondary data analysis
Utilization and outcomes of cervical cancer screening services in Harare City, 2012-2016: a secondary data analysis
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DOI：
10.1186/s12913-019-4314-8
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发表时间：
2019-07-05
影响因子：
2.8
通讯作者：
Tshimanga, Mufuta
中科院分区：
文献类型：
--
作者：
Gabaza, Christine;Chonzi, Prosper;Tshimanga, Mufuta
背景醋酸宫颈造影（VIAC）是一种用于筛查宫颈癌的方法. VIAC可以作为“看和治疗”策略的一部分。九个哈拉雷市理事会保健设施免费提供宫颈癌综合治疗，目的是降低宫颈癌的发病率和死亡率。2014年至2016年，使用VIAC的女性人数下降了35%。我们分析了客户谁利用VIAC在哈拉雷城市卫生设施的记录，以确保妇女访问VIAC和他们的成果，以提高service.MethodsWe进行了描述性的横断面研究，使用收集的数据为哈拉雷城市VIAC程序的建议。我们分析了2012年5月1日至2016年12月31日期间在9个哈拉雷城市卫生机构使用VIAC服务的客户的所有记录。结果我们分析了46，217份记录，客户的中位年龄为34岁[Q（1）=27：Q（3）=42]。在接受筛查的46，217名患者中，3001人（6.5%）为VIAC阳性，512人（1.1%）疑似癌症病变。VIAC阳性率为58 ~ 74/1000。疑似癌症的患病率范围为每1000名筛查客户中有9至14人，2012年至2016年间患病率普遍下降。3513客户与VIAC阳性或有可疑的癌症病变，2090（74.1%）没有接受治疗的网站，在那里的筛选takeing.ConclusionThe大多数妇女谁是访问VIAC服务在哈拉雷是中年，多产和已婚妇女。大多数VIAC中心都存在治疗差距，因此客户被转介到其他中心进行管理。“看和治疗”的目标没有实现。
BackgroundVisual inspection with acetic acid and cervicography (VIAC) is a method used to screen for cervical cancer. VIAC can be used as part of a see and treat strategy. Nine Harare city council health facilities offer VIAC free of charge with the aim of reducing morbidity and mortality from cervical cancer. Between 2014 and 2016, the number of women utilising VIAC dropped by 35%. We analysed records of clients who utilise VIAC at Harare city health facilities to characterise women accessing VIAC and their outcomes to make recommendations for improving the services.MethodsWe conducted a descriptive cross-sectional study using data collected for the Harare city VIAC program. We analysed all records of clients who utilised VIAC services at nine Harare city health facilities from 1 May 2012 to 31 December 2016.ResultsWe analysed 46,217 records, the median age of the clients was 34years [Q(1)=27: Q(3)=42]. Of the 46,217 clients screened, 3001 (6.5%) were VIAC positive, and 512 (1.1%) had suspicious of cancer lesions. The prevalence of VIAC positive ranged from 58 to 74 per 1000-screened clients over the 5years. The prevalence of suspected cancer ranged from 9 to 14 per 1000-screened clients, and there was a general decrease in the prevalence between 2012 and 2016. Of the 3513 clients with VIAC positive or had suspicious of cancer lesions, 2090 (74.1%) did not receive treatment at the site where the screening took place.ConclusionThe majority of women who are accessing VIAC services in Harare are middle-aged, multiparous and married women. There is a treatment gap at most of the VIAC centres such that clients are referred to other centres for management. The objective of see and treat is not being realised.