Kofi Effah, Evans K Attivor, Bernard H Atuguba, Donatus D Adaletey, Delali A Ofori, Philip Diame, Ethel Tekpor, Comfort M Wormenor, Isaac Gedzah, Dominic Agyiri, Joseph E Amuah, Patrick K Akakpo, Jonathan M Gmanyami, Martin Adjuik, Hubert Amu, Margaret Kweku
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引用次数: 1
Abstract
Objective: To examine the contribution of lower-level health facilities in increasing access to cervical cancer screening in the North Tongu District.
Design: A descriptive cross-sectional study design was used. The Cervical Cancer Prevention and Training Centre (CCPTC) of the Catholic Hospital, Battor, served as the hub, and six health facilities (3 health centres and 3 CHPS compounds) served as the spokes. From April 2018 to September 2019, the well-resourced CCPTC trained 6 nurses at selected Community-based Health Planning and Services (CHPS) / Health Centres (HCs) (spokes) to provide cervical cancer screening services. The nurses, after training, started screening with VIA and HPV DNA testing.
Participants: A total of 3,451women were screened by the trained nurses. This comprised 1,935 (56.1%) from the hub and 1,516 (43.9%) from the spokes.
Main outcome measure: The detection of screen positives.
Results: The screen positives were 19.4% (375/1935) at the hub and 4.9% (74/1516) at the spokes.
Conclusion: We have demonstrated that a hub and spokes model for cervical cancer screening is possible in limited resource settings. Designating and resourcing a 'hub' that supports a network of 'spokes' could increase women's access to cervical cancer screening. This approach could create awareness about cervical cancer screening services and how they can be accessed.
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