Male partner involvement in reducing loss to follow-up after cervical cancer screening in Uganda
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Twaha Mutyaba1, Florence Mirembe, Sven Sandin
1Department of Obstetrics and Gynecology, Makerere University, Kampala, Uganda. tmutyaba@yahoo.com
Objective:
To evaluate the efficacy of male partner involvement in reducing loss to follow-up among women in Uganda referred for colposcopy after a positive cervical cancer-screening test.
Methods:
In 2 family-planning/postnatal clinics at Mulago Hospital, Kampala, Uganda, 5094 women were screened for cervical lesions. Those who screened positive were referred for colposcopy; half were allocated to the intervention group and half to the control group. In the intervention group, information about the screening findings and a request to assist their partner in attending the next examination were sent to male partners. In the control group, a standard service was provided, which did not include a letter to the male partner. Logistic regression models were applied to calculate the probability of women returning for colposcopy.
Results:
Of the 834 women referred, 209 (25%) did not return for colposcopy: 143/419 (34%) from the control group and 66/415 (16%) from the intervention group. Women in the intervention group were more likely to return (odds ratio 2.8; 95% confidence interval, 1.9-3.9).
Conclusion:
Male partner involvement significantly reduced loss to follow-up among women referred for colposcopy.
