AVIVA:一个远程医疗工具,以改善在资源有限的环境中进行子宫癌查
Olabanjo Okunlola Ogunsola1, John Olajide Olawepo2,3, Oluseye Ajayi4
1Prevention and Community Services, APIN Public Health Initiatives, Abuja, Nigeria oogunsola@apin.org.ng.
BMJ global health
|July 11, 2023
概括
尼日利亚的宫癌查 (CCS) 通过AVIVA应用程序得到了改进,提高了艾滋病毒感染妇女的诊断准确性. 这个数字工具连接医疗人员和专家,提高了资源有限的地区的查率.
科学领域:
- 公共卫生 公共卫生
- 在瘤学瘤学.
- 数字健康数字健康
背景情况:
- 宫癌是撒哈拉以南非洲癌症死亡的主要原因,死亡率很高.
- 尼日利亚采用用乙酸/卢戈尔 (VIA/VILI) 的视觉检查来查和冷治疗癌前病变.
- 需要创新的工具来提高宫癌查 (CCS) 的可访问性和准确性.
研究的目的:
- 记录尼日利亚CCS的AVIVA移动应用程序的开发,试点和扩展.
- 评估AVIVA应用程序对艾滋病毒感染妇女的查率和诊断精度的影响.
主要方法:
- 该研究使用了探索,准备,实施和维持框架.
- 在尼日利亚7个州的86个医疗机构推出了AVIVA应用程序.
- 数据从2019年12月到2022年6月收集,涉及133名病例发现者和9名妇科医生.
主要成果:
- 29,262名艾滋病毒感染妇女接受了基于VIA的CCS治疗,VIA阳性率为5.5% (1609例).
- 在AVIVA应用程序中,共享了1247个案例 (3741张图像),其中84.8%经过专家审查.
- 该AVIVA应用程序提高了VIA阳性和VIA阴性对应率16个百分点.
结论:
- AVIVA应用程序是一个创新的工具,可以提高CCS速率和诊断精度.
- 该应用程序有效地连接医疗保健工作人员和专家审查员在资源有限的设置.
- 像AVIVA这样的数字健康解决方案可以增强高负担地区的宫癌预防策略.
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