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整个印度的三级医疗机构的宫癌查覆盖范围
Rakhi Rai1, Rohini Sehgal1, Seema Singhal1
1Department of Obstetrics and Gynaecology, WHO CC AIIMS, New Delhi, India.
Asian Pacific journal of cancer prevention : APJCP
|December 29, 2023
概括
印度的宫癌查覆盖率较低是由于HPV测试有限,女性意识较差,尽管三级中心有足够的治疗设施. 解决这些障碍对于消除癌症的目标至关重要.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 妇科 妇科医生 妇科
背景情况:
- 消除宫癌的全球战略的目标是达到70%的查覆盖率.
- 印度在实现这一目标方面面临着挑战,即使是在第三级护理环境中也是如此.
研究的目的:
- 对印度三级保健机构的宫癌查设施和障碍进行情境分析.
- 评估妇女和医疗保健专业人员对宫癌查的知识,态度和做法.
主要方法:
- 这是一项涉及印度六所高等保健机构的跨界,多中心研究.
- 对女性 (30-49岁) 和医疗保健专业人员 (HCP) 进行结构化问卷调查.
- 查普及率的分析,查套件的可用性和诊断方式.
主要成果:
- 只有24.8%的符合条件的妇女接受了查;查套件的可用性有限.
- 妇女对宫癌,其可预防性和查方法缺乏意识.
- 医疗保健专业人员表现出更高的知识,但对特定查方式的认识不同.
结论:
- 人类乳头瘤病毒 (HPV) 测试的有限可用性和不愿实施用酸视觉检查 (VIA) 是主要障碍.
- 妇女缺乏意识是实现子宫癌查目标的关键障碍.
- 优化查策略需要解决这些意识和资源限制.
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