产前和产后宫癌前查以增加覆盖率:加纳巴托尔的经验
Kofi Effah1,2, Ethel Tekpor1, Gifty Belinda Klutsey1
1Catholic Hospital, Battor, PO Box 2, Battor, via Sogakope, Volta Region, Ghana.
Ecancermedicalscience
|February 28, 2024
概括
在加纳,将子宫癌前查整合到产前和产后护理中,显著增加了覆盖率. 这种方法利用怀孕期间和分娩后的机会性访问来接触低资源环境中的妇女,解决宫癌预防的关键差距.
科学领域:
- 公共卫生 公共卫生
- 妇科 妇科 妇科 妇科
- 传染性疾病 传染性疾病
背景情况:
- 宫癌前查覆盖率在资源较低的环境中较低,宫癌的负担最高.
- 这些地区的许多妇女主要在怀孕或产后期间获得医疗保健.
- 在产前护理 (ANC) 和产后护理 (PNC) 访问期间进行机会性查,以提高查率.
研究的目的:
- 在ANC和PNC访问期间评估宫癌前查的可行性和覆盖范围.
- 评估高风险人乳头瘤病毒 (hr-HPV) 在孕妇和产后妇女的患病率.
- 确定将查纳入常规孕产妇健康护理中的有效性.
主要方法:
- 在医院和外展诊所对孕妇 (任何三个月) 和产后妇女 (6-10周) 进行查.
- 使用Sansure MA-6000 PCR平台进行高风险人类乳头瘤病毒 (hr-HPV) DNA测试的宫样本采集.
- 宫样本进一步使用视觉检查用酸 (VIA) 或移动结肠镜进行评估.
主要成果:
- 在ANC的270名女性和PNC的107名女性中进行了选. 总体上,h-HPV的流行率为25.5% (ANC:26.7%,PNC:22.4%).
- 大多数妇女 (ANC:58.9%,PNC:66.4%) 仅在怀孕或产后期间访问卫生设施.
- 用乙酸视觉检查 (VIA) 的阳性率总体为5.3% (ANC:5.2%,PNC:5.7%).
结论:
- ANC和PNC诊所为增加子宫癌前查覆盖率在资源较少的环境中提供了重大机会.
- 将查纳入常规的孕产妇护理,利用社区护士,确保更好的覆盖范围和坚持.
- 这一策略对于降低服务不足人群的宫癌负担至关重要.
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