我们准备好自取样本进行子宫癌查了吗? 来自尼泊尔的服务提供商和政策制定者的见解
Saki Thapa1, Amit Timilsina2, Bikram Bucha1,3
1Research Department, Birat Nepal Medical Trust (BNMT), Kathmandu, Nepal.
PLOS global public health
|January 10, 2025
概括
尼泊尔的宫癌查可以通过自取样套件进行改进. 关键障碍包括知识和成本低,而改善信息和政策可以促进更广泛的采用.
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:
- 宫癌是尼泊尔妇女的主要死亡原因,查率低.
- 人类乳头瘤病毒 (HPV) 自取样套件为早期检测提供了一个潜在的解决方案.
- 关于尼泊尔HPV自取样本的可行性和可接受性的研究有限.
研究的目的:
- 从服务提供者的角度分析尼泊尔宫癌查HPV自取样的可行性和可接受性.
- 确定在尼泊尔实施自取样策略的障碍和促进因素.
主要方法:
- 使用半结构化的深度采访和关键告密者采访进行定性研究.
- 采访了包括医疗保健提供者,在线服务提供者和决策者在内的20名参与者.
- 使用NVivo 12.进行翻译数据的主题分析.
主要成果:
- 大多数参与者认为自取样是检测宫癌的可行替代方案.
- 发现的障碍包括知识不足,套件成本低,说明不清楚,以及对准确性的担忧.
- 促进者包括增加知识,服务可访问性和支持性的国家政策.
结论:
- 在尼泊尔,自取样显示出宫癌查的前景,但需要解决已识别的障碍.
- 基于证据的讨论和支持性政策对于成功实施至关重要.
- 全国范围的教育活动对于提高认识和促进自我抽样采用至关重要.
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