一个以社区为中心的宫癌和乳腺癌查计划,在加纳的一个培训中心使用可持续的融资模式
Kofi Effah1, Ethel Tekpor1, Comfort Mawusi Wormenor1
1Catholic Hospital, P. O. Box 2, via Sogakope, Battor, Volta Region, Ghana.
BMC health services research
|March 26, 2025
概括
这项研究评估了加纳可持续的宫癌和乳腺癌查模型. 这项以社区为重点的外展计划在14.3%的妇女中显示出高风险的HPV感染,在2.8%的妇女中显示出视觉检查的阳性.
科学领域:
- 公共卫生 公共卫生
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 加纳正准备实施全国性乳腺癌和宫癌查政策.
- 位于巴托尔的宫癌预防和培训中心 (CCPTC) 使用可持续的资金模式,培训人员为15名女性支付查费用.
- 这篇论文详细介绍了一种以社区为中心,由培训师领导的模式,用于联合宫癌和乳腺癌查推广.
研究的目的:
- 描述以社区为中心的宫癌和乳腺癌查推广的框架.
- 报告5年期间查的结果.
- 讨论CCPTC对潜在扩展的选模型的优缺点.
主要方法:
- 2017年9月至2023年3月期间选的女性进行了一项描述性回顾性横截面研究.
- 宫癌前查包括用乙酸视觉检查 (VIA),移动结肠镜检查和/或高风险人类乳头瘤病毒 (hr-HPV) DNA测试 (n=2,273).
- 进行了临床乳房检查 (n=622).
- 使用名义逻辑回归研究了与HPV感染或VIA阳性相关的因素.
主要成果:
- hr-HPV感染的流行率为14.3%,视觉检查的阳性率为2.8%.
- 获得收入与 hr-HPV 感染相关 (aOR=3.00).
- 与VIA阳性相关的因素包括平价,怀孕人数,婚姻状况和收入.
- 临床乳房检查显示,3.2%的女性有显著质量,2.1%的女性有淋巴腺病,6.0%的女性有乳头泄漏.
结论:
- 在癌症查中,CCPTC的外展方法为癌症查提供了显著的好处.
- 为了确定该模型的可扩展性,需要进行进一步的基于证据的研究和计划评估.
- 扩大规模需要考虑资源的可用性,以调查和管理查阳性病例,特别是没有机构支持的情况下.
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