客户的观点和对将宫癌查与计划生育相结合的设施和社区HPV自取样的满意度:混合方法研究
Agatha K Bula1,2, Patani Mhango3, Mercy Tsidya4
1Tidziwe Centre, University of North Carolina UNC Project-Malawi, Private Bag, Lilongwe, A- 104, Malawi. abula@unclilongwe.org.
BMC public health
|May 9, 2025
概括
整合人类乳头瘤病毒 (HPV) 自取样与计划生育服务在马拉维增加了宫癌查 (CCS) 的吸收. 妇女报告说,由于HPV自取样的便利性,隐私性和成本效益,她们的满意度很高.
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:
- 通过查可以预防侵袭性宫癌,但马拉维的获取仍然有限.
- 通过人类乳头瘤病毒 (HPV) 自取样本,将子宫癌查 (CCS) 与计划生育 (FP) 整合起来,可能会改善覆盖率.
- 这项研究评估了妇女对马拉维综合HPV自取样和FP服务的看法.
研究的目的:
- 评估女性对综合HPV自取样和计划生育服务的看法,动机和满意度.
- 为了比较CCS-FP整合的两个模型:基于诊所的与基于诊所和社区的HPV自取样.
- 通过综合服务,确定影响子宫癌查普及的因素.
主要方法:
- 一种混合方法的方法,涉及29个深度访谈和766个客户退出调查.
- 评估了两个整合模型:模型1 (基于临床的HPV自取样) 和模型2 (基于临床和社区的HPV自取样).
- 定性数据以主题分析,定量数据以统计分析.
主要成果:
- 妇女报告说,减少了运输成本,并重视了CCS和FP联合访问的便利性.
- 人们认为HPV自取样是易于使用,私密且可接受的,特别是在社区环境中.
- 报告了高满意度 (92.5%),其中的动机包括感知到的癌症风险和服务可访问性.
结论:
- 妇女对HPV自我抽样表示满意,理由是方便,隐私和成本效益.
- 在FP服务中集成的CCS自取样显示了改善马拉维宫癌查率的潜力.
- 这些发现支持HPV自取样的可扩展性,并与计划生育服务相结合.
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