Situation analysis for cervical cancer diagnosis and treatment in East, Central and Southern African countries

OBJECTIVE: To determine the factors influencing cervical cancer diagnosis and treatment in countries of East, Central and Southern Africa (ECSA). METHODS: Data were collected from randomly selected primary health care centres, district and provincial hospitals, and tertiary hospitals in each partici...

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Main Authors: Chirenje Zvavahera M., Rusakaniko Simbarashe, Kirumbi Leah, Ngwalle Edward W., Makuta-Tlebere Pulani, Kaggwa Sam, Mpanju-Shumbusho Winnie, Makoae Lucy
Format: Article
Language:English
Published: The World Health Organization 2001-01-01
Series:Bulletin of the World Health Organization
Subjects:
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862001000200007
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author Chirenje Zvavahera M.
Rusakaniko Simbarashe
Kirumbi Leah
Ngwalle Edward W.
Makuta-Tlebere Pulani
Kaggwa Sam
Mpanju-Shumbusho Winnie
Makoae Lucy
author_facet Chirenje Zvavahera M.
Rusakaniko Simbarashe
Kirumbi Leah
Ngwalle Edward W.
Makuta-Tlebere Pulani
Kaggwa Sam
Mpanju-Shumbusho Winnie
Makoae Lucy
author_sort Chirenje Zvavahera M.
collection DOAJ
description OBJECTIVE: To determine the factors influencing cervical cancer diagnosis and treatment in countries of East, Central and Southern Africa (ECSA). METHODS: Data were collected from randomly selected primary health care centres, district and provincial hospitals, and tertiary hospitals in each participating country. Health care workers were interviewed, using a questionnaire; the facilities for screening, diagnosing, and treating cervical cancer in each institution were recorded, using a previously designed checklist. FINDINGS: Although 95% of institutions at all health care levels in ECSA countries had the basic infrastructure to carry out cervical cytology screening, only a small percentage of women were actually screened. Lack of policy guidelines, infrequent supply of basic materials, and a lack of suitable qualified staff were the most common reasons reported. CONCLUSIONS: This study demonstrates that there is an urgent need for more investment in the diagnosis and treatment of cervical cancer in ECSA countries. In these, and other countries with low resources, suitable screening programmes should be established.
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spelling doaj.art-46f7eb8c41504ecaacd02200a80392102024-03-02T02:21:14ZengThe World Health OrganizationBulletin of the World Health Organization0042-96862001-01-01792127132Situation analysis for cervical cancer diagnosis and treatment in East, Central and Southern African countriesChirenje Zvavahera M.Rusakaniko SimbarasheKirumbi LeahNgwalle Edward W.Makuta-Tlebere PulaniKaggwa SamMpanju-Shumbusho WinnieMakoae LucyOBJECTIVE: To determine the factors influencing cervical cancer diagnosis and treatment in countries of East, Central and Southern Africa (ECSA). METHODS: Data were collected from randomly selected primary health care centres, district and provincial hospitals, and tertiary hospitals in each participating country. Health care workers were interviewed, using a questionnaire; the facilities for screening, diagnosing, and treating cervical cancer in each institution were recorded, using a previously designed checklist. FINDINGS: Although 95% of institutions at all health care levels in ECSA countries had the basic infrastructure to carry out cervical cytology screening, only a small percentage of women were actually screened. Lack of policy guidelines, infrequent supply of basic materials, and a lack of suitable qualified staff were the most common reasons reported. CONCLUSIONS: This study demonstrates that there is an urgent need for more investment in the diagnosis and treatment of cervical cancer in ECSA countries. In these, and other countries with low resources, suitable screening programmes should be established.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862001000200007cervix neoplasms/diagnosiscervix neoplasms/therapycervix neoplasms/surgerycervix dysplasia/diagnosisctodiagnosisvaginal smearscommunity health centershospitals/districthospitals/generalZimbabweLesothoKenyaUnited Republic of TanzaniaUganda
spellingShingle Chirenje Zvavahera M.
Rusakaniko Simbarashe
Kirumbi Leah
Ngwalle Edward W.
Makuta-Tlebere Pulani
Kaggwa Sam
Mpanju-Shumbusho Winnie
Makoae Lucy
Situation analysis for cervical cancer diagnosis and treatment in East, Central and Southern African countries
Bulletin of the World Health Organization
cervix neoplasms/diagnosis
cervix neoplasms/therapy
cervix neoplasms/surgery
cervix dysplasia/diagnosis
ctodiagnosis
vaginal smears
community health centers
hospitals/district
hospitals/general
Zimbabwe
Lesotho
Kenya
United Republic of Tanzania
Uganda
title Situation analysis for cervical cancer diagnosis and treatment in East, Central and Southern African countries
title_full Situation analysis for cervical cancer diagnosis and treatment in East, Central and Southern African countries
title_fullStr Situation analysis for cervical cancer diagnosis and treatment in East, Central and Southern African countries
title_full_unstemmed Situation analysis for cervical cancer diagnosis and treatment in East, Central and Southern African countries
title_short Situation analysis for cervical cancer diagnosis and treatment in East, Central and Southern African countries
title_sort situation analysis for cervical cancer diagnosis and treatment in east central and southern african countries
topic cervix neoplasms/diagnosis
cervix neoplasms/therapy
cervix neoplasms/surgery
cervix dysplasia/diagnosis
ctodiagnosis
vaginal smears
community health centers
hospitals/district
hospitals/general
Zimbabwe
Lesotho
Kenya
United Republic of Tanzania
Uganda
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0042-96862001000200007
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