Bolivian Health Providers' Attitudes Toward Alternative Technologies for Cervical Cancer Prevention: A Focus on Visual Inspection with Acetic Acid and Cryotherapy

Stormo, Analía Romina; Altamirano, Víctor Conde; Pérez-Castells, Macarena; Espey, David K.; Padilla, Haydee; Panameño, Karen; Soria, Milton; Santos, Carlos; Saraiya, Mona; Luciani, Silvana

doi:10.1089/jwh.2012.3796

Cited by 15 publications

(15 citation statements)

References 14 publications

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“…Stigma and perception of personal risk, which did not differ between the study arms at follow-up, may still be important barriers to screening but may require more than a health talk to change. Other important factors may include shorter wait times, repeated screening opportunities, and addressing women’s fears of the exam, as supported by this study and in prior literature [22, 23]. …”

Section: Discussionsupporting

confidence: 71%

Changing knowledge, attitudes, and behaviors regarding cervical cancer screening: The effects of an educational intervention in rural Kenya

Rosser¹,

Njoroge²,

Huchko³

2015

Patient Education and Counseling

104

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Objective Cervical cancer screening uptake may be influenced by inadequate knowledge in resource-limited settings. This randomized trial evaluated a health talk’s impact on cervical cancer knowledge, attitudes, and screening rates in rural Kenya. Methods 419 women attending government clinics were randomized to an intervention (n=207) or control (n=212) group. The intervention was a brief health talk on cervical cancer. Participants completed surveys at enrollment (all), immediately after the talk (intervention arm), and at three-months follow-up (all). The primary outcomes were the change in knowledge scores and the final screening rates at three-months follow-up. Secondary outcomes were changes in awareness about cervical cancer screening, perception of personal cervical cancer risk, cervical cancer and HIV stigma, and screening acceptability. Results Knowledge Scores increased by 26.4% (8.7 to 11.0 points) in the intervention arm compared to only 17.6% (8.5 to 10.0 points) in the control arm (p<0.01). Screening uptake was moderate in both the intervention (58.9%; N=122) and control (60.9%; N=129) arms, with no difference between the groups (p=0.60). Conclusion A brief health talk increased cervical cancer knowledge, although it did not increase screening over simply informing women about free screening. Practice Implications Screening programs can increase patient understanding with just a brief educational intervention.

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Section: Discussionsupporting

confidence: 71%

Changing knowledge, attitudes, and behaviors regarding cervical cancer screening: The effects of an educational intervention in rural Kenya

Rosser¹,

Njoroge²,

Huchko³

2015

Patient Education and Counseling

104

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“…However, professionally, there was a national program advocating Pap testing; hence, a significant minority of providers favored Pap test over VIA. 23 …”

Section: Discussionmentioning

confidence: 99%

Reaching women in the Peruvian Andes through cervical cancer screening campaigns: assessing attitudes of stakeholders and patients

Luque¹,

Maupin²,

Ferris³

et al. 2016

PPA

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BackgroundPeru is characterized by high cervical cancer incidence and mortality rates. The country also experiences significant gaps in quality cervical cancer screening coverage for the population.ObjectiveThis descriptive mixed methods study conducted in Cusco, Peru, aimed to assess the attitudes and perceptions of medical staff, health care workers, and patients toward a cervical cancer screening program that included both clinic-based and community outreach services conducted by a nongovernmental organization clinic (CerviCusco). The study also explored patient knowledge and attitudes around cervical cancer and about the human papillomavirus (HPV) to inform patient education efforts.MethodsThe study employed structured interviews with key informants (n=16) primarily from CerviCusco, which provides cervical cancer prevention, screening, diagnosis and treatment services, and surveys with a sample of patients (n=30) receiving services at the clinic and at screening campaigns.ResultsThe majority of key informant medical staff participants felt that the general public had a very negative view of government health services. One theme running throughout the interviews was the perception that the general population lacked a culture of preventive health care and would wait until symptoms were severe before seeking treatment. Regarding services that were received by patients at CerviCusco, the participants responded that the prices were reasonable and more affordable than some private clinics. Patients attending the rural health campaigns liked that the services were free and of good quality.ConclusionCerviCusco has demonstrated its capacity to provide screening outreach campaigns to populations who had not previously had access to liquid-based cytology services. The finding that patients had generally low levels of knowledge about cervical cancer and the HPV vaccine prompted the development of culturally and linguistically appropriate educational and promotional materials to improve the educational component of the periodic campaigns conducted primarily in rural areas of Andean Peru.

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“…This finding is not surprising given that counseling is rarely emphasized during medical training; however, it highlights the need to pay special attention to the counseling component of TOT workshops to ensure that future trainers are well equipped to teach their colleagues how to properly provide this service to women. Participants' beliefs regarding the role, effectiveness, and acceptability of VIA and cryotherapy in Bolivia have been published elsewhere 13 .…”

Section: Discussionmentioning

confidence: 99%

Findings and lessons learned from a multi-partner collaboration to increase cervical cancer prevention efforts in Bolivia

Stormo

Espey²,

Glenn³

et al. 2013

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Cervical cancer is a leading cause of cancer death among women in Bolivia, where cytology based screening has not performed well due to health-systems constraints. In response, the Centers for Disease Control and Prevention and the Pan American Health Organization partnered with the Bolivian Ministry of Health and the Peruvian Cancer Institute (INEN) to build capacity in Bolivia for the use of visual inspection of the cervix with acetic acid (VIA) and cryotherapy. Four 5-day courses on basic clinical skills to perform these procedures, provide related counseling, and manage side effects and infections were conducted from September 2010 to December 2012 for 61 Bolivian nurses and physicians. Of these courses, two were conducted by Bolivian trainers that were certified through a Training-of-Trainers course taught by the INEN. Classroom didactic sessions included lectures and practice with

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Bolivian Health Providers' Attitudes Toward Alternative Technologies for Cervical Cancer Prevention: A Focus on Visual Inspection with Acetic Acid and Cryotherapy

Cited by 15 publications

References 14 publications

Changing knowledge, attitudes, and behaviors regarding cervical cancer screening: The effects of an educational intervention in rural Kenya

Changing knowledge, attitudes, and behaviors regarding cervical cancer screening: The effects of an educational intervention in rural Kenya

Reaching women in the Peruvian Andes through cervical cancer screening campaigns: assessing attitudes of stakeholders and patients

Findings and lessons learned from a multi-partner collaboration to increase cervical cancer prevention efforts in Bolivia

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