Carcinoma Of The Uterine Cervix In Nigerian Women: The Need to Adopt a National Prevention Strategy.

Airede, LR; Onakewhor, Jue; Aziken, ME; Ande, Aba; Aligbe, J U

doi:10.4314/smj2.v11i1.12957

Cited by 15 publications

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“…( 4 – 19 ). The countries covered were: Ghana, Liberia, Nigeria, Sierra Leone, South Africa, and Uganda ( 4 , 7 – 10 , 13 , 14 , 16 , 19 ). Publication dates ranged from 1972 to 2013 ( 7 , 11 , 19 ).…”

Section: Resultsmentioning

confidence: 99%

“…In 2000, the University College Hospital in Ibadan, Nigeria, reported a 500 case retrospective review where combined external beam RT and low dose rate brachytherapy was used to treat patients with cervical cancer, an improvement from previous reports where hospital resources allowed for only monotherapy with low dose rate brachytherapy ( 4 , 7 ). In 2008, five RT centers were in operation in Nigeria, with more expected to come ( 10 ). Despite the gradual increase in RT centers, waiting lines for these machines continue to be long.…”

Section: Resultsmentioning

confidence: 99%

“…There are reports demonstrating slow and gradual increases in the number of RT centers in countries of West Africa ( 8 ). The number of Nigerian radiation centers and machines has been on the rise for over 30 years and is now also serving other countries of West Africa ( 7 , 8 , 10 ). Recently, there have been substantial increases in teletherapy machines in Latin American countries, such as Brazil and Venezuela, and several countries now have 1–4 MV per million population.…”

Section: Discussionmentioning

confidence: 99%

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A Systematic Review of Radiotherapy Capacity in Low- and Middle-Income Countries

Grover

Yeager

et al. 2015

Front. Oncol.

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Objectives: The cancer burden in low- and middle-income countries (LMIC) is substantial. The purpose of this study was to identify and describe country and region-specific patterns of radiotherapy (RT) facilities in LMIC.Methods: A systematic review of the literature was undertaken. A search strategy was developed to include articles on radiation capacity in LMIC from the following databases: PubMed, Embase, CINAHL Plus, Global Health, and the Latin American and Caribbean System on Health Sciences Information. Searches included all literature up to April 2013.Results: A total of 49 articles were included in the review. Studies reviewed were divided into one of four regions: Africa, Asia, Eastern Europe, and South America. The African continent has the least amount of resources for RT. Furthermore, a wide disparity exists, as 60% of all machines on the continent are concentrated in Egypt and South Africa while 29 countries in Africa are still lacking any RT resource. A significant heterogeneity also exists across Southeast Asia despite a threefold increase in megavoltage teletherapy machines from 1976 to 1999, which corresponds with a rise in economic status. In LMIC of the Americas, only Uruguay met the International Atomic Energy Agency recommendations of 4 MV/million population, whereas Bolivia and Venezuela had the most radiation oncologists (>1 per 1000 new cancer cases). The main concern with the review of RT resources in Eastern Europe was the lack of data.Conclusion: There is a dearth of publications on RT therapy infrastructure in LMIC. However, based on limited published data, availability of RT resources reflects the countries’ economic status. The challenges to delivering radiation in the discussed regions are multidimensional and include lack of physical resources, lack of human personnel, and lack of data. Furthermore, access to existing RT and affordability of care remains a large problem.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A Systematic Review of Radiotherapy Capacity in Low- and Middle-Income Countries

Grover

Yeager

et al. 2015

Front. Oncol.

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“…About 86% of the cases occur in developing countries, representing 13% of female cancers [1]. Each year approximately, 10,000 women develop cervical cancer, and about 8,000 women die from cervical cancer in Nigeria [4]. Spayne [5] reported in their study that over half the study population was under 50 years of age suggesting this disease is responsible for a disproportionately greater loss of life-years and social cost.” Records from cancer registry UCH indicate that the incidence is high; it was 353 out of 1942 total malignancies in 2007.…”

Section: Introductionmentioning

confidence: 99%

Awareness, perception and factors affecting utilization of cervical cancer screening services among women in Ibadan, Nigeria: a qualitative study

2012

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BackgroundOver the years awareness and uptake of cervical cancer screening services has remained poor in developing countries. Problems associated with cervical cancer incidence include late reporting, ignorance and cultural issues relating to cervical cancer screening. This study sought to explore the awareness, perception and utilization of cervical cancer screening among women in Ibadan as well as factors that influence utilization.MethodThis is a qualitative study that utilized Eight Focus Group Discussions to collect information from women in selected health facilities in Ibadan, South West, Nigeria. The 82 participants were purposely recruited from women attending Antenatal clinics in 4 secondary and 4 primary health care facilities after approval was received from the Institutional Review Board in charge of the facilities. The focus group discussions were tape recorded and transcribed verbatim. The transcripts were analyzed into themes.FindingsThe study provided qualitative information on the awareness, perception of the utilization of cervical cancer screening services among women in Ibadan. Participants were mainly married women (92.7%), mean age =27.6, SD =4.5, mainly traders (39%) and from Yoruba ethnic backgrounds (87.8%) and had secondary education (39%). The respondents reported not being aware of cervical cancer and were not utilizing the services. Though they did not know what cervical cancer screening entailed or the screening methods, they still believed that it is important since like for other diseases will help in early detection and treatment. The participants were eager to get more information from nurses on cervical cancer about cervical cancer screening. The major factors identified by the women that influence screening utilization were ignorance, Illiteracy, belief in not being at risk, having many contending issues, nonchalant attitude to their health, financial constraint and fear of having a positive result.ConclusionThere is an urgent need for more enlightenment about cervical cancer especially by health workers. Also, cervical cancer services should be made available at very affordable cost so that women can easily access the services in order to reduce incidence of invasive cancer.

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“…The cornerstone of the preventive measure is the use of cervical cancer screening. Each year approximately 10,000 women develop cervical cancer, and about 8,000 women die from cervical cancer in Nigeria (Airede et al, 2008), There are several socio-cultural practices, particularly in Northern Nigeria that promote the development of cervical cancer (Shehu and Sule , 2005). In Northwest Nigeria, 77% of the population live below the poverty line and only 22% of females aged 15 years and above are literate.…”

Section: Introductionmentioning

confidence: 99%

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This study was undertaken to assess the availability of cervical cancer screening services in health facilities in Nasarawa local Government area (LGA) of Kano State. A cross sectional descriptive survey was used to assess the availability of cancer screening services in health facilities in the LGA. Data were collected using questionnaire as well as checklist and data analyzed using Minitab. Results showed that the availability of cervical cancer screening is grossly low (4.8%) in health facilities in Nasarawa LGA as only one secondary facility is offering the services. Pap smear and fine needle aspiration cytology were the only available screening services provided. Majority of the respondents (95.2%) gave lack of equipment, inadequate facility and lack of trained providers as factors responsible for non-availability. In conclusion, availability of cervical cancer screening services in health facilities in Nasarawa LGA is very poor. Cervical cancer screening services should be made available and affordable to women.

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Carcinoma Of The Uterine Cervix In Nigerian Women: The Need to Adopt a National Prevention Strategy.

Cited by 15 publications

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A Systematic Review of Radiotherapy Capacity in Low- and Middle-Income Countries

A Systematic Review of Radiotherapy Capacity in Low- and Middle-Income Countries

Awareness, perception and factors affecting utilization of cervical cancer screening services among women in Ibadan, Nigeria: a qualitative study

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