Prévention du cancer du col utérin (II): vaccination HPV prophylactique, connaissances actuelles, modalités pratiques et nouveaux enjeux

Monsonégo, Joseph

doi:10.1016/j.lpm.2007.02.004

Cited by 10 publications

(3 citation statements)

References 47 publications

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“…Cervical cancer is a major public health problem. It is the second most common cancer among women worldwide [1]. In 2018, the World Health Organization (WHO) estimated that there were approximately 569,000 new cases of cervical cancer worldwide, more than 80% of which occurred in developing countries.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Management of Spontaneous First Trimester Abortions at the Institute of Social Hygiene Hospital in Dakar (Senegal) in 2019

MM,

2023

austiniobstetgynecol

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Introduction: Abortions represent an important part of obstetrical emergencies managed in Senegalese maternity hospitals. The complications that can arise from them are sometimes responsible for maternal mortality and morbidity. Therefore, the continuous improvement of Postabortion Care (PAC) remains a concern. It is in this sense that we conducted this study, the main objective of which was to evaluate the management of abortions at the Institut d’Hygiène Sociale de Dakar. The specific objectives were to describe the epidemiological profile of spontaneous first-trimester abortions, to report the practice of postabortion care, to compare the effectiveness of Misoprostol with that of manual intrauterine suction in the management of first-trimester abortion, to state the cost of care borne by patients, and to assess the use of family planning in the postabortion period.

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Section: Introductionmentioning

confidence: 99%

Evaluation of the Management of Spontaneous First Trimester Abortions at the Institute of Social Hygiene Hospital in Dakar (Senegal) in 2019

MM,

2023

austiniobstetgynecol

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Section: Introductionmentioning

confidence: 99%

Assessment of Two Mass Screening Campaigns for Pre-Cancerous and Cancerous Lesions of the Uterine Cervix using Colposcopy

MM,

2023

austiniobstetgynecol

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Objectives: Study the epidemiological profile of patients seen for colposcopy, specify the indications for colposcopy, describe the lesions encountered and their treatment and determine the factors associated with cervical lesions. Material and methods: This was a cross-sectional study conducted during October 2021. It concerned 2 “fairground” campaigns for systematic mass screening of pre-cancerous and cancerous lesions of the cervix at the Institute of social Hygiene in Dakar and at the Inter-Army Medical Center in Thiès. The parameters studied were the epidemiological data, the results of the colposcopic examination and histology. Data analysis was performed with Excel 2010 and Epi info 7.2. softwares. Results: During the two mass screening campaigns, we performed 50 colposcopic examinations. The epidemiological profile was a woman aged 45 on average, married (86%), multiparous (54%), in period of genital activity (54%) with a first sexual intercourse made on average at 22 years old. All the patients had benefited from a visual inspection with acetic acid and lugol. Visual inspection with acetic acid and lugol showed 15 positive VIA (30%), 14 positive VIL (28%) and 21 cases of positive VIA and VIL (42%). Colposcopy was satisfactory in most patients (78%). It found 36% atypical grade 2 transformation, 10% atypical grade 1 transformation, 2% association of atypical grade 1 and 2 transformation and 10% viral colpitis. We also recorded 18% of normal colposcopy. In our series, the majority of patients in whom the VIA and VIL tests were positive presented at colposcopy either an atypical grade 2 transformation lesion (72.2%) or a ATG 1+2 lesion (5.5%). This rate was only 14.3% in those who only had the positive IVA test and 50% in the case of positive VIL. A biopsy under colposcopy was performed in 20 patients (40%). Of these, only 5 (25%) had brought back the results. It was a CIN 2 and 4 normal results. A multivariate analysis allowed us to find that TAG 2 lesions were more frequent in patients aged 45 and over (60%) (p=0.46), primiparous (100%) (p=0.62), those who had had first sexual intercourse before the age of 20 (69.2%) (p=0.39) and who had not used a contraceptive (88.9%) (p=0.13). Conclusion: Mass screening campaigns constitute in our developing countries an opportunity to diagnose and treat pre-cancerous and cancerous lesions of the cervix. However, it will be necessary to sensitize the patients screened for a better adhesion to the follow-up.

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“…Vaccination of uninfected girls/women before their first sexual intercourse protects against HPV and cervical cancer [3]. HPV vaccination has revolutionized and transformed the prospects of cervical cancer reduction worldwide.…”

Section: Introductionmentioning

confidence: 99%

Willingness to Pay for Cervical Cancer Vaccines Among Female Secondary School Teachers in Enugu, Nigeria

Enebe¹

2021

TIJPH

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Cervical Cancer Is Preventable Using Vaccines Given To Adolescents In Three Doses. The Affordability Of These Vaccines And People’s Willingness To Pay (WTP) Could Affect The Uptake Of The Vaccines, Especially In Developing Countries. The Study Aimed To Determine The Willingness To Pay For The Vaccines And Identify The Factors Associated With Different Levels Of WTP Among The Participants. A Cross-Sectional Study Of 377 Female Teachers In The Enugu Metropolis Was Undertaken Between July And October 2017. A Structured Pre-Tested Interviewer-Administered Questionnaire Was Utilized For The Collection Of Data. Willingness To Pay Was Determined By The Contingent Valuation Method Utilizing The Bidding Game Technique To Estimate The Maximum Amount Each Participant Would Pay For The Three Doses Of The HPV Vaccine. Data Were Analyzed Using SPSS Version 20. The Average Monthly Income Of The Participants Was 152.18 USD (₦56307.91), With A Range Of 5.41-2162.16 USD (₦2,000 – 800,000). A Considerable Proportion (74.3%) Of The Respondents Was Willing To Pay Out Of Pocket For The Vaccine. The Average Maximum Willingness To Pay For The Three Doses Of The Bivalent Vaccine Was 15USD, Far Below 63USD, Which Was The Lowest Cost For The Three Doses Of The Vaccine In Nigeria. Small Family Size (P<0.05) And High Husband’s Monthly Income (P<0.05) Were Significantly Associated With Increased Willingness To Pay For Cervical Cancer Vaccine By The Participants. In Conclusion, The Willingness To Pay For The Cervical Cancer Vaccine Among The Participants Was High But At A Lower Average Cost Than It Currently Goes For In Nigeria.

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Prévention du cancer du col utérin (II): vaccination HPV prophylactique, connaissances actuelles, modalités pratiques et nouveaux enjeux

Cited by 10 publications

References 47 publications

Evaluation of the Management of Spontaneous First Trimester Abortions at the Institute of Social Hygiene Hospital in Dakar (Senegal) in 2019

Evaluation of the Management of Spontaneous First Trimester Abortions at the Institute of Social Hygiene Hospital in Dakar (Senegal) in 2019

Assessment of Two Mass Screening Campaigns for Pre-Cancerous and Cancerous Lesions of the Uterine Cervix using Colposcopy

Willingness to Pay for Cervical Cancer Vaccines Among Female Secondary School Teachers in Enugu, Nigeria

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