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Outcomes from 8 years of cervical cancer screening at a rural screen‐and‐treat site in northern Tanzania
Ist Teil von
International journal of gynecology and obstetrics, 2023-02, Vol.160 (2), p.604-611
Ort / Verlag
United States
Erscheinungsjahr
2023
Link zum Volltext
Quelle
Wiley Online Library Journals Frontfile Complete
Beschreibungen/Notizen
Objective
To examine screening outcomes for a rural screen‐and‐treat site as well as the referral completion rate, outreach programming, and screening costs.
Methods
A retrospective cross‐sectional analysis of demographic information and screening outcomes for all women screened at a rural screen‐and‐treat site between August 2011 and December 2018 was conducted. Referral completion rate for women with suspected cervical cancer was calculated for 2018.
Results
A total of 10 157 screenings were conducted during the study period. Median age was 35 years and median parity was 5. In all, 545 (5.35%) women were positive on visual inspection with acetic acid (VIA+), and 461 (91.1%) of 506 eligible women received cryotherapy. In 2018, 93 women were referred for suspected cancer to the zonal referral center, but only 10 (10.8%) presented for treatment. Mean screening cost was US$ 6.62 per person.
Conclusion
VIA+ rate was comparable to rates at urban sites in Tanzania, and outreach was an important component of screening. In contrast to other reports, few women suspected of having cancer reached treatment after being referred. Although the low cost of screening highlights the feasibility of rural screen‐and‐treat sites, additional research is needed to improve completion of referrals to a higher level of care.
Synopsis
Outcomes from nearly 10 000 women screened for cervical cancer at a rural site in Tanzania are reported. Referral rates for suspected cancer were low (<11%).