scholarly journals Strengthening the Role of Cadres and Village Midwives to Support the Cervical Cancer Awareness Movement in Puhu Payangan Village, Gianyar, Bali, Indonesia

2021 ◽  
Vol 7 (1) ◽  
pp. 41
Author(s):  
Desak Putu Oki Lestari ◽  
Sri Ratna Dewi ◽  
Ni Wayan Armerinayanti

Cervical cancer is the most common type of cancer in Balinese women, and most of the cervical cancer patients came in advanced condition. The health survey conducted in the village of Puhu, Payangan, Gianyar, found that the coverage of cervical cancer screening is 12%, which is considered as low. Payangan’s sub-district health centers (Puskesmas) have made an effort to give free PAP smear screenings to the local community, but it still has not received a good response. This is related to the community’s lack of knowledge on cervical cancer, low awareness of cancer screening, and false stigma about PAP smear examination. To overcome this problem, an effort is needed to increase awareness about the need for PAP smear screening by shaping it into a cervix cancer awareness movement "Gardavi", involving village midwives and housewife members of Empowerment and Family Welfare Group (PKK) in Puhu Village as cadres. Methods that are used in this community service include training for midwives, activation of tiered information system involving midwives-cadres and the community, knowledge provision as well as motivating cadres. This event is done to increase the role of village midwives and cadres to actively participate in PAP smear screenings in their region, therefore, it may increase screening outcomes and lower mother morbidity and mortality numbers due to cervical cancer. This event results in increased midwives’ knowledge and skill on the technique of sampling PAP smear independently, increased visits to the Community Health Sub-Center (Pustu) for PAP smear examination, creation of a midwives-cadres-community coordination system, cadres independently playing an active role in motivating the village community to do screening, as well as increased cadres’ optimism.

2020 ◽  
Vol 10 (1) ◽  
pp. 1639-1644
Author(s):  
Indrani Krishnappa ◽  
Kalyani R. ◽  
Raja Parthiban ◽  
Abhishek Agrawal

Background: Pap smear examination has been universally used as an effective screening tool for early detection of cervical carcinoma. The aim of this study was to assess the utility of Cervical Acid Phosphatase staining as an adjunct to routine Pap smear testing to improvethe sensitivity and specificity of routine Pap smear examination for cervical cancer detection. Materials and Methods: Cervical smears were taken from patients attending the gynecology department and a few cervical cancer screening programmes. One set of slides were alcohol fixed and stained with rapid pap stain and another set of slides were fixed in a special fixative and stained with Cervical Acid Phosphatase -Pap stain. The nuclear features of these Cervical Acid Phosphatase stained dysplastic cells was studied on Pap stain to diagnose cervical intraepithelial lesion/ malignancy. Results: Out of 489 cases included in the study 6 cases were diagnosed with intraepithelial lesion/ malignancy. On Cervical Acid Phosphatase -Pap stain 2 of the cases diagnosed as inflammatory smears on pap stain showed Cervical Acid Phosphatase positivity and thus were re evaluated. Mild nuclear atypia was observed in the Cervical Acid Phosphatase positive cells and these cases were diagnosed as Low grade squamous intraepithelial lesion and later biopsy proven to be Cervical intraepithelial Neoplasia I. Therefore Cervical Acid Phosphatase -Pap test was 100% sensitive and specific for cervical cancer detection. Conclusions: With 100% sensitivity Cervical Acid Phosphatase -Pap test satisfies the criteria of an efficient screening test.


Author(s):  
Roya Motavalli ◽  
Tavakkol Mousazadeh ◽  
Amir Mousazadeh ◽  
Ayda Fallah Asadi

Cervix cancer is one of the most common cancers in women, particularly in developing countries and Asian countries that many science centers around the world consider the pap smear screening test as the best solution for the control of cervical cancer. Several studies have shown that to tend women for doing a pap smear is regularly decreasing, and about one-fifth of women have not had a pap smear. This study was done to investigate rate and causes of the cervix cancer screening test among women Ardabil. In this cross-sectional study, 300 women referred to health centers in Ardabil were selected by multistage sampling. Data were collected through a researcher made questionnaire. For data analysis, SPSS Software version 18 and descriptive and inferential statistics were used. The rate of cervical cancer screening test in this study was 48%. The role of knowledge as personal factors of pap smear screening test was significant statistically (p<0.05). Among the risk factors for cervical cancer, there was observed significant relationship between uterine diseases history and number of pregnancies and pap smear test (p<0.05). Of family and social factors on women's education and employment, occupation and level of education was no significant relationship with using pap smear test. However, there was a significant relationship family history of cancer and pap smear test (p<0.05). In all, prevention is always prior to treatment. One of the prevention ways is the screening test. Early diagnosis and early treatment of cervical cancer has a key role. So the female population needs planning by intervention programs for health education and regular screening to prevent cancer.


2018 ◽  
Vol 1 (1) ◽  
pp. 15-17
Author(s):  
Roya Motavalli ◽  
Tavakkol Mousazadeh ◽  
Amir Mousazadeh ◽  
Ayda Fallah Asadi

Cervix cancer is one of the most common cancers in women, particularly in developing countries and Asian countries that many science centers around the world consider the pap smear screening test as the best solution for the control of cervical cancer. Several studies have shown that to tend women for doing a pap smear is regularly decreasing, and about one-fifth of women have not had a pap smear. This study was done to investigate rate and causes of the cervix cancer screening test among women Ardabil. In this cross-sectional study, 300 women referred to health centers in Ardabil were selected by multistage sampling. Data were collected through a researcher made questionnaire. For data analysis, SPSS Software version 18 and descriptive and inferential statistics were used. The rate of cervical cancer screening test in this study was 48%. The role of knowledge as personal factors of pap smear screening test was significant statistically (p<0.05). Among the risk factors for cervical cancer, there was observed significant relationship between uterine diseases history and number of pregnancies and pap smear test (p<0.05). Of family and social factors on women's education and employment, occupation and level of education was no significant relationship with using pap smear test. However, there was a significant relationship family history of cancer and pap smear test (p<0.05). In all, prevention is always prior to treatment. One of the prevention ways is the screening test. Early diagnosis and early treatment of cervical cancer has a key role. So the female population needs planning by intervention programs for health education and regular screening to prevent cancer.


2019 ◽  
Vol 31 (2) ◽  
pp. 121-127 ◽  
Author(s):  
Erica J. Liebermann ◽  
Nancy VanDevanter ◽  
Taraneh Shirazian ◽  
Natalia Frías Gúzman ◽  
Mimi Niles ◽  
...  

Introduction: Cervical cancer is the second leading cause of cancer death among women in the Dominican Republic, and high rates persist despite existing Pap smear screening programs. The purpose of this study was to explore Dominican women’s knowledge and attitudes regarding human papillomavirus (HPV) and cervical cancer, cervical cancer screening practices, and perceived barriers and facilitators to early detection of cervical cancer. Method: Six focus groups ( N = 64) were conducted in Spanish in urban, suburban, and rural locations, in private and public school settings, community and workplace settings, in or near Santo Domingo, as part of a larger study on barriers and facilitators to HPV vaccine implementation. Audio recordings were transcribed verbatim and translated from Spanish to English. Qualitative data analysis used inductive and deductive approaches. Results: Knowledge regarding HPV and cervical cancer varied across groups, but all agreed there was significant stigma and fear regarding HPV. Most women reported having Pap screening at least yearly. Follow-up of abnormal Pap testing was less consistent, with cost and uncertainty about provider recommendations identified as barriers. Discussion: Broader examination of provider-level and health system barriers and facilitators to cervical cancer prevention in the Dominican Republic is essential, in order to inform interventions to improve the effectiveness of cervical cancer screening and treatment programs and reduce preventable deaths.


2015 ◽  
Vol 2 (1) ◽  
Author(s):  
Rahayu Setyaningsih ◽  
Endang Dwi Ningsih ◽  
Bagus Permadi

Abstract Background The interviews with housewives in the village Gulunan Sidokerto, most say not to know about cervical cancer and the dangers, so that people's motivation for the early detection of cervical cancer is also lower than all the proven mother in the village has never been anyone doing a Pap test. The purpose of this study was to determine the relationship between the level of knowledge about cervical cancer with a Pap smear examination motivation housewives in the village of Subdistrict Plupuh Gulunan Sidokerto Sragen. Subjects were mothers of the population in the village of 45 people Gulunan Sidokerto number by looking at the table Krecji, samples found as many as 40 people. This research is analytic, the research design and approach of cross -sectional correlation. The sampling technique used is nonpropability sampling is purposive sampling . Data analyzed by chi-square test with p = 0.05 , obtained p value of 0.004 to p < 0.05 , which means that Ho is rejected and Ha accepted . The conclusion of the study. There is a relationship between the level of knowledge of cervical cancer with the Pap smear examination motivation housewives in the village of Subdistrict Plupuh Gulunan Sidokerto Sragen with p= 0.004 . Keywords : Knowledge Level, Cervical Cancer, Motivation, Pap Smear .


2019 ◽  
Vol 49 (4) ◽  
pp. 298-300 ◽  
Author(s):  
Marlieke de Fouw ◽  
Mirgissa Kaba ◽  
Molalign Hailu ◽  
Feriha Zitesti Bereket ◽  
Jogchum Jan Beltman

Community mobilisation is an essential part of cervical cancer screening programmes to increase demand for screening services. While there are different methods of community mobilisation, in Ethiopia community conversations during traditional coffee ceremonies appear to be a context appropriate and effective method. Linkage of community mobilisation with existing community networks can increase uptake of cervical cancer screening and improve continuous support and care among community members.


F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 322
Author(s):  
Kehinde S. Okunade ◽  
Omolola Salako ◽  
Adebola A. Adejimi ◽  
Oluwatosin J. Akinsola ◽  
Omolara Fatiregun ◽  
...  

Background: Incidence and mortality from cervical cancer have remained high due to many obstacles facing the implementation of organized screening programs in resource-constrained countries such as Nigeria. The application of mobile technologies (mHealth) to health services delivery has the potential to reduce inequalities, empower patients to control their health, and improve the cost-effectiveness of health care delivery. Aim: To assess the efficacy of mobile technology intervention on Pap test screening adherence compared to a control condition and also determine the factors affecting the uptake of Pap smear screening practices among women in Lagos. Methods: This is a multi-center randomized controlled trial that will involve women aged 25 to 65 years attending the General Outpatient clinics of the two tertiary health institutions in Lagos, Nigeria between April and December 2020. At baseline, a total of 200 National Health Insurance Scheme (NHIS) enrollees will be randomized to either a text message arm or usual care (control) arm. The primary outcome is the completion of a Pap smear within 6 months of enrolment in the study. The associations between any two groups of continuous variables will be tested using the independent sample t-test (normal distribution) or the Mann-Whitney U test (skewed data) and that of two groups of categorical variables with Chi-square X2or Fisher's exact test where appropriate. Using binary logistic regression model, we will adjust for age and other relevant sociodemographic and clinical variables and adherence to Pap test screening. Statistical significance will be defined as P-value less than 0.05. Discussion: The mHealth-Cervix study will evaluate the impact of mobile technologies on cervical cancer screening practices in Lagos, Nigeria as a way of contributing to the reduction in the wide disparities in cervical cancer incidence through early detection facilitated using health promotion to improve Pap smear screening adherence. Registration: PACTR202002753354517 13/02/2020


CytoJournal ◽  
2011 ◽  
Vol 8 ◽  
pp. 8 ◽  
Author(s):  
Urmila Banik ◽  
Pradip Bhattacharjee ◽  
Shahab Uddin Ahamad ◽  
Zillur Rahman

Background: In the low resource settings of a developing country, a conventional Papanicolaou (Pap) test is the mainstay screening system for cervical cancer. In order to counsel women and to organize a public health system for cervical cancer screening by Pap smear examination, it is imperative to know the pattern of premalignant and malignant lesions. This study was undertaken to find out the prevalence of an abnormal Pap smear, in a tertiary hospital of a developing country, and to carry out a clinicopathological and demographical analysis for establishing the pattern of epithelial cell abnormality in a Pap smear. Materials and Methods: A cross-sectional descriptive study was carried out in a total of 1699 patients who underwent Pap smear examination. The prevalence of epithelial cell abnormality in the Pap smear was calculated in proportions / percentages. Specimen adequacy and reporting was assessed according to the revised Bethesda system. Results: Among the total of 1699 patients who had their Pap smear done, 139 (8.18%) revealed epithelial cell abnormality. Altogether 26 smears revealed high-grade lesions and malignancy, most of which were found to be in women belonging to the 30 – 39 and ≥ 45 age group. A total of 75 (53.96%) women were in the 20 – 44 age group and 64 (46.04%) were in the ≥ 45 age group. A bimodal age distribution was detected in the epithelial cell abnormality, with the bulk being diagnosed in patients aged 45 or above. Overall one-third of the patients with an abnormal Pap smear result showed healthy cervix in per vaginal examination. Conclusions: A raised prevalence of epithelial cell abnormality reflects the lack of awareness about cervical cancer screening. Women aged 45 or above harbor the bulk of premalignant and malignant lesions in the Pap smear, signifying that these women are among the under users of cytological screening.


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