Implementation of human papillomavirus video education for women participating in mass cervical cancer screening in Tanzania

American Journal of Obstetrics and Gynecology
Emma C CooperKrishnansu S Tewari

Abstract

Because the global disease burden of cervical cancer is greatest in Africa, the World Health Organization has endorsed visual inspection with acetic acid screening with cryotherapy triage for the screen-and-treat approach. With the lowest doctor-to-patient ratio worldwide (1:50,000), Tanzania has nearly 10,000 new cases of cervical cancer and 7000 deaths annually. We report on the feasibility of visual inspection with acetic acid in the severely resource-limited Mwanza district and on the impact of intervening education on baseline human papillomavirus and cervical cancer knowledge. Two 5-day free visual inspection with acetic acid (VIA) clinics in urban Buzuruga and rural Sangabuye on the shores of Lake Victoria were approved by our university institutional review board and local Tanzanian health authorities. Participants completed a demographic survey and a 6-question (1 point per question) multiple choice test written in Kiswahili to assess baseline knowledge. A 15-minute educational video in Kiswahili (MedicalAidFilms: Understanding screening, treatment, and prevention of cervical cancer) was followed by repeated assessment using the same test, visual inspection with acetic acid screening, and optional HIV testing. Pre- and...Continue Reading

References

Jun 22, 2018·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Anayawa NyambeGuido Van Hal
Sep 27, 2018·Journal of Lower Genital Tract Disease·Cortney EakinDavid Greenspan
Jul 17, 2019·Gynecologic Oncology Reports·Ava S RungeKrishnansu S Tewari
Dec 6, 2019·Current Opinion in Obstetrics & Gynecology·Justine Chinn, Krishnansu S Tewari

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Citations

Jul 27, 2021·Frontiers in Public Health·Emmanuel Kwateng DrokowKai Sun

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