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Setting up a community-based cervical screening service in a low-income country: a pilot study from north-western Tanzania

Author

Listed:
  • Nestory Masalu

    (Bugando Medical Centre (BMC))

  • Patrizia Serra

    (Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS)

  • Dino Amadori

    (Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS)

  • Jackson Kahima

    (Bugando Medical Centre (BMC))

  • Charles Majinge

    (Dodoma Christian Medical Centre (DCMC))

  • Joyce Rwehabura

    (Bugando Medical Centre (BMC))

  • Oriana Nanni

    (Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS)

  • Sara Bravaccini

    (Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS)

  • Maurizio Puccetti

    (S. Maria delle Croci Hospital)

  • Rosario Tumino

    (Civic MP Arezzo Hospital, ASP Ragusa)

  • Lauro Bucchi

    (Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS)

Abstract

Objectives To report the results of a pilot study for a service for cervical cancer screening and diagnosis in north-western Tanzania. Methods The pilot study was launched in 2012 after a community-level information campaign. Women aged 15–64 years were encouraged to attend the district health centres. Attendees were offered a conventional Pap smear and a visual inspection of the cervix with acetic acid (VIA). Results The first 2500 women were evaluated. A total of 164 women (detection rate 70.0/1000) were diagnosed with high-grade cervical intraepithelial neoplasia and invasive cervical cancer. The performance of VIA was comparable to that of Pap smear. The district of residence, a history of untreated sexually transmitted disease, an HIV-negative status (inverse association), and parity were independently associated with the detected prevalence of disease. The probability of invasive versus preinvasive disease was lower in HIV-positive women and in women practicing breast self-examination. Conclusions The diagnostic procedure had an acceptable level of quality. Factors associated with the detected prevalence of disease will allow for a more targeted promotion of the service. Cervical screening should be coordinated with sexually transmitted disease and HIV infection control activities.

Suggested Citation

  • Nestory Masalu & Patrizia Serra & Dino Amadori & Jackson Kahima & Charles Majinge & Joyce Rwehabura & Oriana Nanni & Sara Bravaccini & Maurizio Puccetti & Rosario Tumino & Lauro Bucchi, 2017. "Setting up a community-based cervical screening service in a low-income country: a pilot study from north-western Tanzania," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(7), pages 755-762, September.
    • Handle: RePEc:spr:ijphth:v:62:y:2017:i:7:d:10.1007_s00038-017-0971-8
    DOI: 10.1007/s00038-017-0971-8
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    References listed on IDEAS

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    1. Brown, T.M. & Cueto, M. & Fee, E., 2006. "The World Health Organization and the transition from international to global public health," American Journal of Public Health, American Public Health Association, vol. 96(1), pages 62-72.
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