Application of the hub and spokes model in improving access to cervical cancer screening in Ghana.

Q3 Medicine Ghana Medical Journal Pub Date : 2022-09-01 DOI:10.4314/gmj.v56i3.2

Kofi Effah, Evans K Attivor, Bernard H Atuguba, Donatus D Adaletey, Delali A Ofori, Philip Diame, Ethel Tekpor, Comfort M Wormenor, Isaac Gedzah, Dominic Agyiri, Joseph E Amuah, Patrick K Akakpo, Jonathan M Gmanyami, Martin Adjuik, Hubert Amu, Margaret Kweku

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引用次数: 1

Abstract

Objective: To examine the contribution of lower-level health facilities in increasing access to cervical cancer screening in the North Tongu District.

Design: A descriptive cross-sectional study design was used. The Cervical Cancer Prevention and Training Centre (CCPTC) of the Catholic Hospital, Battor, served as the hub, and six health facilities (3 health centres and 3 CHPS compounds) served as the spokes. From April 2018 to September 2019, the well-resourced CCPTC trained 6 nurses at selected Community-based Health Planning and Services (CHPS) / Health Centres (HCs) (spokes) to provide cervical cancer screening services. The nurses, after training, started screening with VIA and HPV DNA testing.

Participants: A total of 3,451women were screened by the trained nurses. This comprised 1,935 (56.1%) from the hub and 1,516 (43.9%) from the spokes.

Main outcome measure: The detection of screen positives.

Results: The screen positives were 19.4% (375/1935) at the hub and 4.9% (74/1516) at the spokes.

Conclusion: We have demonstrated that a hub and spokes model for cervical cancer screening is possible in limited resource settings. Designating and resourcing a 'hub' that supports a network of 'spokes' could increase women's access to cervical cancer screening. This approach could create awareness about cervical cancer screening services and how they can be accessed.

Funding: None declared.

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轮辐模式在加纳改善宫颈癌筛查的应用。

目的:探讨基层卫生机构在提高北通古区宫颈癌筛查可及性方面的作用。设计:采用描述性横断面研究设计。Battor天主教医院的子宫颈癌预防和培训中心(CCPTC)是中心，六个保健设施(3个保健中心和3个卫生保健中心院落)是辐条。在2018年4月至2019年9月期间，资源充足的预防宫颈癌中心在选定的社区健康规划及服务中心/健康中心(诊所)培训了6名护士，以提供子宫颈癌筛查服务。培训后，护士开始用VIA和HPV DNA检测进行筛查。参与者:共有3451名妇女接受了训练有素的护士的筛查。其中1935个(56.1%)来自轮毂，1516个(43.9%)来自辐条。主要结局指标:筛检阳性。结果:轮毂筛检阳性率为19.4%(375/1935)，轮辐筛检阳性率为4.9%(74/1516)。结论:我们已经证明，枢纽和辐条模式宫颈癌筛查是可能在有限的资源设置。指定一个支持“辐条”网络的“中心”并为其提供资源，可以增加妇女获得宫颈癌筛查的机会。这种方法可以提高人们对宫颈癌筛查服务以及如何获得这些服务的认识。资金:未宣布。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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