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
{"title":"轮辐模式在加纳改善宫颈癌筛查的应用。","authors":"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","doi":"10.4314/gmj.v56i3.2","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To examine the contribution of lower-level health facilities in increasing access to cervical cancer screening in the North Tongu District.</p><p><strong>Design: </strong>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.</p><p><strong>Participants: </strong>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.</p><p><strong>Main outcome measure: </strong>The detection of screen positives.</p><p><strong>Results: </strong>The screen positives were 19.4% (375/1935) at the hub and 4.9% (74/1516) at the spokes.</p><p><strong>Conclusion: </strong>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.</p><p><strong>Funding: </strong>None declared.</p>","PeriodicalId":35509,"journal":{"name":"Ghana Medical Journal","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10336637/pdf/","citationCount":"1","resultStr":"{\"title\":\"Application of the hub and spokes model in improving access to cervical cancer screening in Ghana.\",\"authors\":\"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\",\"doi\":\"10.4314/gmj.v56i3.2\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To examine the contribution of lower-level health facilities in increasing access to cervical cancer screening in the North Tongu District.</p><p><strong>Design: </strong>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.</p><p><strong>Participants: </strong>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.</p><p><strong>Main outcome measure: </strong>The detection of screen positives.</p><p><strong>Results: </strong>The screen positives were 19.4% (375/1935) at the hub and 4.9% (74/1516) at the spokes.</p><p><strong>Conclusion: </strong>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.</p><p><strong>Funding: </strong>None declared.</p>\",\"PeriodicalId\":35509,\"journal\":{\"name\":\"Ghana Medical Journal\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2022-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10336637/pdf/\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Ghana Medical Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.4314/gmj.v56i3.2\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ghana Medical Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4314/gmj.v56i3.2","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
Application of the hub and spokes model in improving access to cervical cancer screening in Ghana.
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.
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