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Full-Text Articles in Medicine and Health Sciences
Integrating Human Papillomavirus Testing As A Point-Of Care Service Using Genexpert Platforms: Findings And Lessons From A Kenyan Pilot Study (2019–2020), Valerian Mwenda, Joan-Paula Bor, Mary Nyangasi, James Njeru, Sharon Olwande, Patricia Njiri, Marc Arbyn, Philippe Tummers, Marleen Temmerman
Integrating Human Papillomavirus Testing As A Point-Of Care Service Using Genexpert Platforms: Findings And Lessons From A Kenyan Pilot Study (2019–2020), Valerian Mwenda, Joan-Paula Bor, Mary Nyangasi, James Njeru, Sharon Olwande, Patricia Njiri, Marc Arbyn, Philippe Tummers, Marleen Temmerman
Obstetrics and Gynaecology, East Africa
Background: Globally, cervical cancer is a major public health problem, with about 604,000 new cases and over 340,000 deaths in 2020. In Kenya, it is the leading cause of cancer deaths, with over 3,000 women dying in 2020 alone. Both the Kenyan cancer screening guidelines and the World Health Organization’s Global Cervical Cancer Elimination Strategy recommend human papillomavirus (HPV) testing as the primary screening test. However, HPV testing is not widely available in the public healthcare system in Kenya. We conducted a pilot study using a point of care (POC) HPV test to inform national roll-out.
Methods: The …
Early Detection Of Cervical Cancer In Western Kenya: Determinants Of Healthcare Providers Performing A Gynaecological Examination For Abnormal Vaginal Discharge Or Bleeding, Emily Mwaliko, Guido Van Hal, Stefan Van Dongen, Peter Gichangi, Barasa Otsyula, Violet Naanyu, Marleen Temmerman
Early Detection Of Cervical Cancer In Western Kenya: Determinants Of Healthcare Providers Performing A Gynaecological Examination For Abnormal Vaginal Discharge Or Bleeding, Emily Mwaliko, Guido Van Hal, Stefan Van Dongen, Peter Gichangi, Barasa Otsyula, Violet Naanyu, Marleen Temmerman
Obstetrics and Gynaecology, East Africa
Background: In western Kenya, women often present with late-stage cervical cancer despite prior contact with the health care system. The aim of this study was to predict primary health care providers’ behaviour in examining women who present with abnormal discharge or bleeding.
Methods: This was a cross-sectional survey using the theory of planned behaviour (TPB). A sample of primary health care practitioners in western Kenya completed a 59-item questionnaire. Structural equation modelling was used to identify the determinants of providers’ intention to perform a gynaecological examination. Bivariate analysis was conducted to investigate the relationship between the external variables and intention. …