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01.12.2018 | Research article | Ausgabe 1/2018 Open Access

BMC Public Health 1/2018

A tailored within-community specimen collection strategy increased uptake of cervical cancer screening in a cross-sectional study in Ghana

Zeitschrift:
BMC Public Health > Ausgabe 1/2018
Autoren:
Adolf K. Awua, Edwin K. Wiredu, Edwin A. Afari, Ahmad S. Tijani, Gabriel Djanmah, Richard M. K. Adanu
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​s12889-017-4631-y) contains supplementary material, which is available to authorized users.
An erratum to this article is available at https://​doi.​org/​10.​1186/​s12889-017-4709-6.

Abstract

Background

The implementation of cervical cancer screening strategies has reported different rates of success in different countries due to population specific factors that limit women’s participation. We report observations and the development of a community-based specimen collection strategy which resulted from interactions with women in the study communities, following an initial low response to a hospital based cervical cancer screening strategy.

Method

Women were recruited by a house survey and invited to report at a hospital either within a week or after a week for self and health-personnel specimen collections. However, due to the very low response and subsequent interactions with the women of the communities, another strategy was developed that required recruited women report at a central location within their respective communities for specimen collections at times that did not interfere with their daily routines.

Results

For specimen collection, of the 156 participants who opted to report after a week at the hospital, 60 (38.5%) reported. Of the 118 participants who opted to report within 1 week at the hospital, 55 (46.6%) reported. Of the 103 participants were invited to report at a specified location within the community, 98 (95.1%) reported. An overall response rate of 60.4% was attained. Almost 89.7% (226 of 253) of the women performed both self and health personnel sample collection.

Conclusion

The community-based strategy with self-specimen collection and HPV testing holds great potential for increasing women’s participation in cervical cancer screening in Ghana as compared to the hospital based strategy.
Zusatzmaterial
Additional file 1: Table S1. Association between participants’ characteristics and reporting for community-based reporting strategy of specimen collection. Table S2. Association between participants’ characteristics and reporting for hospital long appointment reporting strategy of specimen collection. Table S3. Association between participants’ characteristics and reporting for hospital short appointment reporting strategy of specimen collection. Table S4. Association between participants’ characteristics and post-performance preference for specimen collection methods. (DOCX 27 kb)
12889_2017_4631_MOESM1_ESM.docx
Literatur
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