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Dumont Alexandre, Bessières N., Benbassa A., Razafindrafara G., Rabearison F., Philippe H. J. (2017). Cervical cancer screening in rural Madagascar : feasibility, coverage and incidence. Journal of Gynecology Obstetrics and Human Reproduction, 46 (4), 327-332. ISSN 0368-2315

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Lien direct chez l'éditeur doi:10.1016/j.jogoh.2017.03.003

Titre
Cervical cancer screening in rural Madagascar : feasibility, coverage and incidence
Année de publication2017
Type de documentArticle référencé dans le Web of Science WOS:000423885900004
AuteursDumont Alexandre, Bessières N., Benbassa A., Razafindrafara G., Rabearison F., Philippe H. J.
SourceJournal of Gynecology Obstetrics and Human Reproduction, 2017, 46 (4), p. 327-332. ISSN 0368-2315
RésuméObjectives. - To assess the implementation of a cervical cancer screening strategy in rural Madagascar. Materials and methods. - A mobile unit, equipped with a cold-coagulator, visited every six months the main health care centers in the Atsinanana area between 2013 and 2015. Cervical cancer screening was based on visual inspection with acetic acid (VIA). The lesions suggestive of intraepithelial neoplasia and limited to the cervix were coagulated on the same day. Non-eligible patients for immediate treatment were referred for appropriate investigations. We assessed the feasibility and the coverage of the screening strategy and estimated the incidence of cervical cancer in the targeted population. Results. - One thousand five hundred and sixty-nine (18%) of 8959 women aged between 25 and 65 years old were screened. Three hundred and fifty-seven (23%) were VIA positive and 322 (21%) were eligible for immediate treatment. No serious adverse effects were observed among patients treated on the same day. Among the 35 patients not eligible for immediate treatment and referred to the hospital, 16 (46%) were lost to follow up. Conclusion. - When a cervical cancer screening by HPV or cytology is not possible, VIA remains a feasible and acceptable option in a disadvantaged environment. The effectiveness of this approach is still limited by the problems of access to care for patients who are not eligible for immediate treatment.
Plan de classementSanté : aspects socioculturels, économiques et politiques [056] ; Démographie [108]
Descr. géo.MADAGASCAR
LocalisationFonds IRD [F B010072069]
Identifiant IRDfdi:010072069
Lien permanenthttp://www.documentation.ird.fr/hor/fdi:010072069

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