2023-09-28 14:46:10 +00:00
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abstract: 'Background Cervical cancer is the leading cancer among Ugandan women,
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contributing to 40 \% of all cancer cases recorded in the cancer
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registry. Having identified the substantial impact of cervical cancer
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among Ugandan women, the Ministry of Health in 2010 launched a Strategic
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Plan for Cervical Cancer prevention and control. This study was
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conducted to determine if health workers working in rural health centres
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(HCs) III and IV in Northern Uganda provide cervical cancer screening
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services as recommended in the Strategic Plan. Methods A cross-sectional
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survey using a structured questionnaire was conducted among nurses,
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midwives and clinical officers working in rural HC III and IV in
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Northern Uganda. Data were entered in Epidata 3.1 and analysed using
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Stata 16 statistical software. Univariate, bivariate, and multivariate
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analyses were performed. Any factor with p-value <= 0.05 was considered
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a significant predictor of outcome. Results We surveyed 286 health
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workers. Fifty-one (18 \%) health workers were screening women for
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cervical cancer. Fifty-eight (21 \%) health workers have guideline for
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cervical cancer screening in their HCs, 93 (33 \%) participants were
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trained to screen women for cervical cancer. Two hundred sixty-two (92
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\%) participants provided HPV vaccination. Two hundred forty-six (87 \%)
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participants were conducting health education about cervical cancer in
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their HCs. Factors associated with screening women for cervical cancer
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include: being a staff member from HCs III (AOR = 0.30, 95 \% CI
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0.13-0.68, p = 0.00), being staff of HCs that have organization to
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support cervical cancer screening services (AOR = 4.38, 95 \% CI
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1.99-9.63, p-=0.00), being a health worker who had been trained to
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screen for cervical cancer (AOR = 2.21, 95 \% CI 1.00-4.90, p = 0.05)
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and staff from HCs that has guideline for cervical cancer screening (AOR
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= 2.89, 95 \% CI 1.22-6.86, p = 0.02). Conclusions This study shows an
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overall structural problem related to the delivery of cervical cancer
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screening services in HC III and IV in Northern Uganda which the
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Strategic Plan has not addressed. These structural problems need urgent
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attention if the Uganda government and other sub-Saharan African (SSA)
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countries are to achieve the World Health Organization (WHO) 90-70-90
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targets by 2030 to be on track for cervical cancer elimination.'
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affiliation: 'Obol, JH (Corresponding Author), Univ New South Wales, Sch Populat Hlth
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\& Community Med, Kensington, NSW 2033, Australia.
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Obol, JH (Corresponding Author), Gulu Univ, Fac Med, POB 166, Gulu, Uganda.
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Obol, James Henry; Lin, Sophia; Harrison, Reema; Richmond, Robyn, Univ New South
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Wales, Sch Populat Hlth \& Community Med, Kensington, NSW 2033, Australia.
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Obol, James Henry; Obwolo, Mark James, Gulu Univ, Fac Med, POB 166, Gulu, Uganda.'
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article-number: '794'
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author: Obol, James Henry and Lin, Sophia and Obwolo, Mark James and Harrison, Reema
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and Richmond, Robyn
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author-email: obolh@yahoo.com
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author_list:
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- family: Obol
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given: James Henry
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- family: Lin
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given: Sophia
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- family: Obwolo
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given: Mark James
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- family: Harrison
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given: Reema
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- family: Richmond
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given: Robyn
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da: '2023-09-28'
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doi: 10.1186/s12913-021-06795-5
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eissn: 1472-6963
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files: []
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journal: BMC HEALTH SERVICES RESEARCH
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keywords: Cervical cancer; Health worker; Prevention services; Northern Uganda
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keywords-plus: GLOBAL BURDEN; LOW-INCOME; BARRIERS; PERSPECTIVES; WOMEN; CARE
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language: English
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month: AUG 11
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number: '1'
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number-of-cited-references: '59'
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orcid-numbers: 'Obol, James Henry/0000-0001-7789-3888
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Harrison, Reema/0000-0002-8609-9827'
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papis_id: a77ece29a87069bce7a1c6e4f258a81b
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ref: Obol2021provisioncervical
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researcherid-numbers: 'Obol, James Henry/AAW-4023-2021
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Obol, James Henry/U-6763-2018
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'
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times-cited: '2'
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title: 'Provision of cervical cancer prevention services in Northern Uganda: a survey
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of health workers from rural health centres'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000684207000002
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '21'
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web-of-science-categories: Health Care Sciences \& Services
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year: '2021'
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