wow-inequalities/02-data/intermediate/wos_sample/d2df3cc8b42f5a29cde09c4fe86c6108-obol-james-henry-an/info.yaml

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