Knowledge, attitudes and practices among Brazzaville midwives on cervical cancer screening

Tebeu, Pierre Marie; Antaon, Jesse Saint Saba; Nerbardoum, Derguedbé; Vassilakos, Pierre; Beaudrap, Pierre De; Petignat, Patrick

doi:10.11604/pamj.2020.36.311.19102

Cited by 3 publications

(1 citation statement)

References 6 publications

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“…Studies ( 42 ) have also found an association between knowledge and attitudes. Moreover, since the classification of medical and financial resources existed in different regions, lack of knowledge has become a common problem that makes it harder for primary care physicians to provide CCSSs ( 43 ). Subsequently, we added the knowledge level to the research model, which may have a potential effect on primary care physicians' BI and PBC of providing CCSSs, and the following hypotheses were posited:…”

Section: Research Model and Hypothesis Developmentmentioning

confidence: 99%

Examining Primary Care Physicians' Intention to Perform Cervical Cancer Screening Services Using a Theory of Planned Behavior: A Structural Equation Modeling Approach

Sun

et al. 2022

Front. Public Health

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BackgroundPromoting cervical cancer screening (CCS) is undoubtedly effective in combating severe public health problems in developing countries, but there are challenges to its implementation. Understanding the factors influencing primary care physicians' intentions to provide CCSs to rural women is crucial for the future implementation of screening programs. The aim of this study was to assess the intentions of primary care physicians to provide cervical cancer screening services (CCSSs) to rural women and their determinants.MethodsThis cross-sectional study included 1,308 primary care physicians in rural primary health care, and the data collection tool was developed based on the theory of planned behavior (TPB), which included demographic characteristics, the basic constructs of TPB, and the degree of knowledge of CCSSs as an extended variable of the TPB model. Structural equation modeling was used to analyze the relationships between each factor.ResultsPathway analysis found that TPB is an appropriate theoretical basis for predicting primary care physicians' intent to provide CCSSs (χ2/df = 2.234 < 3, RMSEA = 0.035, and SRMR = 0.034). Meanwhile, the structural equation model showed that attitude (β = 0.251, p < 0.001), subjective norm (β = 0.311, p < 0.001), perceived behavioral control (β = 0.162, p < 0.001), and knowledge level (β = 0.152, p < 0.01) positively predicted primary care physicians' intention to provide CCSSs.ConclusionsTPB model, with the addition of knowledge, was useful in predicting primary care physicians' intention to provide CCSSs for rural Chinese women. The findings of this study provide a reference for the government and hospitals to develop strategies to improve the intent of primary care physicians to provide CCSSs.

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Section: Research Model and Hypothesis Developmentmentioning

confidence: 99%

Examining Primary Care Physicians' Intention to Perform Cervical Cancer Screening Services Using a Theory of Planned Behavior: A Structural Equation Modeling Approach

Sun

et al. 2022

Front. Public Health

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Inter- and intra-observer agreement in the assessment of the cervical transformation zone (TZ) by visual inspection with acetic acid (VIA) and its implications for a screen and treat approach: a reliability study

et al. 2023

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Background In low-resource countries, interpretation of the transformation zone (TZ) using the classification of the International Federation for Cervical Pathology and Colposcopy (IFCPC), adopted by the World Health Organization, is critical for determining if visual inspection with acetic acid (VIA) screening and thermal ablation treatment are possible. We aim to assess inter- and intra-observer agreement in TZ interpretation. Methods We performed a prospective multi-observer reliability study. One hundred cervical digital images of Human papillomavirus positive women (30–49 years) were consecutively selected from a Cameroonian cervical cancer screening trial. Images of the native cervix and after VIA were obtained. The images were evaluated for the TZ type at two time points (rounds one and two) by five VIA experts from four countries (Côte d’Ivoire, Cameroon, Peru, and Zambia) according to the IFCPC classification (TZ1 = ectocervical fully visible; TZ2 = endocervical fully visible; TZ3 = not fully visible). Intra- and inter-observer agreement were measured by Fleiss’ kappa. Results Overall, 37.0% of images were interpreted as TZ1, 36.4% as TZ2, and 26.6% as TZ3. Global inter-observer reliability indicated fair agreement in both rounds (kappa 0.313 and 0.288). The inter-observer agreement was moderate for TZ1 interpretation (0.460), slight for TZ2 (0.153), and fair for TZ3 (0.329). Intra-observer analysis showed fair agreement for two observers (0.356 and 0.345), moderate agreement for two other (0.562 and 0.549), and one with substantial agreement (0.728). Conclusion Interpretation of the TZ using the IFCPC classification, adopted by the World Health Organization, is critical for determining if VIA screening and thermal ablation treatment are possible. However, the low inter- and intra-observer agreement suggest that the reliability of the referred classification is limited in the context of VIA. It’s integration in treatment recommendations should be used with caution since TZ3 interpretation could lead to an important referral rate for further evaluation. Trial registration Cantonal Ethics Board of Geneva, Switzerland: N°2017–0110. Cameroonian National Ethics Committee for Human Health Research N°2018/07/1083/CE/CNERSH/SP.

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Connaissances, attitudes et pratiques des professionnels de santé sur le cancer du col de l’utérus au Cameroun

Tebeu¹,

Antaon²,

Adjeba³

et al. 2021

Santé Publique

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Introduction : Le cancer du col de l’utérus est responsable d’environ 311 000 décès par an dans le monde et 1 540 décès au Cameroun. Il s’agit d’un problème majeur de Santé Publique, mais seulement une femme sur dix bénéficie du dépistage du cancer du col de l’utérus au Cameroun. Peu de données sont disponibles sur les connaissances, attitudes et pratiques des professionnels de santé à l’Ouest du Cameroun. L’objectif de cette étude était d’évaluer les connaissances, attitudes et pratiques de ces professionnels vis-à-vis du cancer du col de l’utérus. Résultats : Au total 200 prestataires de soins ont été recrutés. S’agissant des connaissances sur la cause principale du cancer du col, 35 % des répondants étaient capables de citer l’infection au HPV. Quant aux moyens de prévention, 32 % des professionnels de santé connaissaient le vaccin anti-HPV. Au regard de la perception de la maladie, 79,3 % des médecins estimaient que le cancer du col est une affection grave. Au cours de leur pratique, 15 % des répondants déclaraient recommander systématiquement le dépistage du cancer du col de l’utérus aux femmes de plus de 25 ans. Conclusion : Les professionnels du district de santé de la Mifi ont de faibles niveaux de connaissances et de pratique sur la prévention du cancer du col utérin. La formation des professionnels de santé et le développement des centres du dépistage du cancer du col sont nécessaires à la Mifi.

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Knowledge, attitudes and practices among Brazzaville midwives on cervical cancer screening

Cited by 3 publications

References 6 publications

Examining Primary Care Physicians' Intention to Perform Cervical Cancer Screening Services Using a Theory of Planned Behavior: A Structural Equation Modeling Approach

Examining Primary Care Physicians' Intention to Perform Cervical Cancer Screening Services Using a Theory of Planned Behavior: A Structural Equation Modeling Approach

Inter- and intra-observer agreement in the assessment of the cervical transformation zone (TZ) by visual inspection with acetic acid (VIA) and its implications for a screen and treat approach: a reliability study

Connaissances, attitudes et pratiques des professionnels de santé sur le cancer du col de l’utérus au Cameroun

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