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Building capacity for cervical cancer screening in outpatient HIV clinics in the Nyanza province of western Kenya.

Publication ,  Journal Article
Huchko, MJ; Bukusi, EA; Cohen, CR
Published in: Int J Gynaecol Obstet
August 2011

OBJECTIVE: To evaluate outcomes of cervical cancer screening within HIV care and treatment clinics in Kenya. METHODS: Beginning in October 2007, visual inspection with acetic acid (VIA), colposcopy, and loop electrosurgical excision procedure (LEEP) were added to the clinical services offered at Family AIDS Care and Education Services (FACES) clinics in Kisumu, Kenya, after a systematic campaign to build capacity and community awareness. RESULTS: From October 2007 to October 2010, 3642 women underwent VIA as part of routine HIV care. Cervical intraepithelial neoplasia 2/3 was identified in 259 (7.1%) women, who were offered excisional treatment by LEEP in the clinic. Among those women offered screening, uptake was 87%. Clinical staff reported a high level of satisfaction with training for and implementation of cervical cancer screening strategies. CONCLUSION: Cervical cancer screening and prevention are feasible, acceptable, and effective within HIV care and treatment clinics. Screening test performance characteristics need to be defined for an HIV-positive population to determine the cost/benefit ratio of lower cost strategies that will ultimately be necessary to provide universal access to cervical cancer screening in low-resource settings.

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Published In

Int J Gynaecol Obstet

DOI

EISSN

1879-3479

Publication Date

August 2011

Volume

114

Issue

2

Start / End Page

106 / 110

Location

United States

Related Subject Headings

  • Vaginal Smears
  • Uterine Cervical Neoplasms
  • Patient Acceptance of Health Care
  • Obstetrics & Reproductive Medicine
  • Kenya
  • Humans
  • HIV Infections
  • Female
  • Electrosurgery
  • Early Detection of Cancer
 

Citation

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Huchko, M. J., Bukusi, E. A., & Cohen, C. R. (2011). Building capacity for cervical cancer screening in outpatient HIV clinics in the Nyanza province of western Kenya. Int J Gynaecol Obstet, 114(2), 106–110. https://doi.org/10.1016/j.ijgo.2011.02.009
Huchko, Megan J., Elizabeth A. Bukusi, and Craig R. Cohen. “Building capacity for cervical cancer screening in outpatient HIV clinics in the Nyanza province of western Kenya.Int J Gynaecol Obstet 114, no. 2 (August 2011): 106–10. https://doi.org/10.1016/j.ijgo.2011.02.009.
Huchko MJ, Bukusi EA, Cohen CR. Building capacity for cervical cancer screening in outpatient HIV clinics in the Nyanza province of western Kenya. Int J Gynaecol Obstet. 2011 Aug;114(2):106–10.
Huchko, Megan J., et al. “Building capacity for cervical cancer screening in outpatient HIV clinics in the Nyanza province of western Kenya.Int J Gynaecol Obstet, vol. 114, no. 2, Aug. 2011, pp. 106–10. Pubmed, doi:10.1016/j.ijgo.2011.02.009.
Huchko MJ, Bukusi EA, Cohen CR. Building capacity for cervical cancer screening in outpatient HIV clinics in the Nyanza province of western Kenya. Int J Gynaecol Obstet. 2011 Aug;114(2):106–110.

Published In

Int J Gynaecol Obstet

DOI

EISSN

1879-3479

Publication Date

August 2011

Volume

114

Issue

2

Start / End Page

106 / 110

Location

United States

Related Subject Headings

  • Vaginal Smears
  • Uterine Cervical Neoplasms
  • Patient Acceptance of Health Care
  • Obstetrics & Reproductive Medicine
  • Kenya
  • Humans
  • HIV Infections
  • Female
  • Electrosurgery
  • Early Detection of Cancer