TITLE:
Prevention of Cervix Cancer in a Low Resources Country: Operational and Clinical Aspects of a Screening’s Network in a Suburb of Abidjan (Côte d’Ivoire)
AUTHORS:
Horo Apollinaire, Koffi Abdoul, Aka Kacou Edele, Seni Konan, Koné Mamourou
KEYWORDS:
Network, Screening, Cervical Cancer
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.6 No.1,
January
29,
2016
ABSTRACT: Background: Cancer of the cervix is the most common cancer and the
leading cause of death by cancer in women in developing countries. According to
WHO, there were in 2002 in the world more than 500,000 new cases of cervical
cancer, with more than 90% in developing countries. Secondary prevention of
cervical cancer is done through screening of precancerous lesions and early
diagnosis of cancer followed by treatment. Objectives: Our experience was reported
in the management of a network of screening in the prevention of cancer of the
uterine cervix. Method: After a program of training and upgrade to a pool of
specialist doctor of obstetrics and gynaecology and midwifery centers health on
visual screening methods, a reference site that is also a trainer site was
defined and equipped with video-colposcopy and cryotherapy device. In April
2014, four peripheral sites have been installed with an equipment of lamp,
magnifying glasses, acid acetic 5% and Lugol’s iodine. The screening network
has been implemented and works on the model of reference-cross-reference. Results:
The assessment of a year’s activity of the peripheral centers reported 993
patients, 653 consultations at the reference site, 106 precancerous lesions
(6%), and 86 cases of references. The age of attendance peak lies in the age
group of 35 - 55 years. Conclusion: The improvement of women’s participation
requires organized screening, mass communication strategies, and systematic
proposal of screening in consultation.