Advanced

Predictors of default from follow-up care in a cervical cancer screening program using direct visual inspection in south-western Nigeria

Ezechi, Oliver LU ; Odberg Pettersson, Karen LU ; Gabajabiamila, Titilola A; Idigbe, Ifeoma Eugenia; Kuyoro, Olutunmike; Ujah, Innocent Achaya Otobo and Östergren, Per-Olof LU (2014) In BMC Health Services Research 14(143). p.1-10
Abstract
Background: Increasingly evidence is emerging from south East Asia, southern and east Africa on the burden of

default to follow up care after a positive cervical cancer screening/diagnosis, which impacts negatively on cervical

cancer prevention and control. Unfortunately little or no information exists on the subject in the West Africa sub

region. This study was designed to determine the proportion of and predictors and reasons for default from follow

up care after positive cervical cancer screen.

Method: Women who screen positive at community cervical cancer screening using direct visual inspection were

followed up to determine the proportion of default and associated factors.... (More)
Background: Increasingly evidence is emerging from south East Asia, southern and east Africa on the burden of

default to follow up care after a positive cervical cancer screening/diagnosis, which impacts negatively on cervical

cancer prevention and control. Unfortunately little or no information exists on the subject in the West Africa sub

region. This study was designed to determine the proportion of and predictors and reasons for default from follow

up care after positive cervical cancer screen.

Method: Women who screen positive at community cervical cancer screening using direct visual inspection were

followed up to determine the proportion of default and associated factors. Multivariate logistic regression was used

to determine independent predictors of default.

Results: One hundred and eight (16.1%) women who screened positive to direct visual inspection out of 673 were

enrolled into the study. Fifty one (47.2%) out of the 108 women that screened positive defaulted from follow-up

appointment. Women who were poorly educated (OR: 3.1, CI: 2.0 – 5.2), or lived more than 10 km from the clinic

(OR: 2.0, CI: 1.0 – 4.1), or never screened for cervical cancer before (OR: 3.5, CI:3:1–8.4) were more likely to default

from follow-up after screening positive for precancerous lesion of cervix . The main reasons for default were cost of

transportation (48.6%) and time constraints (25.7%).

Conclusion: The rate of default was high (47.2%) as a result of unaffordable transportation cost and limited time to

keep the scheduled appointment. A change from the present strategy that involves multiple visits to a “see and treat”

strategy in which both testing and treatment are performed at a single visit is recommended. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Cervical cancer, Direct visual inspection, VIA, VILI, Default
in
BMC Health Services Research
volume
14
issue
143
pages
1 - 10
publisher
BioMed Central
external identifiers
  • scopus:84899484631
ISSN
1472-6963
DOI
10.1186/1472-6963-14-143
language
English
LU publication?
yes
id
2f9fc5a5-886f-4a5c-953b-7113994fe455 (old id 4675829)
date added to LUP
2015-06-26 09:33:14
date last changed
2017-05-28 04:07:23
@article{2f9fc5a5-886f-4a5c-953b-7113994fe455,
  abstract     = {Background: Increasingly evidence is emerging from south East Asia, southern and east Africa on the burden of<br/><br>
default to follow up care after a positive cervical cancer screening/diagnosis, which impacts negatively on cervical<br/><br>
cancer prevention and control. Unfortunately little or no information exists on the subject in the West Africa sub<br/><br>
region. This study was designed to determine the proportion of and predictors and reasons for default from follow<br/><br>
up care after positive cervical cancer screen.<br/><br>
Method: Women who screen positive at community cervical cancer screening using direct visual inspection were<br/><br>
followed up to determine the proportion of default and associated factors. Multivariate logistic regression was used<br/><br>
to determine independent predictors of default.<br/><br>
Results: One hundred and eight (16.1%) women who screened positive to direct visual inspection out of 673 were<br/><br>
enrolled into the study. Fifty one (47.2%) out of the 108 women that screened positive defaulted from follow-up<br/><br>
appointment. Women who were poorly educated (OR: 3.1, CI: 2.0 – 5.2), or lived more than 10 km from the clinic<br/><br>
(OR: 2.0, CI: 1.0 – 4.1), or never screened for cervical cancer before (OR: 3.5, CI:3:1–8.4) were more likely to default<br/><br>
from follow-up after screening positive for precancerous lesion of cervix . The main reasons for default were cost of<br/><br>
transportation (48.6%) and time constraints (25.7%).<br/><br>
Conclusion: The rate of default was high (47.2%) as a result of unaffordable transportation cost and limited time to<br/><br>
keep the scheduled appointment. A change from the present strategy that involves multiple visits to a “see and treat”<br/><br>
strategy in which both testing and treatment are performed at a single visit is recommended.},
  author       = {Ezechi, Oliver and Odberg Pettersson, Karen and Gabajabiamila, Titilola A and Idigbe, Ifeoma Eugenia and Kuyoro, Olutunmike and Ujah, Innocent Achaya Otobo and Östergren, Per-Olof},
  issn         = {1472-6963},
  keyword      = {Cervical cancer,Direct visual inspection,VIA,VILI,Default},
  language     = {eng},
  number       = {143},
  pages        = {1--10},
  publisher    = {BioMed Central},
  series       = {BMC Health Services Research},
  title        = {Predictors of default from follow-up care in a cervical cancer screening program using direct visual inspection in south-western Nigeria},
  url          = {http://dx.doi.org/10.1186/1472-6963-14-143},
  volume       = {14},
  year         = {2014},
}