An audit of adherence to cervical cancer screening guidelines in a tertiary-level HIV clinic
Southern African Journal of HIV Medicine
| Field | Value | |
| Title | An audit of adherence to cervical cancer screening guidelines in a tertiary-level HIV clinic | |
| Creator | Bolon, Jeffrey Samson, Amy Irwin, Natalie Murray, Lyle Mbodi, Langanani Stacey, Sarah Aikman, Nicholas Moonsamy, Louell Zamparini, Jarrod | |
| Description | Background: Cervical cancer is the most common malignancy affecting South African women aged 15–44 years, with a higher prevalence among women living with HIV (WLWH). Despite recommendations for a screening target of 70%, the reported rate of cervical cancer screening in South Africa is 19.3%.Objectives: To investigate the adherence of healthcare workers to cervical cancer screening guidelines in a tertiary-level HIV clinic.Method: A retrospective cross-sectional record audit of women attending the Charlotte Maxeke Johannesburg Academic Hospital HIV Clinic over a 1-month period.Results: Out of 403 WLWH who attended the clinic, 180 (44.7%) were screened for cervical cancer in the 3 years prior to the index consultation. Only 115 (51.6%) of those women with no record of prior screening were subsequently referred for screening. Women who had undergone screening in the previous 3 years were significantly older (47 years vs 44 years, P = 0.046) and had a longer time since diagnosis of their HIV (12 years vs 10 years, P = 0.001) compared to women who had not undergone screening. There was no significant difference in CD4 count or viral suppression between women who had and had not undergone screening.Conclusion: The rate of cervical cancer screening in our institution is below that recommended by the World Health Organization and the South African National Department of Health. | |
| Publisher | AOSIS | |
| Date | 2023-05-26 | |
| Identifier | 10.4102/sajhivmed.v24i1.1490 | |
| Source | Southern African Journal of HIV Medicine; Vol 24, No 1 (2023); 5 pages 2078-6751 1608-9693 | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajhivmed.org.za/index.php/hivmed/article/view/1490/3049
https://sajhivmed.org.za/index.php/hivmed/article/view/1490/3051
https://sajhivmed.org.za/index.php/hivmed/article/view/1490/3052
https://sajhivmed.org.za/index.php/hivmed/article/view/1490/3053
|
|
ADVERTISEMENT
