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
Subject Internal Medicine; Gynaecology; Women's Health; Infectious Diseases; Oncology HIV; cervical cancer; prevention; women’s health; oncology
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
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Retrospective Record Audit
Format text/html application/epub+zip text/xml application/pdf
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
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Coverage Southern Africa; Johannesburg 2020 Age; Cervical screening; time since HIV diagnosis; CD4 count; HIV Viral Load
Rights Copyright (c) 2023 Jeffrey Bolon, Amy Samson, Natalie Irwin, Lyle Murray, Langanani Mbodi, Sarah Stacey, Nicholas Aikman, Louell Moonsamy, Jarrod Zamparini