ArticleInternational journal of public health2017
Setting up a community-based cervical screening service in a low-income country: a pilot study from north-western Tanzania.
Article in International journal of public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 10 citations in OpenAlex.
- Community-based interventions for non-communicable diseases in Africa: a scoping review of scope, effectiveness, and implementation factors.BMC public health · 2026Article
- Article
- Tanzanian women´s knowledge about Cervical Cancer and HPV and their prevalence of positive VIA cervical screening results. Data from a Prevention and Awareness Campaign in Northern Tanzania, 2017 - 2019.Global health action · 2021Article
- Setting Up a Medical Oncology Educational Program in Sub-Saharan Africa.Annals of global health · 2021Article
- Evaluating the appropriateness of chemotherapy in a low-resource cancer centre in sub-Saharan Africa.Cancer medicine · 2020Observational
- Cervical cancer in Tanzania: A systematic review of current challenges in six domains.Gynecologic oncology reports · 2019Review
- A tailored within-community specimen collection strategy increased uptake of cervical cancer screening in a cross-sectional study in Ghana.BMC public health · 2017Article
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Authors and funding
11 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo report the results of a pilot study for a service for cervical cancer screening and diagnosis in north-western Tanzania.
methodsThe pilot study was launched in 2012 after a community-level information campaign. Women aged 15-64 years were encouraged to attend the district health centres. Attendees were offered a conventional Pap smear and a visual inspection of the cervix with acetic acid (VIA).
resultsThe first 2500 women were evaluated. A total of 164 women (detection rate 70.0/1000) were diagnosed with high-grade cervical intraepithelial neoplasia and invasive cervical cancer. The performance of VIA was comparable to that of Pap smear. The district of residence, a history of untreated sexually transmitted disease, an HIV-negative status (inverse association), and parity were independently associated with the detected prevalence of disease. The probability of invasive versus preinvasive disease was lower in HIV-positive women and in women practicing breast self-examination.
conclusionsThe diagnostic procedure had an acceptable level of quality. Factors associated with the detected prevalence of disease will allow for a more targeted promotion of the service. Cervical screening should be coordinated with sexually transmitted disease and HIV infection control activities.
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