Application of the hub and spokes model in improving access to cervical cancer screening in Ghana
Ghana Medical Journal
; 56(3): 134-140, )2022. Figures
Article
in English
| AIM
| ID: biblio-1398627
Responsible library:
CG1.1
ABSTRACT
Objective:
To examine the contribution of lower-level health facilities in increasing access to cervical cancer screening in the North Tongu District.Design:
A descriptive cross-sectional study design was used. The Cervical Cancer Prevention and Training Centre (CCPTC) of the Catholic Hospital, Battor, served as the hub, and six health facilities (3 health centres and 3 CHPS compounds) served as the spokes. From April 2018 to September 2019, the well-resourced CCPTC trained 6 nurses at selected Community-based Health Planning and Services (CHPS) / Health Centres (HCs) (spokes) to provide cervical cancer screening services. The nurses, after training, started screening with VIA and HPV DNA testing.Participants:
A total of 3,451women were screened by the trained nurses. This comprised 1,935 (56.1%) from the hub and 1,516 (43.9%) from the spokes. Main outcomemeasure:
The detection of screen positivesResults:
The screen positives were 19.4% (375/1935) at the hub and 4.9% (74/1516) at the spokes.Conclusion:
We have demonstrated that a hub and spokes model for cervical cancer screening is possible in limited resource settings. Designating and resourcing a 'hub' that supports a network of 'spokes' could increase women's access to cervical cancer screening. This approach could create awareness about cervical cancer screening services and how they can be accessed
Full text:
Available
Index:
AIM (Africa)
Main subject:
Uterine Cervical Neoplasms
/
Disease Prevention
/
Early Detection of Cancer
/
ELAV-Like Protein 2
Type of study:
Diagnostic study
/
Observational study
/
Screening study
Country/Region as subject:
Africa
Language:
English
Journal:
Ghana Medical Journal
Year:
2022
Type:
Article
Institution/Affiliation country:
Catholic Hospital, Battor, Ghana/GH
/
Department of Pathology, School of Medical Sciences, University of Cape Coast, Cape Coast Teaching Hospital, Cape Coast, Ghana/GH
/
Fred N. Binka School of Public Health, University of Health and Allied Sciences, Ho, Ghana/GH
/
North Tongu District Health Directorate, Ghana Health Service, Adidome, Ghana/GH
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