ABSTRACT
INTRODUCTION AND AIM: Adherence to colorectal cancer (CRC) screening is essential for the effectiveness of screening programs. Even though organized screening programs can improve the quality of the process and adherence, there are still challenges to overcome. The aim of the present study, in which we implemented a biennial organized screening program for CRC, was to describe adherence and participation patterns. MATERIALS AND METHODS: A longitudinal, descriptive study was conducted, in which a team of trained patient navigators carried out interventions, with reminders via cellphone communication, to follow a cohort of 301 subjects eligible for CRC screening, utilizing a fecal immunochemical test (FIT). All the follow-up subjects received a FIT kit. RESULTS: A total of 747 cellphone calls were made and divided into three interventions. From the initial cohort, 126 subjects completed their biennial screening process through the FIT, indicating a consistent adherence rate of 41.8% to our program. The participation patterns were: 126 consistent participants (41.8%), 160 inconsistent participants (53.2%), and 15 participants that were never contacted (5%). CONCLUSIONS: In conclusion, our study underlines the importance of organized screening programs in the early detection of CRC. The implementation of follow-up interventions, through reminders and the training of patient navigators, can improve adherence, but there is a need for examining new strategies, to overcome barriers to communication via cellphone.
Subject(s)
Colorectal Neoplasms , Early Detection of Cancer , Patient Compliance , Humans , Colorectal Neoplasms/diagnosis , Male , Female , Early Detection of Cancer/methods , Middle Aged , Aged , Longitudinal Studies , Patient Compliance/statistics & numerical data , Occult Blood , Reminder Systems , Mass Screening/methodsABSTRACT
Prevention of mother-to-child transmission 'Option B+' originated in Malawi in 2011 to prevent new infections in infants exposed to the human immunodeficiency virus (HIV). We assessed 12-month programme retention and HIV testing uptake among infants born to HIV-infected mothers from September 2011 to June 2012 in Thyolo District Hospital. Of 513 infants, 368 (71.7%) remained in care at 12 months. Altogether, 412 (80.3%) underwent HIV DNA polymerase chain reaction testing, with 267 (52.0%) tested at 6-12 weeks, and 255 (49.7%) underwent rapid HIV testing, with 144 (28.1%) tested at 12 months. Eighty-eight (17.2%) infants had both tests as scheduled. Measures are needed to improve adherence to national testing protocols.
L'option B+ de la prévention de la transmission mère-enfant a débuté au Malawi en 2011 afin de prévenir de nouvelles infections chez les enfants exposés au virus de l'immunodéficience humaine (VIH). Nous avons évalué un programme de 12 mois de rétention et de réalisation du test VIH parmi les bébés nés de mères VIH-positives de septembre 2011 à juin 2012 à l'hôpital de district de Thyolo. Sur 513 nourrissons, 368 (71,7%) sont restés en soins pendant 12 mois. Au total, 412 bébés (80,3%) ont bénéficié d'une recherche de VIH par ADN-PCR ; 267 (52%) ont été testés entre 6 et 12 semaines et 255 (49,7%) ont eu un test rapide, dont 144 (28,1%) testés à 12 mois. Quatre-vingt-huit bébés (17,2%) ont eu deux tests comme prévu. Il est nécessaire d'améliorer l'adhésion aux protocoles nationaux de dépistage.
En el 2011 se puso en marcha en Malawi la estrategia Opción B+ de prevención de la transmisión maternoinfantil, con el fin de evitar nuevas infecciones por el virus de la inmunodeficiencia humana (VIH) en los lactantes expuestos. Se evaluó durante un período de 12 meses, entre septiembre del 2011 y junio del 2012, la fidelización al programa y la práctica de la prueba diagnóstica del VIH a los lactantes de madres infectadas por el VIH en el Hospital Distrital de Thyolo. De los 513 lactantes expuestos atendidos durante el período del estudio, 368 continuaban en el programa a los 12 meses (71,7%). En total, se practicó la prueba del VIH mediante la reacción en cadena de la polimerasa (PCR-ADN) a 412 lactantes (80,3%); en 267 niños la prueba se realizó entre las 6 y las 12 semanas de edad (52,0 %). La prueba serológica rápida del VIH se practicó en 255 lactantes (49,7%) y en 144 de estos casos a los 12 meses (28,1%). Ochenta y ocho niños recibieron ambas pruebas, en conformidad con las pautas del programa. Es preciso adoptar medidas encaminadas a mejorar el cumplimiento de los protocolos nacionales en materia de pruebas diagnósticas del VIH.