Rick Tara J, Deming Cassondra M, Helland Janey R, Hartwig Kari A
Masters of Physician Assistant Studies Program, Saint Catherine University, #4227, 2004 Randolph Ave., St. Paul, MN, 55105, USA.
J Cancer Educ. 2019 Feb;34(1):111-115. doi: 10.1007/s13187-017-1274-8.
Cervical and breast cancer are responsible for the highest cancer-related mortality in Tanzania, although both are preventable or curable if diagnosed at an early stage. Limited knowledge of cervical cancer by clinic and dispensary level healthcare providers in Tanzania is a barrier for prevention and control strategies. The purpose of the study was to provide basic oncology training to frontline healthcare workers with a focus on cervical and breast cancer in order to increase knowledge. A 1-day cancer training symposium was conducted in Arusha, Tanzania, with 43 clinicians. Pre- and post-intervention surveys assessed cancer knowledge and confidence of clinicians in risk assessment. Sixty-nine percent of the participants reported never receiving any cervical cancer training in the past. A significant difference was found between the pre- and post-test in a majority of knowledge questions and in reported confidence recognizing signs and symptoms of breast and cervical cancer (p < 0.05). The 1-day community oncology training symposium was effective in delivering and increasing basic knowledge about cervical and breast cancers to these healthcare providers. The low level of baseline cancer knowledge among frontline medical providers in Tanzania illustrates the need for increased training around the country.
宫颈癌和乳腺癌在坦桑尼亚造成了与癌症相关的最高死亡率，不过如果在早期阶段被诊断出来，这两种癌症都是可预防或可治愈的。坦桑尼亚诊所和药房层面的医疗服务提供者对宫颈癌的了解有限，这是预防和控制策略的一个障碍。该研究的目的是为一线医护人员提供基础肿瘤学培训，重点是宫颈癌和乳腺癌，以增加他们的知识。在坦桑尼亚的阿鲁沙为43名临床医生举办了一场为期一天的癌症培训研讨会。干预前后的调查评估了临床医生的癌症知识以及他们在风险评估方面的信心。69%的参与者报告称过去从未接受过任何宫颈癌培训。在大多数知识问题以及报告的识别乳腺癌和宫颈癌体征及症状的信心方面，前后测试之间存在显著差异（p < 0.05）。为期一天的社区肿瘤学培训研讨会有效地向这些医疗服务提供者传授并增加了有关宫颈癌和乳腺癌的基础知识。坦桑尼亚一线医疗服务提供者的基线癌症知识水平较低，这表明该国需要加强培训。
