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加纳宫颈癌预防领域的一场革命。

A revolution in cervical cancer prevention in Ghana.

作者信息

Effah Kofi, Tekpor Ethel, Wormenor Comfort Mawusi, Atuguba Bernard Hayford, Gedzah Isaac, Amuah Joseph Emmanuel, Akakpo Patrick Kafui

机构信息

Cervical Cancer Prevention and Training Centre, Catholic Hospital, Battor, PO Box 2, Battor, via Sogakope, Volta Region, Ghana.

Department of Obstetrics and Gynaecology, Catholic Hospital, Battor, PO Box 2, Battor, via Sogakope, Volta Region, Ghana.

出版信息

Ecancermedicalscience. 2022 Aug 9;16:ed123. doi: 10.3332/ecancer.2022.ed123. eCollection 2022.

DOI:10.3332/ecancer.2022.ed123
PMID:36200006
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9470175/
Abstract

Though cervical cancer is largely preventable, success depends on sustained screening and treatment of precancer. This is not available in many low resource settings where screening and treatment services are not available due to a lack of government support. Our vision of setting up a comprehensive cervical cancer prevention scheme across Ghana that offers services tailored to fit every patient's needs, and relies on task shifting has been made possible through the setting up of the Cervical Cancer Prevention and Training Centre (CCPTC) to train and equip middle cadre staff (mostly nurses and midwives) to provide crucial cervical precancer screening and treatment services in many areas of the country that have never seen any such screening activities. To achieve this vision, we have learnt to produce crucial context relevant teaching materials and consumables locally, while adapting simple, readily available social media applications to raise crowd funds to support our work, use these apps to support routine work and to create a network of service providers at various service levels that can rely on each other and assure quality. Our vision has been supported by individuals and organizations that believe in it. They have allowed us to determine our growth and success. By sharing the experiences of the CCPTC we hope to encourage others to set up screening centers in low resource settings.

摘要

尽管宫颈癌在很大程度上是可预防的,但成功取决于对癌前病变的持续筛查和治疗。在许多资源匮乏的地区,由于缺乏政府支持,筛查和治疗服务无法提供,情况正是如此。我们设想在加纳建立一个全面的宫颈癌预防计划,提供符合每位患者需求的服务,并依靠任务转移来实现这一目标。通过设立宫颈癌预防与培训中心(CCPTC),培训并装备中级医护人员(主要是护士和助产士),以便在该国许多从未开展过此类筛查活动的地区提供关键的宫颈癌前病变筛查和治疗服务,这一设想得以实现。为实现这一愿景,我们学会了在当地制作关键的、与实际情况相关的教学材料和消耗品,同时采用简单易用的社交媒体应用程序来筹集资金以支持我们的工作,利用这些应用程序来支持日常工作,并建立一个各级服务提供者相互依赖且能确保质量的服务网络。我们的愿景得到了相信它的个人和组织的支持。他们让我们能够决定自身的发展和成功。通过分享CCPTC的经验,我们希望鼓励其他人在资源匮乏地区建立筛查中心。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/267c/9470175/41d8e9f71c99/can-16-ed123fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/267c/9470175/358612221247/can-16-ed123fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/267c/9470175/6e6dcbcee31f/can-16-ed123fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/267c/9470175/4b5b32e42395/can-16-ed123fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/267c/9470175/41d8e9f71c99/can-16-ed123fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/267c/9470175/358612221247/can-16-ed123fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/267c/9470175/6e6dcbcee31f/can-16-ed123fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/267c/9470175/4b5b32e42395/can-16-ed123fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/267c/9470175/41d8e9f71c99/can-16-ed123fig4.jpg

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本文引用的文献

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Raising Funds Through Social Media to Subsidise Cervical Cancer Screening with HPV Testing in Rural Ghana-The Battor Experience.通过社交媒体为加纳农村地区 HPV 检测宫颈癌筛查提供资金支持:Battor 的经验。
J Health Care Poor Underserved. 2021;32(3):1136-1144. doi: 10.1353/hpu.2021.0118.
2
Determining the prevalence of high-risk human papillomavirus infection using a novel cervical precancer screening approach in incarcerated women at the Nsawam Medium Security Prison, Ghana.在加纳Nsawam中等安全级别的监狱中,采用一种新型宫颈癌前筛查方法确定被监禁女性高危型人乳头瘤病毒感染的患病率。
Ecancermedicalscience. 2021 Jun 14;15:1248. doi: 10.3332/ecancer.2021.1248. eCollection 2021.
3
加纳阿克拉接受产前护理的女性宫颈癌筛查知识与患病率:一项横断面研究。
Health Serv Insights. 2025 May 14;18:11786329251337851. doi: 10.1177/11786329251337851. eCollection 2025.
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A community-focused cervical and breast cancer screening program using a sustainable funding model in a training center in Ghana.在加纳的一个培训中心,采用可持续资金模式开展的以社区为重点的宫颈癌和乳腺癌筛查项目。
BMC Health Serv Res. 2025 Mar 25;25(1):428. doi: 10.1186/s12913-025-12466-6.
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Factors Influencing Cervical Cancer Screening: A Cross-Sectional Study Among Ethnically Diverse Women in the Kumasi Metropolis of Ghana.影响宫颈癌筛查的因素:加纳库马西大都会不同种族女性的横断面研究
Health Sci Rep. 2025 Feb 12;8(2):e70433. doi: 10.1002/hsr2.70433. eCollection 2025 Feb.
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