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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
EC3-A modern telecommunications matrix for cervical cancer prevention in Zambia
Journal of Lower Genital Tract Disease, Volume 14, No. 3, Year 2010
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Description
Objectives.: Low physician density, undercapacitated laboratory infrastructures, and limited resources are major limitations to the development and implementation of widely accessible cervical cancer prevention programs in sub-Saharan Africa. Materials and methods.: We developed a system operated by nonphysician health providers that used widely available and affordable communication technology to create locally adaptable and sustainable public sector cervical cancer prevention program in Zambia, one of the world's poorest countries. Results.: Nurses were trained to perform visual inspection with acetic acid aided by digital cervicography using predefined criteria. Electronic digital images (cervigrams) were reviewed with patients, and distance consultation was sought as necessary. Same-visit cryotherapy or referral for further evaluation by a gynecologist was offered. The Zambian system of "electronic cervical cancer control" bypasses many of the historic barriers to the delivery of preventive health care to women in low-resource environments while facilitating monitoring, evaluation, and continued education of primary health care providers, patient education, and medical records documentation. Conclusions.: The electronic cervical cancer control system uses appropriate technology to bridge the gap between screening and diagnosis, thereby facilitating the conduct of "screen-and-treat" programs. The inherent flexibility of the system lends itself to the integration with future infrastructures using rapid molecular human papillomavirus-based screening approaches and wireless telemedicine communications. © 2010 American Society for Colposcopy and Cervical Pathology.
Authors & Co-Authors
Parham, Groesbeck Preer
Zambia, Lusaka
Centre for Infectious Disease Research in Zambia
Zambia, Lusaka
University Teaching Hospital Lusaka
United States, Birmingham
The University of Alabama at Birmingham
Mwanahamuntu, Mulindi H.
Zambia, Lusaka
Centre for Infectious Disease Research in Zambia
Zambia, Lusaka
University Teaching Hospital Lusaka
Pfaendler, Krista S.
Zambia, Lusaka
Centre for Infectious Disease Research in Zambia
United States, Cincinnati
University of Cincinnati
Sahasrabuddhe, Vikrant V.
United States, Nashville
Vanderbilt University
Myung, Daniel
United States, Cambridge
Dimagi, Inc.
Mkumba, Gricelia
Zambia, Lusaka
Centre for Infectious Disease Research in Zambia
Zambia, Lusaka
University Teaching Hospital Lusaka
Kapambwe, Sharon
Zambia, Lusaka
Centre for Infectious Disease Research in Zambia
Zambia, Lusaka
University Teaching Hospital Lusaka
Mwanza, Bianca
Zambia, Lusaka
Centre for Infectious Disease Research in Zambia
Chibwesha, Carla J.
Zambia, Lusaka
Centre for Infectious Disease Research in Zambia
United States, Birmingham
The University of Alabama at Birmingham
Hicks, Michael L.
United States, Pontiac
Michigan Cancer Institute
Stringer, Jeffrey S.A.
Zambia, Lusaka
Centre for Infectious Disease Research in Zambia
United States, Birmingham
The University of Alabama at Birmingham
Statistics
Citations: 80
Authors: 11
Affiliations: 7
Identifiers
Doi:
10.1097/LGT.0b013e3181cd6d5e
ISSN:
10892591
Research Areas
Cancer
Health System And Policy
Study Locations
Zambia
Participants Gender
Female