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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Factors Affecting Compliance with Clinical Practice Guidelines for Pap Smear Screening among Healthcare Providers in Africa: Systematic Review and Meta-Summary of 2045 Individuals
PLoS ONE, Volume 8, No. 9, Article e72712, Year 2013
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Description
Background:Although the importance of the Pap smear in reducing cancer incidence and mortality is known, many countries in Africa have not initiated yet widespread national cervical cancer screening programs. The World Health Organization (WHO) has published Clinical Practice Guidelines (CPGs) on cervical cancer screening in developing countries; however, there is a gap between expectations and clinical performance. Thus, the aim of this study was to conduct a systematic review and meta-summary to identify factors affecting compliance with CPGs for Pap screening among healthcare providers in Africa.Methods:
And Findings
: MEDLINE, Scirus, Opengate and EMBASE databases were searched in January 2012. Studies involving medical personnel practicing in Africa, whose outcome measured any factors that affect medical personnel from using a Pap smear to screen for cervical cancer, were included. Two reviewers independently evaluated titles and abstracts, then full-texts, extracted data and assessed quality of the included studies. A descriptive analysis of the included studies was conducted. We calculated Frequency effect sizes (FES) for each finding and Intensity effect sizes (IES) for each article to represent their magnitudes in the analyses. Of 1011 studies retrieved, 11 studies were included (2045 individuals). Six different themes related to the factors affecting compliance with CPGs were identified: Insufficient Knowledge/Lack of awareness (FES = 82%), Negligence/Misbeliefs (FES = 82%), Psychological Reasons (FES = 73%), Time/Cost Constraint (FES = 36%), Insufficient infrastructure/training (FES = 45%) and also no reason given (FES = 36%). IES for articles ranged between 33 and 83%.Conclusions:These results suggest that prevention initiatives should be comprehensive to include education and resources needs assessments and improvement, Pap smear test training, strategies on costing, and practitioner time studies. © 2013 Asonganyi et al.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC3771969/bin/pone.0072712.s001.docx
https://efashare.b-cdn.net/share/pmc/articles/PMC3771969/bin/pone.0072712.s002.doc
https://efashare.b-cdn.net/share/pmc/articles/PMC3771969/bin/pone.0072712.s003.docx
Authors & Co-Authors
Asonganyi, Etienne D.N.
Cameroon, South-west Region
District Hospital Kumba
United States, Durham
Duke University
Vaghasia, Meenakshi
United States, Durham
Duke University
Rodrigues, Clarissa
United States, Durham
Duke University
Brazil, Porto Alegre
Instituto de Cardiologia/fundacao Universitaria de Cardiologia
Phadtare, Amruta
United States, Durham
Duke University
Ford, Anne
United States, Durham
Duke University
Pietrobon, Ricardo S.
United States, Durham
Duke University
Atashili, Julius
United States, Durham
Duke University
Cameroon, Buea
University of Buea
Staton, Catherine A.
United States, Durham
Duke University
Statistics
Citations: 29
Authors: 8
Affiliations: 4
Identifiers
Doi:
10.1371/journal.pone.0072712
e-ISSN:
19326203
Research Areas
Cancer
Health System And Policy
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Systematic review