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首页> 外文会议>Optics and Biophotonics in Low-Resource Settings III >Measurement and evaluation of digital cervicography programs in two cervical cancer screening camps in East Africa
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Measurement and evaluation of digital cervicography programs in two cervical cancer screening camps in East Africa

机译：在东非的两个子宫颈癌筛查营地进行数字子宫颈造影程序的测量和评估

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Cervical cancer disproportionately affects women living in low- and middle-income countries. To address this global crisis, many governments and NGOs have implemented community-based screening and treatment programs at outreach camps. Here, high volumes of patients are able to access care: screening and diagnosis followed by immediate treatment of precancerous lesions onsite. However, monitoring and evaluation (M&E) of these efforts presents challenges, since each event typically relies on a different health workforce, and refers patients to different facilities for follow up and advanced care. To address these challenges, a digital imaging intervention was deployed at several screening camps in East Africa. Trained nurses screened women using a connected low-cost mobile colposcope built around a smartphone. A decision support job aid was integrated into the app controlling the device, guiding nurses and recording their diagnosis and treatment decisions. Aggregating the data from the job aid allowed M&E of the screening camp in real-time. In this paper, the M&E data from 2 different screening camps in East Africa are compared. Additionally, screening camps are compared to stationary clinics. Differences in the patient screening times, treatment rates, and individual nurse statistics were all documented through the job aid allowing for much improved epidemiological information following outreach events thus enabling targeted program improvements and provider training. Reporting data from screening camps were also shared online via public web pages, facilitating broader dissemination of health needs in specific East African communities, and sparking conversations with regional stakeholders about local disease burden.
机译：宫颈癌对生活在中低收入国家的妇女的影响最大。为了应对这一全球危机，许多政府和非政府组织在外展营地实施了基于社区的筛查和治疗计划。在这里，大量患者能够获得护理：筛查和诊断，然后即刻就地治疗癌前病变。但是，由于每个事件通常都依赖于不同的卫生人力，并且将患者转介到不同的设施进行后续护理和高级护理，因此对这些工作进行监控和评估（M＆E）带来了挑战。为了应对这些挑战，在东非的几个放映营地部署了数字成像干预措施。受过训练的护士使用围绕智能手机构建的联网低成本移动阴道镜对妇女进行了筛查。决策支持工作帮助已集成到控制设备，指导护士并记录其诊断和治疗决策的应用程序中。通过汇总来自工作援助的数据，可以实时进行筛查营的M＆E。在本文中，对来自东非两个不同筛查营地的监测与评估数据进行了比较。此外，将检查营与固定诊所进行了比较。通过工作援助记录了患者筛查时间，治疗率和护士个人统计数据的差异，从而在外展事件发生后大大改善了流行病学信息，从而有针对性地改善了计划并提供了培训。筛查营的报告数据也通过公共网页在线共享，以促进在特定的东非社区广泛传播卫生需求，并引发与区域利益相关者就当地疾病负担的对话。

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