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首页> 外文期刊>Patient Preference and Adherence >Reaching women in the Peruvian Andes through cervical cancer screening campaigns: assessing attitudes of stakeholders and patients
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Reaching women in the Peruvian Andes through cervical cancer screening campaigns: assessing attitudes of stakeholders and patients

机译：通过宫颈癌筛查运动在秘鲁安第斯山脉吸引妇女：评估利益相关者和患者的态度

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Background: Peru is characterized by high cervical cancer incidence and mortality rates. The country also experiences significant gaps in quality cervical cancer screening coverage for the population. Objective: This descriptive mixed methods study conducted in Cusco, Peru, aimed to assess the attitudes and perceptions of medical staff, health care workers, and patients toward a cervical cancer screening program that included both clinic-based and community outreach services conducted by a nongovernmental organization clinic (CerviCusco). The study also explored patient knowledge and attitudes around cervical cancer and about the human papillomavirus (HPV) to inform patient education efforts. Methods: The study employed structured interviews with key informants (n=16) primarily from CerviCusco, which provides cervical cancer prevention, screening, diagnosis and treatment services, and surveys with a sample of patients (n=30) receiving services at the clinic and at screening campaigns. Results: The majority of key informant medical staff participants felt that the general public had a very negative view of government health services. One theme running throughout the interviews was the perception that the general population lacked a culture of preventive health care and would wait until symptoms were severe before seeking treatment. Regarding services that were received by patients at CerviCusco, the participants responded that the prices were reasonable and more affordable than some private clinics. Patients attending the rural health campaigns liked that the services were free and of good quality. Conclusion: CerviCusco has demonstrated its capacity to provide screening outreach campaigns to populations who had not previously had access to liquid-based cytology services. The finding that patients had generally low levels of knowledge about cervical cancer and the HPV vaccine prompted the development of culturally and linguistically appropriate educational and promotional materials to improve the educational component of the periodic campaigns conducted primarily in rural areas of Andean Peru.
机译：背景：秘鲁的特征是宫颈癌的高发病率和高死亡率。该国在人口子宫颈癌筛查覆盖率方面也存在巨大差距。目的：这项在秘鲁库斯科进行的描述性混合方法研究旨在评估医务人员，医护人员和患者对宫颈癌筛查计划的态度和看法，该计划包括由非政府组织提供的基于临床和社区的外展服务组织诊所（CerviCusco）。该研究还探讨了患者对宫颈癌和人类乳头瘤病毒（HPV）的知识和态度，以指导患者教育工作。方法：该研究采用了主要来自CerviCusco的关键信息提供者（n = 16）的结构化访谈，该信息提供子宫颈癌的预防，筛查，诊断和治疗服务，以及对在诊所和医院接受服务的患者样本（n = 30）进行调查。在放映活动中。结果：大多数重要的线人医疗人员都认为，公众对政府卫生服务持非常负面的看法。访谈中贯穿的一个主题是，人们普遍缺乏预防保健文化，会等到症状严重后才寻求治疗。关于CerviCusco的患者所接受的服务，与会人员回答说，价格合理且比某些私人诊所更实惠。参加农村卫生运动的患者喜欢这种服务是免费的，而且质量很好。结论：CerviCusco展示了其为以前无法​​获得基于液体的细胞学服务的人群提供筛查推广活动的能力。患者对宫颈癌和HPV疫苗的了解普遍较低，这一发现促使人们开发了具有文化和语言学意义的教育和宣传材料，以改善主要在安第斯秘鲁农村地区开展的定期运动的教育内容。

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