Advancing cervical cancer prevention initiatives in resource-constrained settings: insights from the Cervical Cancer Prevention Program in Zambia.
Mulindi H. Mwanahamuntu,Vikrant V. Sahasrabuddhe,Sharon Kapambwe,Sharon Kapambwe,Krista S. Pfaendler,Carla J. Chibwesha,Carla J. Chibwesha,Gracilia Mkumba,Gracilia Mkumba,Victor Mudenda,Michael L. Hicks,Sten H. Vermund,Jeffrey S. A. Stringer,Jeffrey S. A. Stringer,Groesbeck P. Parham,Groesbeck P. Parham,Groesbeck P. Parham +16 more
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TLDR
The Cervical Cancer Prevention Program in Zambia has provided services to over 58,000 women over the past five years and lessons learned from the program's implementation and integration with existing HIV/AIDS programs are shared.Abstract:
Groesbeck Parham and colleagues describe their Cervical Cancer Prevention Program in Zambia, which has provided services to over 58,000 women over the past five years, and share lessons learned from the program's implementation and integration with existing HIV/AIDS programs.read more
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Journal ArticleDOI
Screening for cancer in low- and middle-income countries.
TL;DR: Implementation of VIA screening in several LMICs is conducive to future HPV screening programs when affordable HPV tests become widely available, and both HPV vaccination and HPV screening have a huge potential to eliminate cervical cancer in LM ICs.
Journal ArticleDOI
Noncommunicable diseases among HIV-infected persons in low-income and middle-income countries: a systematic review and meta-analysis.
Pragna Patel,Charles E. Rose,Pamela Y. Collins,Bernardo Nuche-Berenguer,Vikrant V. Sahasrabuddhe,Emmanuel Peprah,Susan Vorkoper,Sonak D. Pastakia,Dianne M. Rausch,Naomi S. Levitt +9 more
TL;DR: Improved data collection and surveillance of NCDs among PLHIV in LMICs are necessary to inform integrated HIV/NCD care models, and further research is needed to optimize the efficacy of these programs.
Journal ArticleDOI
Cervical cancer prevention and treatment research in Africa: a systematic review from a public health perspective
Sarah Finocchario-Kessler,Catherine Wexler,May Maloba,Natabhona Mabachi,Florence Ndikum-Moffor,Elizabeth A. Bukusi,Elizabeth A. Bukusi +6 more
TL;DR: Cervical cancer research in African countries has increased steadily over the past decade, but more is needed as quality of life of cervical cancer survivors and secondary prevention are two severely under-researched areas.
Journal ArticleDOI
Population-level scale-up of cervical cancer prevention services in a low-resource setting: development, implementation, and evaluation of the cervical cancer prevention program in Zambia.
Groesbeck P. Parham,Mulindi H. Mwanahamuntu,Sharon Kapambwe,Richard Muwonge,Allen C. Bateman,Meridith Blevins,Carla J. Chibwesha,Krista S. Pfaendler,Victor Mudenda,Aaron Shibemba,Samson Chisele,Gracilia Mkumba,Bellington Vwalika,Michael L. Hicks,Sten H. Vermund,Benjamin H. Chi,Jeffrey S. A. Stringer,Rengaswamy Sankaranarayanan,Vikrant V. Sahasrabuddhe +18 more
TL;DR: This work creatively disrupted the 'no screening' status quo prevailing in Zambia and addressed the heavy burden of cervical disease among previously unscreened women by establishing and scaling-up public-sector screening and treatment services at a population level.
Journal ArticleDOI
Visual inspection methods for cervical cancer prevention.
TL;DR: Implementing visual inspection with acetic acid screening in low-resource countries may provide a pragmatic approach to building up human resources and infrastructure that may facilitate the highly anticipated low-cost, rapid human papilloma virus testing in the near future.
References
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Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008.
TL;DR: The results for 20 world regions are presented, summarizing the global patterns for the eight most common cancers, and striking differences in the patterns of cancer from region to region are observed.
Journal ArticleDOI
HPV screening for cervical cancer in rural India.
Rengaswamy Sankaranarayanan,Bhagwan M. Nene,Surendra S Shastri,Kasturi Jayant,Richard Muwonge,Atul Budukh,Sanjay Hingmire,Sylla G. Malvi,Ranjit Thorat,Ashok Kothari,Roshan F. Chinoy,Rohini Kelkar,Shubhada Kane,Sangeetha Desai,Vijay R Keskar,Raghevendra Rajeshwarkar,Nandkumar S Panse,Ketayun A. Dinshaw +17 more
TL;DR: In a low-resource setting, a single round of HPV testing was associated with a significant reduction in the numbers of advanced cervical cancers and deaths from cervical cancer.
Journal ArticleDOI
Rapid scale-up of antiretroviral therapy at primary care sites in Zambia: Feasibility and early outcomes
Jeffrey S. A. Stringer,Isaac Zulu,Jens W. Levy,Jens W. Levy,Elizabeth M. Stringer,Elizabeth M. Stringer,Albert Mwango,Benjamin H. Chi,Benjamin H. Chi,Vilepe Mtonga,Stewart E Reid,Stewart E Reid,Ronald A. Cantrell,Ronald A. Cantrell,Marc Bulterys,Michael S. Saag,Richard Marlink,Alwyn Mwinga,Tedd V. Ellerbrock,Moses Sinkala +19 more
TL;DR: In this paper, the authors report on the feasibility and early outcomes of the program, which scaled-up human immunodeficiency virus/acquired immunoviciency syndrome (HIV/AIDS) care and treatment services at primary care clinics in Lusaka using predominately nonphysician clinicians.
Journal ArticleDOI
Expansion of cancer care and control in countries of low and middle income: a call to action.
Paul Farmer,Julio Frenk,Felicia Marie Knaul,Lawrence N. Shulman,George Alleyne,Lance Armstrong,Rifat Atun,Douglas W. Blayney,Lincoln C. Chen,Richard G A Feachem,Mary Gospodarowicz,Julie Gralow,Sanjay Gupta,Ana Langer,Julian Lob-Levyt,Claire Neal,Anthony Mbewu,Dina Mired,Peter Piot,K. Srinath Reddy,Jeffrey D. Sachs,Mahmoud Sarhan,John R. Seffrin +22 more
TL;DR: The public health community's assumption that cancers will remain untreated in poor countries is challenged, and the analogy to similarly unfounded arguments from more than a decade ago against provision of HIV treatment is noted.
Journal ArticleDOI
Coverage of cervical cancer screening in 57 countries: low average levels and large inequalities.
TL;DR: Gakidou et al. as discussed by the authors found that coverage of cervical cancer screening in developing countries is on average 19% compared to 63% in developed countries, and that the coverage of screening in these countries is significantly worse.
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Rengaswamy Sankaranarayanan,Bhagwan M. Nene,Surendra S Shastri,Kasturi Jayant,Richard Muwonge,Atul Budukh,Sanjay Hingmire,Sylla G. Malvi,Ranjit Thorat,Ashok Kothari,Roshan F. Chinoy,Rohini Kelkar,Shubhada Kane,Sangeetha Desai,Vijay R Keskar,Raghevendra Rajeshwarkar,Nandkumar S Panse,Ketayun A. Dinshaw +17 more