Discussion and Conclusions:
When performed in resource-limited settings by qualified providers, VIA with cryotherapy and LEEP are not associated with excess harm; thus, they are an acceptable alternative to other more expensive tests and treatments for cervical cancer [19]. Through the analysis of these 19 articles, five (5) major themes have been elucidated for implementation or strengthening of cervical cancer prevention services.
Travel -
Problems Addressed: Women are less satisfied if they travel long distances, don't have a scheduled appointments, or wait an exorbitant time for treatment. Furthermore, distance can cause women to miss work or other household responsibilities that she cannot afford to delegate to others, which may lead …show more content…
Since there may be a lack of trained healthcare providers, they may be overworked and that may lead to higher rates of turnover, which strains the sustainability of the clinic [8]. Also, further education and advancement in technology may be limited and that can lead to inefficiency in the work setting or frustration for the provider [10]. Mismanagement of time and patient scheduling or superfluous paperwork and documentation may discourage providers from performing certain services or enjoy the quality of work that they …show more content…
Although travel, cost, burnout, education, and social support are the major themes that can hinder the success of a cervical cancer clinic that uses VIA in a rural, low resource setting in Africa, other smaller problems can also hinder growth. Even though single day treatment with VIA and cryotherapy has been highly successful in the research setting, the results may not apply in a health service program because the patient may have primary infections that need to be identified and treated before cryotherapy of cancerous lesions, which may lead to lack of same day treatment and loss of patient follow up [18]. Furthermore, cryotherapy may be more cost effective than LEEP but it can be unreliable because of problems with gas supplies in LMICs, and the technique will not be functional without compressed gas or skilled operators. Since these barriers exist, it is difficult to run a successful cervical cancer prevention clinic but it can be done with careful planning and continuous assessment of productivity and effectiveness using the thoughts of healthcare providers, patients, community members, other clinics (at the local, regional, and national level), and governmental organizations that will ultimately invest in the
When performed in resource-limited settings by qualified providers, VIA with cryotherapy and LEEP are not associated with excess harm; thus, they are an acceptable alternative to other more expensive tests and treatments for cervical cancer [19]. Through the analysis of these 19 articles, five (5) major themes have been elucidated for implementation or strengthening of cervical cancer prevention services.
Travel -
Problems Addressed: Women are less satisfied if they travel long distances, don't have a scheduled appointments, or wait an exorbitant time for treatment. Furthermore, distance can cause women to miss work or other household responsibilities that she cannot afford to delegate to others, which may lead …show more content…
Since there may be a lack of trained healthcare providers, they may be overworked and that may lead to higher rates of turnover, which strains the sustainability of the clinic [8]. Also, further education and advancement in technology may be limited and that can lead to inefficiency in the work setting or frustration for the provider [10]. Mismanagement of time and patient scheduling or superfluous paperwork and documentation may discourage providers from performing certain services or enjoy the quality of work that they …show more content…
Although travel, cost, burnout, education, and social support are the major themes that can hinder the success of a cervical cancer clinic that uses VIA in a rural, low resource setting in Africa, other smaller problems can also hinder growth. Even though single day treatment with VIA and cryotherapy has been highly successful in the research setting, the results may not apply in a health service program because the patient may have primary infections that need to be identified and treated before cryotherapy of cancerous lesions, which may lead to lack of same day treatment and loss of patient follow up [18]. Furthermore, cryotherapy may be more cost effective than LEEP but it can be unreliable because of problems with gas supplies in LMICs, and the technique will not be functional without compressed gas or skilled operators. Since these barriers exist, it is difficult to run a successful cervical cancer prevention clinic but it can be done with careful planning and continuous assessment of productivity and effectiveness using the thoughts of healthcare providers, patients, community members, other clinics (at the local, regional, and national level), and governmental organizations that will ultimately invest in the