Journal of
Public Health and Epidemiology

  • Abbreviation: J. Public Health Epidemiol.
  • Language: English
  • ISSN: 2141-2316
  • DOI: 10.5897/JPHE
  • Start Year: 2009
  • Published Articles: 543

Full Length Research Paper

Factors affecting one-year follow-up visit after cryotherapy among women in Côte d’Ivoire: A retrospective cohort analysis

Simon Pierre Boni
  • Simon Pierre Boni
  • Programme PACCI Site ANRS de Côte d’Ivoire.
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Kouassi Comoe JC
  • Kouassi Comoe JC
  • Programme National de Lutte contre le Cancer, Abidjan Côte d’Ivoire.
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Aristophane Tanon
  • Aristophane Tanon
  • Département infectiologie et dermatologie, Université Félix Houphouët Boigny, Abidjan, Côte d’Ivoire.
  • Google Scholar
Apollinaire Horo
  • Apollinaire Horo
  • Service de Gynécologie obstétrique, CHU de Yopougon, Abidjan, Côte d’Ivoire.
  • Google Scholar
Alexandra Bitty-Anderson
  • Alexandra Bitty-Anderson
  • Programme PACCI Site ANRS de Côte d’Ivoire.
  • Google Scholar
Patrick Coffie
  • Patrick Coffie
  • Programme PACCI Site ANRS de Côte d’Ivoire.
  • Google Scholar
Didier K Ekouévi
  • Didier K Ekouévi
  • Programme PACCI Site ANRS de Côte d’Ivoire.
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Innocent Adoubi
  • Innocent Adoubi
  • Programme National de Lutte contre le Cancer, Abidjan Côte d’Ivoire.
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Boris Tchounga
  • Boris Tchounga
  • Programme PACCI Site ANRS de Côte d’Ivoire.
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  •  Received: 11 June 2020
  •  Accepted: 21 July 2020
  •  Published: 31 August 2020

Abstract

Cervical cancer screening program based on a single visit approach through visual inspection with acetic acid (VIA) and cryotherapy is scaled up since 2012 in Cote d’Ivoire. To assess factors affecting one-year follow-up visit after cryotherapy, a retrospective cohort analysis was performed among all women tested positive and treated by cryotherapy in cervical cancer units in Abidjan from 2010 to 2014. A logistic regression analysis was used to assess factors affecting one-year follow-up attendance after cryotherapy. A total of 618 women, with median age 35 [interquartile range: (29-45)], including 362 (58.6%) HIV positive women received a cryotherapy. In multivariate analysis, being over 40 years old (aOR=3.5; 95%CI [1.9-6.6]), living with HIV (aOR=3.8; 95%CI [2.3-6.3]), attending a screening facility near district of location (aOR=2.2; 95%CI [1.2-3.3]), or HIV clinics for VIA [aOR=2.3; 95%CI (1.4-3.7)] were associated with one-year follow-up visit after cryotherapy. Close follow-up of patient as implemented in HIV clinics and geographic accessibility of cervical cancer screening units are increasing the one-year follow-up after cryotherapy. Systematic integration of cervical cancer screening into health facilities and sustainable strategies to maintain close contact with women could improve follow-up of women and avoid occurrence of cervical cancer in sub-Saharan Africa.

Key words: Cervical cancer screening, visual inspection, cryotherapy, follow-up.