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© 2023. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Background: Cervical cancer is the most common malignancy affecting South African women aged 15–44 years, with a higher prevalence among women living with HIV (WLWH). Despite recommendations for a screening target of 70%, the reported rate of cervical cancer screening in South Africa is 19.3%.

Objectives: To investigate the adherence of healthcare workers to cervical cancer screening guidelines in a tertiary-level HIV clinic.

Method: A retrospective cross-sectional record audit of women attending the Charlotte Maxeke Johannesburg Academic Hospital HIV Clinic over a 1-month period.

Results: Out of 403 WLWH who attended the clinic, 180 (44.7%) were screened for cervical cancer in the 3 years prior to the index consultation. Only 115 (51.6%) of those women with no record of prior screening were subsequently referred for screening. Women who had undergone screening in the previous 3 years were significantly older (47 years vs 44 years, P = 0.046) and had a longer time since diagnosis of their HIV (12 years vs 10 years, P = 0.001) compared to women who had not undergone screening. There was no significant difference in CD4 count or viral suppression between women who had and had not undergone screening.

Conclusion: The rate of cervical cancer screening in our institution is below that recommended by the World Health Organization and the South African National Department of Health.

Details

Title
An audit of adherence to cervical cancer screening guidelines in a tertiary-level HIV clinic
Author
Bolon, Jeffrey  VIAFID ORCID Logo  ; Samson, Amy  VIAFID ORCID Logo  ; Irwin, Natalie  VIAFID ORCID Logo  ; Murray, Lyle  VIAFID ORCID Logo  ; Mbodi, Langanani  VIAFID ORCID Logo  ; Stacey, Sarah  VIAFID ORCID Logo  ; Aikman, Nicholas  VIAFID ORCID Logo  ; Moonsamy, Louell  VIAFID ORCID Logo  ; Zamparini, Jarrod  VIAFID ORCID Logo 
Section
Original Research
Publication year
2023
Publication date
2023
Publisher
AOSIS (Pty) Ltd
ISSN
16089693
e-ISSN
20786751
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2826916862
Copyright
© 2023. This work is published under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.