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Crippin T, Tounkara K, Squibb E, Beseme S, Barry K, Sangare K, Coulibaly S, Fané P, Bagayoko A, Koita OA, Teguété I, De Groot AS. A story-telling cloth approach to motivating cervical cancer screening in Mali. Front Public Health 2022; 10:1051536. [PMID: 36589936 PMCID: PMC9800037 DOI: 10.3389/fpubh.2022.1051536] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Accepted: 11/24/2022] [Indexed: 12/23/2022] Open
Abstract
Ninety percent of deaths from Cervical cancer (CC) caused by Human Papilloma Virus (HPV) occur in low- and middle-income countries. CC is the 2nd most common cause of cancer in women in West Africa, where 12,000 women develop cervical cancer and more than 6,000 die from the disease, annually. While HPV vaccination and CC screening have dramatically reduced the incidence of CC and mortality from CC in developed countries, prevention of CC in West Africa is often limited to visual inspection of the cervix and surgical intervention. In previous studies of CC in Mali, we demonstrated that knowledge about the link between HPV and CC is limited, and that screening for CC is often delayed until women are symptomatic. For this intervention, a story-telling cloth (West African-style printed pagne) was designed for use as a starting point for educational sessions run by community health workers. Community outreach using the cloth during 6 months of 2015 resulted in a 5-fold higher uptake of cervical cancer screening and increased awareness of the potential to vaccinate adolescents against CC. 3,271 women were motivated to visit one of five participating clinics for CC screening, where a mere 600 women had been screened during the previous year. This study shows that a comprehensive, visual, community-centered education campaign coupled with coordinated support for local clinics improves uptake of CC screening.
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Affiliation(s)
| | | | - Eliza Squibb
- GAIA Vaccine Foundation, Providence, RI, United States
| | - Sarah Beseme
- GAIA Vaccine Foundation, Providence, RI, United States
| | - Katherine Barry
- The Warren Alpert Medical School of Brown University, Providence, RI, United States
| | - Kotou Sangare
- Laboratory of Applied Molecular Biology, University of Sciences, Techniques, and Technologies, Bamako, Mali
| | | | - Pinda Fané
- Department of Regional Health, Bamako, Mali
| | | | - Ousmane A. Koita
- Laboratory of Applied Molecular Biology, University of Sciences, Techniques, and Technologies, Bamako, Mali
| | | | - Anne S. De Groot
- GAIA Vaccine Foundation, Providence, RI, United States,*Correspondence: Anne S. De Groot
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Fané S, Bocoum A, Traoré SO, Kanté I, Sylla C, Sissoko A, Traoré A, Sima M, Sanogo SA, Kouma A, Sanogo A, Sylla M, Adiawiakoye A, Coulibaly M, Teguété I, Traoré Y, Mounkoro N. [Risk factors and management of uterine rupture in a 1st reference structure in Mali: case of the Bougouni health district]. Mali Med 2022; 37:15-22. [PMID: 38514953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 03/23/2024]
Abstract
The objective was to assess the risk factors for and to suggest therapeutic aspects. MATERIALS AND METHODS We carried out a case-control study at the Bougouni Reference health center in 2019. RESULTS From January to December 31, 2019; out of 1161 deliveries, 43 uterine rupture were recorded, 3.7% corresponding to one uterine rupture for 27 deliveries. Patients 35 years and older were more affected by uterine rupture (44.2%) with ORaIC95% = 6.3 [1.5 - 26.3]. Obstetric evacuations had an ORaIC95% = 25.6 [7.8-83.7]. All of the patients were housewives (97.7%) versus (82.3%) controls with ORaIC95% = 8.9 (1.1-69). Pauciparous and multiparous had an ORaIC95% = 6.2 [1.8 - 20.3] and 4.1 [1.3 - 12.9], respectively. The uterine scar (20.9%) of cases versus 8.1% of controls had a 95% ORaIC95% = 2.9 [1.1 - 8.7]. Indeed the absence of ANC was a risk factor, ORaIC95% = 3.0 [1.3 - 6.9]. The time to uterine rupture was < 6 hours in 95%. In fact 34 complete uterine rupture (79.1%) and 9 incomplete uterine rupture (20.9) were noted. Only 2.3% of cases gave birth vaginally. Treatment of uterine rupture was based on surgery (100%) supplemented by shock (51.2%) of cases and infection (100%) of cases. CONCLUSION Uterine rupture is common in our countries under medical care. Its effective prevention involves strategies aimed at acting on risk factors.
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Affiliation(s)
- Seydou Fané
- Département de gynécologie obstétrique du CHU Gabriel Touré de Bamako, Mali
| | - Amadou Bocoum
- Département de gynécologie obstétrique du CHU Gabriel Touré de Bamako, Mali
| | - Soumana Oumar Traoré
- Service de gynécologie obstétrique du centre de santé de référence de la commune V de Bamako, Mali
| | - Ibrahima Kanté
- Département de gynécologie obstétrique du CHU du Point G, Bamako, Mali
| | - Cheickna Sylla
- Département de gynécologie obstétrique du CHU Gabriel Touré de Bamako, Mali
| | - Abdoulaye Sissoko
- Département de gynécologie obstétrique de l'Hôpital Mère-enfant le Luxembourg à Bamako, Mali
| | | | - Mamadou Sima
- Département de gynécologie obstétrique du CHU du Point G, Bamako, Mali
| | - Siaka Amara Sanogo
- Département de gynécologie obstétrique du CHU Gabriel Touré de Bamako, Mali
| | - Aminata Kouma
- Département de gynécologie obstétrique du CHU de Kati, Koulikoro, Mali
| | - Abdoulaye Sanogo
- Département de gynécologie obstétrique du CHU Gabriel Touré de Bamako, Mali
| | - Mala Sylla
- Service de gynécologie obstétrique du centre de santé de référence de Bougouni, Sikasso, Mali
| | - Adane Adiawiakoye
- Département de gynécologie obstétrique du CHU Gabriel Touré de Bamako, Mali
| | - M Coulibaly
- Service de gynécologie obstétrique du centre de santé de référence de Bougouni, Sikasso, Mali
| | - Ibrahima Teguété
- Département de gynécologie obstétrique du CHU Gabriel Touré de Bamako, Mali
| | - Youssouf Traoré
- Département de gynécologie obstétrique du CHU Gabriel Touré de Bamako, Mali
| | - Niani Mounkoro
- Département de gynécologie obstétrique du CHU Gabriel Touré de Bamako, Mali
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