Findings and lessons learned from a multi-partner collaboration to increase cervical cancer prevention efforts in Bolivia
Submitted: 23 March 2013
Revised: 29 May 2013
Accepted: 29 May 2013
Published: 19 November 2013
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Stormo AR, Espey D, Glenn J, Lara-Prieto E, Moreno A, Nuñez F, Padilla H, Waxman A, Flowers L, Santos C, Soria M, Luciani S, Saraiya M.
Citation: Stormo AR, Espey D, Glenn J, Lara-Prieto E, Moreno A, Nuñez F, Padilla H, Waxman A, Flowers L, Santos C, Soria M, Luciani S, Saraiya M. Findings and lessons learned from a multi-partner collaboration to increase cervical cancer prevention efforts in Bolivia. Rural and Remote Health (Internet) 2013; 13: 2595. Available: http://www.rrh.org.au/articles/subviewnew.asp?ArticleID=2595 (Accessed 23 October 2017)
Cervical cancer is a leading cause of cancer death among women in Bolivia, where cytology based screening has not performed well due to health-systems constraints. In response, the Centers for Disease Control and Prevention and the Pan American Health Organization partnered with the Bolivian Ministry of Health and the Peruvian Cancer Institute (INEN) to build capacity in Bolivia for the use of visual inspection of the cervix with acetic acid (VIA) and cryotherapy. Four 5-day courses on basic clinical skills to perform these procedures, provide related counseling, and manage side effects and infections were conducted from September 2010 to December 2012 for 61 Bolivian nurses and physicians. Of these courses, two were conducted by Bolivian trainers that were certified through a Training-of-Trainers course taught by the INEN. Classroom didactic sessions included lectures and practice with anatomic models followed by clinical practice sessions to provide trainees with practical experience in VIA and cryotherapy. Pre- and post-training evaluations were administered to ascertain knowledge gained. Evaluation of competency was conducted during simulation exercises in the classroom and during supervised performances of procedures in clinical settings. This report summarizes findings and lessons learned that will be useful for planning the supervision and monitoring phase of this project as well as for future partnerships in the Latin American and the Caribbean region.Key words: capacity building, cervical cancer, cryotherapy, global health, Latin America, visual inspection with acetic acid, women’s health.
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