Jay-Ar T. Sorreda
University of the Philippines- Philippine General Hospital, PhilippinesTitle: Health system analysis on the implementation of community cervical cancer screening program - Comparison between urban and rural health system
Abstract
In the Philippines, the Department of Health (DOH) advocates use of visual inspection with acetic acid (VIA) as a screening method for cervical cancer in primary health care facilities. Using the health systems framework, this study assessed and compared the implementation of cervical cancer screening between an urban and a rural health system. Results of this study provides baseline information on the status of community cervical cancer screening in the country. A cross sectional descriptive design was used to evaluate the implementation of cervical cancer screening for year 2017-2019, in public primary healthcare facilities in the National Capital Region (N=10) and Bicol Region (N=16). Self-administered questionnaires were distributed to program coordinators in the study sites. Descriptive statistical analysis was used to summarized the results. Results showed that coverage of cervical cancer screening is 0.39% in rural areas and 5.5% in the urban areas. The rural health system has inadequate screening facilities (40%), low clinic to population ratio (1:9196), and low personnel to population ratio (1:1751). The urban health system has 100% screening facilities served by 244 clinics, with a clinic to population ratio of 1 per 869 and personnel to population ratio of 1 per 699. Improvements needed includes local policy to institutionalize cervical screening, updated training of health personnel, constant supply of consumables and health promotion materials, budgetary support, and improved data recording and reporting. The disparity in implementing cervical cancer screening programs between the rural and urban areas were evident. This lack should be addressed by program interventions to increase the use of VIA screening programs in the community.
Biography
Jay-Ar T. Sorreda formally completed his Residency Training in Obstetrics and Gynecology at the University of the Philippines-Philippine General Hospital in December 2020.
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