Effectiveness of Clinical Training in Influencing the Outcome of Visual Inspection with Acetic Acid in Selected Facilities at a County in Kenya
Background: Cervical cancer remains a major health concern in developing countries, primarily due to the presence of human papillomavirus (HPV) types 16 and 18. Visual Inspection with Acetic Acid (VIA) is a common and affordable screening method, yet its effectiveness is closely tied to the skills a...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Adventist University of Africa
2024-12-01
|
| Series: | Pan-African Journal of Health and Environmental Science |
| Subjects: | |
| Online Access: | https://journals.aua.ke/ajhes/article/view/722 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832582068985397248 |
|---|---|
| author | Evah Maina Abednego Ongeso Nancy Maingi |
| author_facet | Evah Maina Abednego Ongeso Nancy Maingi |
| author_sort | Evah Maina |
| collection | DOAJ |
| description | Background: Cervical cancer remains a major health concern in developing countries, primarily due to the presence of human papillomavirus (HPV) types 16 and 18. Visual Inspection with Acetic Acid (VIA) is a common and affordable screening method, yet its effectiveness is closely tied to the skills and competency of healthcare providers. This study aimed to assess the impact of clinical training on improving VIA screening outcomes for cervical cancer in a county in Kenya.
Methods: Seven government health facilities equipped with cryotherapy machines were selected, with two healthcare providers sampled from each. A six-day VIA training intervention was conducted, combining theoretical instruction with hands-on clinical practice using preceptors to guide trainees. Baseline data were collected using questionnaires, abstraction tools, and observational checklists, followed by pre-and post-tests to measure knowledge and skill improvement.
Results: The training program significantly improved the healthcare providers’ knowledge and VIA skills (p<0.001). The cervical pre-cancer positivity rate increased from 0.8% at baseline to 14.1% post-intervention, indicating enhanced detection abilities.
Conclusion: VIA is a viable screening method in low-resource settings when healthcare providers are adequately trained. Enhanced provider confidence and competency contribute to better screening uptake and patient outcomes, highlighting the importance of integrating clinical practice with VIA training for sustainable cervical cancer prevention. |
| format | Article |
| id | doaj-art-fc8cfe8a444c40cabbc5aaad787b0068 |
| institution | Kabale University |
| issn | 2789-6196 2789-620X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Adventist University of Africa |
| record_format | Article |
| series | Pan-African Journal of Health and Environmental Science |
| spelling | doaj-art-fc8cfe8a444c40cabbc5aaad787b00682025-01-30T06:17:10ZengAdventist University of AfricaPan-African Journal of Health and Environmental Science2789-61962789-620X2024-12-013212010.56893/ajhes2024v03i02.01689Effectiveness of Clinical Training in Influencing the Outcome of Visual Inspection with Acetic Acid in Selected Facilities at a County in KenyaEvah Maina0Abednego Ongeso1Nancy Maingi2Aga Khan University, KenyaAga Khan University, KenyaDedan Kimathi University of Technology, KenyaBackground: Cervical cancer remains a major health concern in developing countries, primarily due to the presence of human papillomavirus (HPV) types 16 and 18. Visual Inspection with Acetic Acid (VIA) is a common and affordable screening method, yet its effectiveness is closely tied to the skills and competency of healthcare providers. This study aimed to assess the impact of clinical training on improving VIA screening outcomes for cervical cancer in a county in Kenya. Methods: Seven government health facilities equipped with cryotherapy machines were selected, with two healthcare providers sampled from each. A six-day VIA training intervention was conducted, combining theoretical instruction with hands-on clinical practice using preceptors to guide trainees. Baseline data were collected using questionnaires, abstraction tools, and observational checklists, followed by pre-and post-tests to measure knowledge and skill improvement. Results: The training program significantly improved the healthcare providers’ knowledge and VIA skills (p<0.001). The cervical pre-cancer positivity rate increased from 0.8% at baseline to 14.1% post-intervention, indicating enhanced detection abilities. Conclusion: VIA is a viable screening method in low-resource settings when healthcare providers are adequately trained. Enhanced provider confidence and competency contribute to better screening uptake and patient outcomes, highlighting the importance of integrating clinical practice with VIA training for sustainable cervical cancer prevention.https://journals.aua.ke/ajhes/article/view/722visual inspection acetic acidcervical cancer screening kenya |
| spellingShingle | Evah Maina Abednego Ongeso Nancy Maingi Effectiveness of Clinical Training in Influencing the Outcome of Visual Inspection with Acetic Acid in Selected Facilities at a County in Kenya Pan-African Journal of Health and Environmental Science visual inspection acetic acid cervical cancer screening kenya |
| title | Effectiveness of Clinical Training in Influencing the Outcome of Visual Inspection with Acetic Acid in Selected Facilities at a County in Kenya |
| title_full | Effectiveness of Clinical Training in Influencing the Outcome of Visual Inspection with Acetic Acid in Selected Facilities at a County in Kenya |
| title_fullStr | Effectiveness of Clinical Training in Influencing the Outcome of Visual Inspection with Acetic Acid in Selected Facilities at a County in Kenya |
| title_full_unstemmed | Effectiveness of Clinical Training in Influencing the Outcome of Visual Inspection with Acetic Acid in Selected Facilities at a County in Kenya |
| title_short | Effectiveness of Clinical Training in Influencing the Outcome of Visual Inspection with Acetic Acid in Selected Facilities at a County in Kenya |
| title_sort | effectiveness of clinical training in influencing the outcome of visual inspection with acetic acid in selected facilities at a county in kenya |
| topic | visual inspection acetic acid cervical cancer screening kenya |
| url | https://journals.aua.ke/ajhes/article/view/722 |
| work_keys_str_mv | AT evahmaina effectivenessofclinicaltrainingininfluencingtheoutcomeofvisualinspectionwithaceticacidinselectedfacilitiesatacountyinkenya AT abednegoongeso effectivenessofclinicaltrainingininfluencingtheoutcomeofvisualinspectionwithaceticacidinselectedfacilitiesatacountyinkenya AT nancymaingi effectivenessofclinicaltrainingininfluencingtheoutcomeofvisualinspectionwithaceticacidinselectedfacilitiesatacountyinkenya |