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Published Online: 3 August 2012

Bolivian Health Providers' Attitudes Toward Alternative Technologies for Cervical Cancer Prevention: A Focus on Visual Inspection with Acetic Acid and Cryotherapy

Publication: Journal of Women's Health
Volume 21, Issue Number 8

Abstract

Background: Little is known about health providers' attitudes toward visual inspection with acetic acid (VIA) and cryotherapy in the prevention of cervical cancer, as most research in Latin America and the Caribbean (LAC) has examined attitudes of the general population. This study describes attitudes of Bolivian health professionals toward new technologies for cervical cancer prevention, focusing on VIA and cryotherapy.
Methods: Between February 2011 and March 2012, we surveyed 7 nurses and 35 physicians who participated in 5-day workshops on VIA and cryotherapy conducted in Bolivia. Multiple choice and open-ended questions were used to assess participants' acceptability of these procedures and the feasibility of their implementation in the context of perceived barriers for the early detection of cervical cancer in this country.
Results: Most believed that cultural factors represent the main barrier for the early detection of cervical cancer (70%), although all stated that VIA and cryotherapy would be accepted by women, citing the advantages of VIA over cytology for this belief. Most also believed their colleagues would accept VIA and cryotherapy (71%) and that VIA should replace Pap testing (61%), reiterating the advantages of VIA for these beliefs. Those who believed the contrary expressed a general resistance to change associated with an already existing cytology program and national norms prioritizing Pap testing.
Conclusions: Most participants had favorable attitudes toward VIA and cryotherapy; however, a sizable minority cited challenges to their adoption by colleagues and believed VIA should not replace cytology. This report can inform the development of strategies to expand the use of alternative cervical cancer screening methods in LAC and Bolivia.

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cover image Journal of Women's Health
Journal of Women's Health
Volume 21Issue Number 8August 2012
Pages: 801 - 808
PubMed: 22816515

History

Published online: 3 August 2012
Published in print: August 2012
Published ahead of print: 20 July 2012

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Analía Romina Stormo
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Victor Conde Altamirano
Ministerio de Salud y Deportes, La Paz, Bolivia.
Macarena Pérez-Castells
Area of Health, Surveillance, Disease Prevention and Control, Pan American Health Organization, Washington, District of Columbia.
David Espey
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Haydee Padilla
Area of Family and Community Health, Pan American Health Organization, La Paz, Bolivia.
Karen Panameño
Area of Family and Community Health, Pan American Health Organization, La Paz, Bolivia.
Milton Soria
Ministerio de Salud y Deportes, La Paz, Bolivia.
Carlos Santos
Instituto Nacional de Enfermedades Neoplásicas, Lima, Perú.
Mona Saraiya
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia.
Silvana Luciani
Area of Health, Surveillance, Disease Prevention and Control, Pan American Health Organization, Washington, District of Columbia.

Notes

Address correspondence to:Analía R. Stormo, B.S.Centers for Disease Control and Prevention4770 Buford Highway NE, MS K-55Atlanta, GA 30341E-mail: [email protected]

Disclosure Statement

The authors have no conflicts of interest to report.

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