{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T16:02:42Z","timestamp":1791907362574,"version":"4.3.4"},"reference-count":50,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2024,2,23]],"date-time":"2024-02-23T00:00:00Z","timestamp":1708646400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"German Ministry of Research and Education","award":["01KA2220B"],"award-info":[{"award-number":["01KA2220B"]}]},{"name":"Else Kroener-Fresenius-Foundation","award":["2018_HA31SP"],"award-info":[{"award-number":["2018_HA31SP"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>In Ethiopia, both incidence and mortality of cervical cancer are relatively high. Screening services, which were implemented during the past few years, are currently being expanded. The World Health Organization recommends patients with a positive VIA (visual inspection with acetic acid) result should immediately receive treatment followed by rescreening after 1 year as precancerous lesions can reoccur or become residential despite treatment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>Screening logbooks dating between 2017 and 2020 were retrospectively reviewed in 14 health facilities of Addis Ababa and Oromia region. Data for 741 women with a VIA-positive result were extracted and those women were asked to participate in a questionnaire-based phone interview to gain insights about adherence to treatment and follow-up. Data were analyzed using descriptive methods and then fitted into 2 generalized linear models to test variables for an influence on adherence to follow up.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Around 13 800 women had received a VIA screening, of which approximately 820 (5.9%) were VIA positive. While over 90% of women with a positive screen received treatment, only about half of the treated patients returned for a follow-up examination. After treatment, 31 women had a VIA-positive re-screen. We found that educational status, age over 40, no\/incorrect follow-up appointment, health facility-related barriers, and use of reminders are important drivers of adherence to follow up.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Our results revealed that adherence to treatment after VIA positive screening is relatively high whereas adherence to follow up recommendations still needs improvement. Reminders like appointment cards and phone calls can effectively reduce the loss of follow-up.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/oncolo\/oyae027","type":"journal-article","created":{"date-parts":[[2024,2,23]],"date-time":"2024-02-23T20:09:08Z","timestamp":1708718948000},"page":"e655-e664","source":"Crossref","is-referenced-by-count":12,"title":["Adherence to Treatment and Follow-Up of Precancerous Cervical Lesions in Ethiopia"],"prefix":"10.1093","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4256-2612","authenticated-orcid":false,"given":"Clara Yolanda","family":"Stroetmann","sequence":"first","affiliation":[{"name":"Global Health Working Group, Institute for Medical Epidemiology, Biometrics and Informatics, Martin-Luther-University Halle-Wittenberg , Halle (Saale) , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muluken","family":"Gizaw","sequence":"additional","affiliation":[{"name":"Global Health Working Group, Institute for Medical Epidemiology, Biometrics and Informatics, Martin-Luther-University Halle-Wittenberg , Halle (Saale) , Germany"},{"name":"Department of Preventive Medicine, School of Public Health, Addis Ababa University , Addis Ababa , Ethiopia"},{"name":"NCD Working Group, School of Public Health, Addis Ababa University , Addis Ababa , Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahel","family":"Alemayehu","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, School of Public Health, Addis Ababa University , Addis Ababa , Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1491-0959","authenticated-orcid":false,"given":"Abigiya","family":"Wondimagegnehu","sequence":"additional","affiliation":[{"name":"Global Health Working Group, Institute for Medical Epidemiology, Biometrics and Informatics, Martin-Luther-University Halle-Wittenberg , Halle (Saale) , Germany"},{"name":"Department of Preventive Medicine, School of Public Health, Addis Ababa University , Addis Ababa , Ethiopia"},{"name":"NCD Working Group, School of Public Health, Addis Ababa University , Addis Ababa , Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Friedemann","family":"Rabe","sequence":"additional","affiliation":[{"name":"Global Health Working Group, Institute for Medical Epidemiology, Biometrics and Informatics, Martin-Luther-University Halle-Wittenberg , Halle (Saale) , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo","family":"Santos","sequence":"additional","affiliation":[{"name":"Global Health Working Group, Institute for Medical Epidemiology, Biometrics and Informatics, Martin-Luther-University Halle-Wittenberg , Halle (Saale) , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bariki","family":"Mchome","sequence":"additional","affiliation":[{"name":"Kilimanjaro Christian Medical Centre , Moshi , Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blandina Theophil","family":"Mmbaga","sequence":"additional","affiliation":[{"name":"Kilimanjaro Clinical Research Institute, Kilimanjaro Christian Medical Centre and Kilimanjaro Christian Medical University College , Moshi , Tanzania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adamu","family":"Addissie","sequence":"additional","affiliation":[{"name":"Global Health Working Group, Institute for Medical Epidemiology, Biometrics and Informatics, Martin-Luther-University Halle-Wittenberg , Halle (Saale) , Germany"},{"name":"Department of Preventive Medicine, School of Public Health, Addis Ababa University , Addis Ababa , Ethiopia"},{"name":"NCD Working Group, School of Public Health, Addis Ababa University , Addis Ababa , Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7935-719X","authenticated-orcid":false,"given":"Eva Johanna","family":"Kantelhardt","sequence":"additional","affiliation":[{"name":"Global Health Working Group, Institute for Medical Epidemiology, Biometrics and Informatics, Martin-Luther-University Halle-Wittenberg , Halle (Saale) , Germany"},{"name":"Department of Gynaecology, Martin-Luther-University Halle-Wittenberg , Halle (Saale) , Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,2,23]]},"reference":[{"key":"2024050313113203900_CIT0001","volume-title":"WHO Guideline for Screening and Treatment of Cervical Pre-cancer Lesions for Cervical Cancer Prevention","author":"World Health Organization","year":"2021","edition":"2"},{"key":"2024050313113203900_CIT0002","first-page":"209","article-title":"Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume-title":"CA Cancer J 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