{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,7]],"date-time":"2025-12-07T03:45:48Z","timestamp":1765079148600,"version":"3.38.0"},"reference-count":14,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2009,12,11]],"date-time":"2009-12-11T00:00:00Z","timestamp":1260489600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2010,1]]},"abstract":"<jats:p> Cervical cancer screening programmes only succeed when the coverage, screening, treatment and follow-up of any abnormal results are of high quality. This study investigates the screening coverage and the quality of the follow-up of cervical cancer screening of women in Le\u00f3n, Nicaragua, as well as the factors affecting coverage and barriers to follow-up. Two hundred and thirty-four sexually active women attending a public health centre (54), a public health post (63), or the gynaecology department of the public HEODRA hospital (117), were invited to answer an orally administered questionnaire. The screening coverage of cervical cancer was calculated and the follow-up after finding an abnormal screening result was assessed. The coverage was 60.6% (95% confidence interval 54.4\u201366.8%). One hundred and sixty-eight women (87%) were informed about the results. Eighteen (10, 7%) of the women who were informed about the results, were advised to have follow-up and 12 (66, 7%) of them did. Barriers to follow-up were financial constraints, pregnancy, postponement and absence of instruments\/electricity. This study shows that the screening coverage and cytology services are adequate, but that there is insufficient follow-up and\/or treatment after an abnormal screening result. In order to achieve a lower incidence and mortality of cervical cancer, follow-up and treatment after an abnormal screening result need to be improved. A visual inspection with acetic acid may be an attractive alternative. <\/jats:p>","DOI":"10.1258\/td.2009.090076","type":"journal-article","created":{"date-parts":[[2009,12,12]],"date-time":"2009-12-12T01:58:54Z","timestamp":1260583134000},"page":"22-26","source":"Crossref","is-referenced-by-count":3,"title":["Barriers to follow-up of abnormal Papanicolaou smears among women in Leon, Nicaragua"],"prefix":"10.1177","volume":"40","author":[{"given":"M B","family":"Vastbinder","sequence":"first","affiliation":[{"name":"Radboud University Nijmegen Medical Center, Nijmegen; Department of Obstetrics and Gynaecology 791, Doetinchem, The Netherlands"},{"name":"Slingeland Hospital, Department of Internal Medicine, Doetinchem, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Castillo","sequence":"additional","affiliation":[{"name":"Universidad Nacional Aut\u00f3noma de Nicaragua Le\u00f3n, Nicaragua"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R L M","family":"Bekkers","sequence":"additional","affiliation":[{"name":"Radboud University Nijmegen Medical Center, Nijmegen; Department of Obstetrics and Gynaecology 791, Doetinchem, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2009,12,11]]},"reference":[{"key":"bibr-TD-09-0076C1","doi-asserted-by":"publisher","DOI":"10.3322\/canjclin.55.2.74"},{"key":"bibr-TD-09-0076C2","unstructured":"WHO\/ICO Information Centre on HPV and Cervical Cancer (HPV Information Centre). Summary report on HPV and cervical cancer statistics in Nicaragua. 2007. See www.who.int\/hpvcentre (last accessed 22 September 2009)"},{"key":"bibr-TD-09-0076C3","unstructured":"Cervixcarcinoom. Landelijke richtlijn met regionale toevoeging. Versie 1.2. Utrecht: Nederlandse Vereniging voor Obstetrie en Gynaecologie; 2004. See www.oncoline.nl (last accessed 22 September 2009)"},{"key":"bibr-TD-09-0076C4","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.318.7188.904"},{"key":"bibr-TD-09-0076C5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2005.07.094"},{"key":"bibr-TD-09-0076C6","unstructured":"Ministerio de Salud: Direcci\u00f3n de Atenci\u00f3n Integral a la Mujer, Ni\u00f1ez y Adolescencia. Departamento de Atenci\u00f3n Integral a la Mujer. Septiembre 2000. Normas de Prevenci\u00f3n y Atenci\u00f3n del C\u00e1ncer Cervico Uterino. Una producci\u00f3n EMCOR Managua, octubre 2000"},{"key":"bibr-TD-09-0076C7","unstructured":"CramerJ, BittnerM. Cervical Cancer Screening Perceptions and Practices in Managua, Nicaragua. See http:\/\/www.globalhealth-ec.org\/GHEC\/Events\/Conf06\/PConf\/posters.htm (last accessed 22 September 2009)"},{"key":"bibr-TD-09-0076C8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2005.10.020"},{"key":"bibr-TD-09-0076C9","unstructured":"Indicadores de Mortalidad por SILAIS, Nicaragua, a\u00f1o 2005. Seehttp:\/\/www.minsa.gob.ni\/estadisticas\/ind2006\/images\/ind_mortalidad.jpg(last accessed 22 September 2009)"},{"key":"bibr-TD-09-0076C10","unstructured":"Ministerio de Salud: Direcci\u00f3n de Atenci\u00f3n Integral a la Mujer, Ni\u00f1ez y Adolescencia. Departamento de Atenci\u00f3n Integral a la Mujer. Normas para la atencion prenatal, parto bajo riesgo y puerperio. Managua, MINSA, 1997"},{"key":"bibr-TD-09-0076C11","first-page":"954","volume":"79","author":"Sankaranarayanan R","year":"2001","journal-title":"Bulletin of the World Health Organisation"},{"key":"bibr-TD-09-0076C12","unstructured":"Ministerio de Salud, MEASURE Evaluation Carolina Population Centre and Agencia de los Estados Unidos para el Desarollo Internacional (USAID) con la colaboraci\u00f3n de PROSALUD. Encuesta de Establecimientos de Salud, Nicaragua 2001. Measure Evaluation Informe T\u00e9cnico, No 13. 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