Other Titles

Symposium: Translating interventions to practice: Dissemination and implementation research methods

Abstract

Session presented on Sunday, July 27, 2014:

Purpose: Cervical cancer incidence rates are astonishingly high among women in Ethiopia (35.9 per 100,000). Almost 6,000 Ethiopian women die annually from the disease. In developed countries, cervical cancers are prevented by early detection using the Papanicolaou (Pap) test; however, in low resource countries, Pap tests are not readily available. An evidence-based alternative, low-tech approach to preventing cervical cancer using visual inspection with acetic acid (VIA) and cryotherapy has successfully reduced morbidity and mortality from cervical cancer in India and Uganda. Dissemination and implementation (D & I) of this evidence-based procedure can save women's lives when cancer treatment and providers are scarce.

Methods: We will detail the process of: 1) partnership building with an academic institution and non-governmental organizations in Gondar, Ethiopia for D & I of a VIA program, and 2) building capacity of a nursing program at a partner academic institution by training nurses and midwives in D & I of VIA procedures. We also describe the challenges of conducting a cancer prevention project in a global health setting.

Results: High degree of communication and collaboration between institutions are critical in implementing a cancer prevention program. Challenges include communication with in-country staff, competing international cancer prevention programs, high cost of using a standardized cervical cancer screen and treat curriculum, and cultural and linguistic differences.

Conclusion: D & I of an evidence-based screen and treat program for cervical cancer with nurses in low-resource settings is critical in countries with limited assets and skilled human capital. Enhancing the skills and competency of nurse faculty and students to conduct VIA can eliminate the burden of cervical cancer and untimely death of thousands of Ethiopian women. This presentation offers new insight into building capacity of nursing programs in a global context and provides guidance on carrying out global health research.

Authors

Jennifer Kue

Author Details

Jennifer Kue, PhD

Sigma Membership

Non-member

Lead Author Affiliation

The Ohio State University, Columbus, Ohio, USA

Type

Presentation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

VIA & Cryotherapy, Evidence Based Practice, Cervical Cancer

Conference Name

25th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Hong Kong

Conference Year

2014

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

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Putting evidence into practice: Dissemination and implementation of a cervical cancer prevention project in Ethiopia

Hong Kong

Session presented on Sunday, July 27, 2014:

Purpose: Cervical cancer incidence rates are astonishingly high among women in Ethiopia (35.9 per 100,000). Almost 6,000 Ethiopian women die annually from the disease. In developed countries, cervical cancers are prevented by early detection using the Papanicolaou (Pap) test; however, in low resource countries, Pap tests are not readily available. An evidence-based alternative, low-tech approach to preventing cervical cancer using visual inspection with acetic acid (VIA) and cryotherapy has successfully reduced morbidity and mortality from cervical cancer in India and Uganda. Dissemination and implementation (D & I) of this evidence-based procedure can save women's lives when cancer treatment and providers are scarce.

Methods: We will detail the process of: 1) partnership building with an academic institution and non-governmental organizations in Gondar, Ethiopia for D & I of a VIA program, and 2) building capacity of a nursing program at a partner academic institution by training nurses and midwives in D & I of VIA procedures. We also describe the challenges of conducting a cancer prevention project in a global health setting.

Results: High degree of communication and collaboration between institutions are critical in implementing a cancer prevention program. Challenges include communication with in-country staff, competing international cancer prevention programs, high cost of using a standardized cervical cancer screen and treat curriculum, and cultural and linguistic differences.

Conclusion: D & I of an evidence-based screen and treat program for cervical cancer with nurses in low-resource settings is critical in countries with limited assets and skilled human capital. Enhancing the skills and competency of nurse faculty and students to conduct VIA can eliminate the burden of cervical cancer and untimely death of thousands of Ethiopian women. This presentation offers new insight into building capacity of nursing programs in a global context and provides guidance on carrying out global health research.