Abstract

Background: The screening of cervical cancer using the Visual inspection with acetic acid (VIA) is cheaper and allows for early treatment and uptake of VIA in the country.

Purpose: To improve the quality of life of women of child-bearing age through early detection of and treatment of cervical cancer.

Methods: Kouzes and Posner's Leadership Model guided the project. A team of nurses, midwives, and rural health motivators (RHM) were involved in a quality improvement project that ran for 18 months. Fourteen (n=14) nurses were trained on VIA while 60 RHMs and 14 community leaders were sensitized to create awareness on VIA in their communities. The males in the communities were encouraged to support their partners. The women who responded were screened for cervical cancer. A tool for capturing data was developed by the team and has since been adapted at national level.

Impact: A total of 234 women aged 16-39 were enrolled in the project and 17% (n=42) had VIA positive results and 95% of these (n=40) received cryotherapy. The ninety -eight women aged above 40 had a pap smear done. VIA has now been integrated into maternal and child health services at the facility and partners continue support their partners to be screened for cervical cancer.

Mentee Impact: The mentee gained leadership skills and has learnt how to negotiate and work effectively in a team. The completion of the program has helped me believe in myself and realise that quality care begins with a shared vision.

Discussion: The screening and early detection of cervical cancer using VIA has seen women with suspected cancer cells referred for further management to reduce the morbidity and mortality related to cervical cancer. Leadership skills and collaboration between clinical staff and the community were strengthened. The next step involves the project team continuing and extensively involving the Sexual Reproductive Unit, extending to schools, surrounding clinics and other communities.

Description

This presentation is the summation of a project undertaken as part of the Honor Society of Nursing, Sigma Theta Tau International, Maternal-Child Health Nurse Leadership Academy (2016-2017 cohort).

Author Details

Ncamiso Patrick Melisizwe Shabangu, RN, RM; Colile Pertunia Dlamini, PhD, Oslinah Tagutanazvo, DCur.,MSc, BACur, RGN, SCM

Sigma Membership

Non-member

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Other

Keywords:

Maternal-Child Health, Nurse Leadership, Africa, Cervical Cancer

Conference Name

Chi Xi at-Large Chapter First Biennial Conference Swaziland

Conference Host

Chi Xi at-Large Chapter of Sigma Theta Tau International

Conference Location

Exulwini Valley, Lobamba, Swaziland

Conference Year

2017

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

Faculty/Mentor Approved: Sigma Academy Participant Poster

Acquisition

Proxy-submission

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Escalating cervical cancer screening with visual inspection using acetic acid (VIA) among women of childbearing age

Exulwini Valley, Lobamba, Swaziland

Background: The screening of cervical cancer using the Visual inspection with acetic acid (VIA) is cheaper and allows for early treatment and uptake of VIA in the country.

Purpose: To improve the quality of life of women of child-bearing age through early detection of and treatment of cervical cancer.

Methods: Kouzes and Posner's Leadership Model guided the project. A team of nurses, midwives, and rural health motivators (RHM) were involved in a quality improvement project that ran for 18 months. Fourteen (n=14) nurses were trained on VIA while 60 RHMs and 14 community leaders were sensitized to create awareness on VIA in their communities. The males in the communities were encouraged to support their partners. The women who responded were screened for cervical cancer. A tool for capturing data was developed by the team and has since been adapted at national level.

Impact: A total of 234 women aged 16-39 were enrolled in the project and 17% (n=42) had VIA positive results and 95% of these (n=40) received cryotherapy. The ninety -eight women aged above 40 had a pap smear done. VIA has now been integrated into maternal and child health services at the facility and partners continue support their partners to be screened for cervical cancer.

Mentee Impact: The mentee gained leadership skills and has learnt how to negotiate and work effectively in a team. The completion of the program has helped me believe in myself and realise that quality care begins with a shared vision.

Discussion: The screening and early detection of cervical cancer using VIA has seen women with suspected cancer cells referred for further management to reduce the morbidity and mortality related to cervical cancer. Leadership skills and collaboration between clinical staff and the community were strengthened. The next step involves the project team continuing and extensively involving the Sexual Reproductive Unit, extending to schools, surrounding clinics and other communities.