Using figures from 2012 appears rather dated. Almost all cervical cancers are caused by HPV. If your ethics statement is written in any section besides the Methods, please move it to the Methods section and delete it from any other section. Would it be clearer, given a worldwide readership likely unfamiliar with Ethiopian religion to refer to the Orthodox as Ethiopian Christian Orthodox? In the intervention health centers, all eligible women received one-to-one health education and educational brochures about cervical cancer and cervical cancer screening. The objective of this study was to systematically assess the effects of educational interventions on cervical cancer screening (CCS) behavior of women. : Was there anything the healthcare professionals learned when giving advice to getting the clients attention and having the client follow through with testing? Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process. Similarly, in Ethiopia, lack of proper health information from health care providers and low awareness about the disease determined low uptake [9, 10]. Keeping that information organized is important for tracking their journey, preparing for discussions with doctors, and making important decisions. A RCT was conducted at eight public health care centers that provide cervical cancer . 90% of women identified with cervical disease receive treatment (90% of women with pre-cancer treated; 90% of women with invasive cancer managed). A marked-up copy of your manuscript that highlights changes made to the original version. From the moment theyre diagnosed, cancer patients have to deal with an overwhelming amount of information. No, PLOS is a nonprofit 501(c)(3) corporation, #C2354500, based in San Francisco, California, US, Corrections, Expressions of Concern, and Retractions, https://doi.org/10.1371/journal.pone.0239580, http://www.nccc-online.org/about-nccc/international-cervical-cancer/. You may opt-out of email communications at any time by clicking on Submitted filename: PONE-D-19-25303R2.1] in Word.docx. adopted by the World Health Assembly in 2020, recommends a comprehensive approach to cervical cancer prevention and control. International Agency for Research on Cancer - Screening Group. Interventions to increase uptake of cervical screening in sub-Saharan Africa: a scoping review using the integrated behavioral model. study done among 1186 women in Mekelle : Interesting that the rate of screening at Mekelle was roughly 6 times greater there than at your institution (19.6% vs 3% of your noninterventional cluster). Before The authors do not describe what 'regular health education' means. official website and that any information you provide is encrypted Two-pronged clustered randomized controlled trial was conducted in 2018 at eight public health centers that provide cervical cancer screening services using visual inspection with acetic acid (VIA) in Addis Ababa, Ethiopia. Around 14,000 new cases of invasive cervical cancer will be diagnosed in 2023. 2016; Available from: Yibeltal Assefa DJ, Sileshi Lulseged, Gorik Ooms, Wim Van Damme. . Linking to a non-federal website does not constitute an endorsement by CDC or any of its employees of the sponsors or the information and products presented on the website. Formal analysis, For the follow-up data collection, participants (both in the intervention and control arms) were interviewed over the phone to check whether they were screened for cervical cancer. Cervical cancer prevention should encompass a multidisciplinary, including components from community education, social mobilization, vaccination, screening, treatment and palliative care. During this educational activity, learners will become familiar with the etiology and diagnosis of cervical cancer and explore treatment options and outcomes for relapsed, recurrent and metastatic disease. This file should be uploaded as separate file and labeled 'Revised Manuscript with Track Changes'. To ensure an efficient process, please log into Editorial Manager at http://www.editorialmanager.com/pone/, click the 'Update My Information' link at the top of the page, and double check that your user information is up-to-date. At our National Cancer Information Center trained Cancer Information Specialists can answer questions 24 hours a day, every day of the year to empower you with accurate, up-to-date information to help you make educated health decisions. The Data Visualizations Tool provides detailed statistics. More research is needed to identify and analyse barriers to screening uptake, which can still be present even after a successful educational intervention. BMC Public Health. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. Reviewer #2: Overall, this is a well-designed study on a very important topic. Careers, Unable to load your collection due to an error. 3 in 10 women have been screened for cervical cancer over the previous five years. Proportion of women screened for cervical cancer among the intervention group was higher than the control group. This section could be more detailed. Orthodox : Are not the orthodox part of the Christian community? Seventy-four percent of these participants reported that they learned about the benefits of screening from the one-to-one health education or the brochure. The Ethiopia Ministry of Health (MOH) recommends educating women who never had cervical cancer screening as a strategy to increase uptake. This screening method follows a single visit approach, decreasing treatment seeking related cost and the risk of loss to follow-up. Who gets it? For instructions see: http://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols. The emphasis should be on the intervention/control group status. HPV vaccination is recommended for preteens aged 11 to 12 years, but can be given starting at age 9. If you have any billing related questions, please contact our Author Billing department directly at gro.solp@gnillibrohtua. We would appreciate receiving your revised manuscript by Apr 23 2020 11:59PM. Seventy-four percent of these participants reported that they learned about the benefits of screening from the one-to-one health education or the brochure. So ask lots of questions and request additional resources. FOIA Please amend the manuscript submission data (via Edit Submission) to include author Abigiya Wondimagegnehu and Mitike Molla. In the intervention health centers, eligible women were recruited from the selected three units (family planning, immunization service, and clinics for infants and children). The authors do a good job describing how their intervention affected uptake of cervical cancer screening and the population characteristics that affected whether subjects were screened. Thank you for submitting your manuscript to PLOS ONE. Niederhuber JE, et al., eds. According to the session schedule, health education on cervical cancer was supposed to be given twice a week. Congratulations! A two-pronged clustered randomized controlled trial was conducted in eight public health care centers. Centers for Disease Control and Prevention. The study was conducted in Addis Ababa, the capital city of Ethiopia between August 2017 and January 2018.: the sentence is constructed awkwardly. An African Country Faces Challenges to Protect Girls From HPV - The New Similar to the HIV program if cervical cancer screening is integrated with the routine maternal health service programs like family planning; the uptake would have increased. These might explain the increase in odds of screening among the educated. The trained nurses provided one-to-one health education to all eligible mothers who come seeking care from the clinics within the health centers. Careers. Within one week, youll receive an e-mail detailing the required amendments. PACE helps ensure that figures meet PLOS requirements. Cervical cancer screening involves testing for HPV infection to detect pre-cancer and cancer, followed by treatment as appropriate. Rapid Scale-Up of Antiretroviral Treatment in Ethiopia: Successes and System-Wide Effects, Barriers to Cervical Cancer Screening in Arba Minch Town, Southern Ethiopia: A Qualitative Study, Journal of Community Medicine & Health Education, Cervical Cancer Screening Service Uptake and Associated Factors among Age Eligible Women in Mekelle Zone, Northern Ethiopia, 2015: A Community Based Study Using Health Belief Model. Bookshelf In our study, the intervention doubled the number of people screened for cervical cancer, yet the overall rate remained low. This letter should be uploaded as separate file and labeled 'Response to Reviewers'. Clipboard, Search History, and several other advanced features are temporarily unavailable. The boundary between the two types of cells is where cervical cancer most commonly occurs. For the intervention group, a low rate in the uptake of cervical cancer screening might be due to the short duration before the follow-up interviews where an average of six months was reported in other studies. This could be because of the fact that literacy level is high in those countries, unlike developing countries where nearly two-thirds of the participants in the intervention and control groups completed only primary and secondary education. Cancer is a disease in which cells in the body grow out of control. Copyright: 2020 Abu et al. This indicates low awareness about cervical cancer screening is a barrier to the uptake of screening services. A cell's DNA contains the instructions that tell a cell what to do. The same argument justifies the association between being a government employee and an increased odd of screening, as most positions in government offices require proper training. The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The ovaries, fallopian tubes, uterus, cervix and vagina (vaginal canal) make up the female reproductive system. For early cervical cancer, we typically treat with surgery to remove the abnormal growths. The authors have provided descriptive information about the women who received the intervention and control. For more information about PLOS Subject Areas, click There is a 1 missing (as reference) for Marital Status for Crude OR. Please amend your authorship list in your manuscript file to include author Mitike Sisay and Abigiya Tilahun. We can connect you with trained cancer information specialists who will answer questions about a cancer diagnosis and provide guidance and a compassionate ear. 215 (10%) : Medical care in Addis Ababa. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. At two months, the majority of the women in the intervention group (almost 80%) said that the primary reason for not seeking screening was because they were busy; in person, this sort of excuse could be directly addressed. https://doi.org/10.1371/journal.pone.0239580, Editor: Stanley J. Robboy, Duke University, UNITED STATES, Received: December 4, 2019; Accepted: September 8, 2020; Published: October 7, 2020. Nearly half of the participants in both groups were housewives. STI. Evaluating the effect of an educational program on increasing cervical . Response- Comment accommodated (See methods section, page 4 and 5), Response- Sample size calculation is now provided at the methods section (Refer page 6), Response Author Mitike Molla and Abigiya Wondemagne are already in the authorship list, Response- The title online submission and the title in the manuscript are identical, Response- Now, statement related to the funding is removed from the acknowledgement section. What Can I Do to Reduce My Risk of Cervical Cancer? | CDC The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Due to the ongoing antenatal care service-based HIV screening, more than 95% of study participants, in both groups were tested for HIV. We recommend that integrating a one-to-one health education and administering educational brochures which are written in simple languages about cervical cancer and benefits of early screening with the existing maternal health programs are worthwhile. The authors do not mention if the same screening guidelines are applicable in Ethiopia. Unable to load your collection due to an error, Unable to load your delegates due to an error. Cervical cancer is the fourth most common cancer in women. Adugna A. Called by phone somehow sounds better. Each woman who participated in the intervention group : Would it be correct to assume that women in the intervention group did NOT have the screening performed at the same time as they came for the initial interview? This study was conducted in eight health centers which provide cervical cancer screening service using VIA. Women Participants who could not read and write attended the brief health talk but were told to have someone close to them read the content at their convenience. 8. 15. This study was conducted in eight health centers which provide cervical cancer screening service using VIA.