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November 27, 2024
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December 26, 2024
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Abstract

Background: Cervical cancer remains a major health concern in developing countries, primarily due to the presence of human papillomavirus (HPV) types 16 and 18. Visual Inspection with Acetic Acid (VIA) is a common and affordable screening method, yet its effectiveness is closely tied to the skills and competency of healthcare providers. This study aimed to assess the impact of clinical training on improving VIA screening outcomes for cervical cancer in a county in Kenya.


Methods: Seven government health facilities equipped with cryotherapy machines were selected, with two healthcare providers sampled from each. A six-day VIA training intervention was conducted, combining theoretical instruction with hands-on clinical practice using preceptors to guide trainees. Baseline data were collected using questionnaires, abstraction tools, and observational checklists, followed by pre-and post-tests to measure knowledge and skill improvement.


Results: The training program significantly improved the healthcare providers’ knowledge and VIA skills (p<0.001). The cervical pre-cancer positivity rate increased from 0.8% at baseline to 14.1% post-intervention, indicating enhanced detection abilities.


Conclusion: VIA is a viable screening method in low-resource settings when healthcare providers are adequately trained. Enhanced provider confidence and competency contribute to better screening uptake and patient outcomes, highlighting the importance of integrating clinical practice with VIA training for sustainable cervical cancer prevention.

Keywords

Visual Inspection Acetic Acid Cervical Cancer Screening Kenya

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Copyright (c) 2024 Evah Maina, Abednego Ongeso, Nancy Maingi

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Author Biographies

Evah Maina, Aga Khan University, Kenya

Evah Maina is a senior instructor at the Aga Khan University, School of Nursing and Midwifery.

Abednego Ongeso, Aga Khan University, Kenya

Dr. Abednego Ongeso is an Assistant Professor at the Aga Khan University School of Nursing and Midwifery.

Nancy Maingi, Dedan Kimathi University of Technology, Kenya

Dr. Nancy Maingi is a lecturer at Dedan Kimathi University of Technology (DeKUT).

How to Cite
Maina, E., Ongeso, A., & Maingi, N. (2024). Effectiveness of Clinical Training in Influencing the Outcome of Visual Inspection with Acetic Acid in Selected Facilities at a County in Kenya. Pan-African Journal of Health and Environmental Science, 3(2), 1–20. https://doi.org/10.56893/ajhes2024v03i02.01
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