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Master Thesis

Identification des barrières au diagnostic précoce du cancer invasif du col en Côte d'Ivoire

Abstract : Background: Invasive Cervical Cancer (ICC) remains a major public health issue in developing countries due to a diagnosis that is most often at an advanced stage, associated with high mortality. In Côte d'Ivoire, little data is available on the proportion of ICCs diagnosed at an advanced stage and its associated factors. Method: We conducted a mixed quantitative and qualitative cross-sectional study. A questionnaire documenting the socio-demographic characteristics and history of the disease was administered to women diagnosed with ICC between July 2018 and July 2019 with a documented stage (FIGO). Factors associated with an advanced stage of ICC (stage III, IV) were estimated by a logistic regression model. A sample of these women and health professionals participated in semi-directive interviews to more accurately characterize the barriers to early diagnosis of ICC. Results: A total of 89 women with ICC were included in our quantitative study. Among them, 12 women and six health professionals were interviewed. The majority (n=62, 69.7%) of patients were diagnosed at the advanced stage of ICC. In multivariate analysis, factors associated with advanced stage were HIV seronegativity (ORa=6.57;[IC95%1.74-24.82]) and lack of health insurance (ORa=9.76;[IC95%1.43-66.8]). Other factors that were mentioned during the interviews included the lack of information and awareness of the ICC among health care providers and insufficient awareness/screening campaigns. Conclusion: In a context of limited access to systematic screening for ICC in Côte d'Ivoire, facilitated access to the health system appears to be a key determinant of early ICC diagnosis. There also seems to be a need to improve the training of health care providers in relation to ICC and its prevention.
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Master Thesis
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Marie Kerbie Plaisy. Identification des barrières au diagnostic précoce du cancer invasif du col en Côte d'Ivoire. Santé publique et épidémiologie. 2019. ⟨dumas-02439895⟩

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