Magnitude and risk factors of cervical intraepithelial neoplasms among HIV infected women attending ocean road cancer institute, Dar es Salaam, Tanzania from March 2013 to January 2014
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Date
2014
Authors
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Journal ISSN
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Publisher
Hubert Kairuki Memorial University
Abstract
Cervical cancer is still a major health problem and it accounts for many deaths
worldwide Tanzania included. Despite many efforts done by different stake holders the
magnitude of cervical cancers (a disease condition which is preventable) is still big and
needs an urgent attention. Prevention of Cervical Cancer relies on the early detection
and treatment of Cervical Intraepithelial Lesion (CIN), a premalignant disease stage. For
this reason it is worth to do a study which can give us a picture as regarding
premalignant conditions and information derived will be used to influence the policy
makers to put up strategies for prevention and early treatment for those diagnosed
earlier.
Main objective of the study was to determine the magnitude and risk factors of CIN
among HIV infected women at Ocean Road Cancer Institute Dar-es-salaam Tanzania.
This was a cross-sectional hospital based study ,and included all consecutive clients
who attended CTC at ORCI during the study period.
The study findings revealed that the magnitude of CIN among HIV infected women
attended CTC at Ocean Road Cancer Institute was 92 among 333 HIV clients that is
27.6%. This is a really unacceptably high number. Among these half of them 52 (56.5%)
had LGL that is CIN I, and about half them had HGL in the following manner CIN II19
(20.7%) and CIN III, 21 (22.8%).
Several factors were observed to have association to CIN. These factors are ; smoking,
starting sex at younger age, that is early sexual involvement, having multiple sexual
partners, having STIs and lastly uncircumcised partner.
From this findings it is concluded that existing data should be used to carry out a large
and extensive study to explore the magnitude, contributing factors and the impact of
CIN on the health care system and how better the existing information can be used to
initiate plans and projects to alleviate the current situation and prevent cervical cancer.
Description
Dissertation submitted in partial fulfillment of the requirements for the award of degree of
Masters of Medicine in Obstetrics and Gynaecology of HKMU.
Keywords
HIV, Cervical cancer, Ocean road cancer institute
Citation
Mtango, M. E., 2014. Magnitude and risk factors of cervical intraepithelial neoplasms among HIV infected women attending ocean road cancer institute, Dar-es-salaam, Tanzania from march 2013 to January 2014. HKMU