Optimising the effectiveness of the see and treat program for cervical intracellular neoplasia among HIV-positive women, Addis Ababa Ethiopia

Meaza Z. Wodajo(1), Azwihangwisi H. Mavhandu-Mudzusi(2), Ayobami P. Adekola(3), Hulisani Matakanye(4),


(1) Department of Health Studies, University of South Africa,Pretoria, South Africa
(2) Department of Health Studies, University of South Africa,Pretoria, South Africa
(3) Department of Gender and Sexuality Studies, University of South Africa, Pretoria, South Africa
(4) Department of Health Studies, University of South Africa,Pretoria, South Africa
Corresponding Author

Abstract


Cervical intraepithelial neoplasia is a precancerous lesion that can rapidly progress to cervical cancer in people living with HIV if not promptly treated. This cross-sectional study included 108 women who returned for re-evaluation after participating in the see and-treat program at regional hospitals in Addis Ababa. Chi-square tests and odds ratios with 95% confidence intervals were calculated. Findings revealed an effectiveness rate of 73.2%, while 26.8% of women required further treatment. Multivariate analysis showed statistically significant associations for the following factors: age group (adjusted OR [AOR] = 0.03, 95% CI: 0.002–0.36, p = 0.03), ever use of family planning (AOR = 0.26, 95% CI: 0.07–0.96, p = 0.04), number of sexual partners (AOR = 0.26, 95% CI: 0.07–0.96, p = 0.04), and CIN stage (AOR = 0.19, 95% CI: 0.04–0.95, p = 0.04). The findings highlight a lack of effectiveness for a substantial number of women, underscoring the need for further research and potential revisions to the see and treat program for HIV positive women.

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