Male partner involvement in reducing loss to follow-up after cervical cancer screening in Uganda

Twaha Mutyaba, Florence Mirembe, Sven Sandin, Elisabete Weiderpass

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

Objective: To evaluate the efficacy of male partner involvement in reducing loss to follow-up among women in Uganda referred for colposcopy after a positive cervical cancer-screening test. Methods: In 2 family-planning/postnatal clinics at Mulago Hospital, Kampala, Uganda, 5094 women were screened for cervical lesions. Those who screened positive were referred for colposcopy; half were allocated to the intervention group and half to the control group. In the intervention group, information about the screening findings and a request to assist their partner in attending the next examination were sent to male partners. In the control group, a standard service was provided, which did not include a letter to the male partner. Logistic regression models were applied to calculate the probability of women returning for colposcopy. Results: Of the 834 women referred, 209 (25%) did not return for colposcopy: 143/419 (34%) from the control group and 66/415 (16%) from the intervention group. Women in the intervention group were more likely to return (odds ratio 2.8; 95% confidence interval, 1.9-3.9). Conclusion: Male partner involvement significantly reduced loss to follow-up among women referred for colposcopy.

Original languageEnglish
Pages (from-to)103-106
Number of pages4
JournalInternational Journal of Gynecology and Obstetrics
Volume107
Issue number2
DOIs
StatePublished - Nov 2009
Externally publishedYes

Keywords

  • Cervical cancer screening
  • Loss to follow-up
  • Male partner involvement
  • Uganda

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