The costs of reducing loss to follow-up in South African cervical cancer screening

DSpace/Manakin Repository

The costs of reducing loss to follow-up in South African cervical cancer screening

Citable link to this page

 

 
Title: The costs of reducing loss to follow-up in South African cervical cancer screening
Author: Goldhaber-Fiebert, Jeremy D; Denny, Lynette E; De Souza, Michelle; Kuhn, Louise; Goldhaber-Fiebert, Jeremy D.; Wright, Thomas C.; Goldie, Sue J.

Note: Order does not necessarily reflect citation order of authors.

Citation: Goldhaber-Fiebert, Jeremy D, Lynette E Denny, Michelle De Souza, Thomas C Wright, Louise Kuhn, and Sue J Goldie. 2005. The costs of reducing loss to follow-up in South African cervical cancer screening. Cost effectiveness and resource allocation 3:11.
Full Text & Related Files:
Abstract: Background: This study was designed to quantify the resources used in reestablishing contact with women who missed their scheduled cervical cancer screening visits and to assess the success of this effort in reducing loss to follow-up in a developing country setting. Methods: Women were enrolled in this Cape Town, South Africa-based screening study between 2000 and 2003, and all had scheduled follow-up visits in 2003. Community health worker (CHW) time, vehicle use, maintenance, and depreciation were estimated from weekly logs and cost accounting systems. The percentage of women who attended their scheduled visit, those who attended after CHW contact(s), and those who never returned despite attempted contact(s) were determined. The number of CHW visits per woman was also estimated. Results: 3,711 visits were scheduled in 2003. Of these, 2,321 (62.5%) occurred without CHW contact, 918 (24.8%) occurred after contact(s), and 472 (12.7%) did not occur despite contact(s). Loss to follow-up was reduced from 21% to 6%, 39% to 10%, and 50% to 24% for 6, 12, and 24-month visits. CHWs attempted 3,200 contacts in 530 trips. On average, 3 CHWs attempted to contact 6 participants over each 111 minute trip. The per-person cost (2003 Rand) for these activities was 12.75, 24.92, and 40.50 for 6, 12, and 24-month visits. Conclusion: CHW contact with women who missed scheduled visits increased their return rate. Cost-effectiveness analyses aimed at policy decisions about cervical cancer screening in developing countries should incorporate these findings.
Published Version: doi://10.1186/1478-7547-3-11
Other Sources: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1308836/pdf/
Terms of Use: This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAA
Citable link to this page: http://nrs.harvard.edu/urn-3:HUL.InstRepos:10482584
Downloads of this work:

Show full Dublin Core record

This item appears in the following Collection(s)

 
 

Search DASH


Advanced Search
 
 

Submitters