{"id":2050,"date":"2023-06-02T13:04:05","date_gmt":"2023-06-02T11:04:05","guid":{"rendered":"http:\/\/masante-cam.org\/masante\/?page_id=2050"},"modified":"2023-06-02T13:07:46","modified_gmt":"2023-06-02T11:07:46","slug":"cancer-du-col-faisabilite-de-la-mise-en-place-dun-systeme-de-surveillance-epidemiologique-continue-au-niveau-du-district-de-sante-de-dschang","status":"publish","type":"page","link":"https:\/\/masante-cam.org\/masante\/cancer-du-col-faisabilite-de-la-mise-en-place-dun-systeme-de-surveillance-epidemiologique-continue-au-niveau-du-district-de-sante-de-dschang\/","title":{"rendered":"Cancer du col: faisabilit\u00e9 de la mise en place d\u2019un syst\u00e8me de surveillance \u00e9pid\u00e9miologique continue au niveau du District de Sant\u00e9 de Dschang."},"content":{"rendered":"\t\t
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Cancer du col: faisabilit\u00e9 de la mise en place d\u2019un syst\u00e8me de surveillance \u00e9pid\u00e9miologique continue au niveau du District de Sant\u00e9 de Dschang.<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Th\u00e8se pr\u00e9sent\u00e9e et d\u00e9fendue publiquement en vue de l\u2019obtention du Master Professionnel en Epid\u00e9miologie et Sant\u00e9 Publique, D\u00e9partement des Sciences Biom\u00e9dicales, Facult\u00e9 des Sciences, Universit\u00e9 de Dschang.<\/p>

Ann\u00e9e acad\u00e9mique 2013-2014<\/strong><\/p>

Etudiante :\u00a0<\/strong>NAFACK SONKENG Sonia\u00a01<\/sup><\/p>

nafacksonkengsonia@yahoo.fr<\/a><\/p>

Directeur :\u00a0<\/strong>Dr ATEUDJIEU J\u00e9r\u00f4me, MD, MPH, Ph.D\u00a0123<\/sup><\/p>

jateudj@yahoo.fr<\/a>\u00a0;\u00a0Jerome.ateudjieu@masante-cm.org<\/a><\/p>

Financ\u00e9 par:\u00a0<\/strong>DOVE PROJECT<\/a>\u00a0 ;\u00a0M.A. SANTE<\/a><\/strong><\/p>

Abstract<\/strong><\/p>

Justification :<\/strong>\u00a0La surveillance \u00e9pid\u00e9miologique est une des strat\u00e9gies de lutte contre les cancers du col de l\u2019ut\u00e9rus. Au Cameroun, elle n\u2019est pas accessible aux populations de tous les niveaux de la pyramide sanitaire \u00e0 cause de l\u2019absence de strat\u00e9gie de surveillance ad\u00e9quate. L\u2019objectif de cette \u00e9tude \u00e9tait d\u2019\u00e9valuer la faisabilit\u00e9 de la mise en place d\u2019une surveillance \u00e9pid\u00e9miologique continue des cancers du col de l\u2019ut\u00e9rus dans le District de Sant\u00e9 de Dschang.<\/p>

M\u00e9thodes\u00a0<\/strong>: Il s\u2019agissait d\u2019une \u00e9tude transversale, descriptive et analytique qui a impliqu\u00e9e pendant quatre mois l\u2019\u00e9valuation de la disponibilit\u00e9 des ressources et des Connaissances et Attitudes Pratiques (CAP) du personnel soignant du District de Sant\u00e9 de Dschang sur les cancers du col. Une surveillance \u00e9pid\u00e9miologique de trois mois du cancer du col a \u00e9t\u00e9 mise en place chez les femmes \u00e2g\u00e9es de 20 \u00e0 65 ans \u00e0 l\u2019H\u00f4pital de District de Dschang (HDD) par l\u2019inspection visuelle du col de l\u2019ut\u00e9rus et le frottis cervical.<\/p>

R\u00e9sultats\u00a0<\/strong>: Quatre-vingt personnels de sant\u00e9, 30 Formations Sanitaires ainsi que 528 femmes ont \u00e9t\u00e9 incluses dans cette \u00e9tude. 38,8% du personnel de sant\u00e9 disent que le d\u00e9terminant principal du cancer du col de l\u2019ut\u00e9rus est le Virus du Papillome Humain ; 21,3% savent que la pr\u00e9vention peut se faire par la vaccination. 42(52,5%) personnels affirment qu\u2019i1 faut prescrire le frottis devant une femme malade et 19% personnels d\u00e9clarent l\u2019avoir d\u00e9j\u00e0 pr\u00e9lev\u00e9. Vingt huit structures de sant\u00e9 (93,3%) avaient le n\u00e9cessaire pour le pr\u00e9l\u00e8vement du frottis tandis que, 12(40%) disposaient du mat\u00e9riel n\u00e9cessaire pour la r\u00e9alisation de l\u2019Inspection Visuelle du col apr\u00e8s application de l\u2019Acide ac\u00e9tique et du Lugol Iodine (VIA\/VILI). Par rapport \u00e0 la fr\u00e9quence de femmes r\u00e9guli\u00e8rement enregistr\u00e9 \u00e0 l\u2019HDD, la surveillance \u00e9pid\u00e9miologique mise sur pied a permis de d\u00e9pister 54 fois plus de femmes. Au cours de cette p\u00e9riode, 38(7,8%) l\u00e9sions pr\u00e9canc\u00e9reuses (frottis) et 234 (48%) cas de marquage au VIA\/VILI ont \u00e9t\u00e9 r\u00e9pertori\u00e9s.<\/p>

Conclusion\u00a0<\/strong>: La mise en place d\u2019une surveillance \u00e9pid\u00e9miologique continue des cancers du col est faisable dans un H\u00f4pital de District ; pour une conduite ad\u00e9quate, il serait n\u00e9cessaire de l\u2019approvisionner en un minimum de ressource et d\u2019am\u00e9liorer la formation du personnel de sant\u00e9 sur la surveillance de cette pathologie.<\/p>

\u00a0Mots cl\u00e9s<\/strong>\u00a0: Surveillance \u00e9pid\u00e9miologique, cancer, col de l\u2019ut\u00e9rus, District de Sant\u00e9, Dschang.<\/p>

1-D\u00e9partement des Sciences Biom\u00e9dicales, Facult\u00e9s des Sciences, Universit\u00e9 de Dschang<\/p>

2-Division de la Recherche Op\u00e9rationnelle en Sant\u00e9, Minist\u00e8re de la Sant\u00e9 Publique, Cameroun<\/p>

3-M.A. SANTE (Meilleur Acc\u00e8s aux Soins de Sant\u00e9\/ Better Access to Health Care)<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Cancer du col: faisabilit\u00e9 de la mise en place d\u2019un syst\u00e8me de surveillance \u00e9pid\u00e9miologique continue au niveau du District de Sant\u00e9 de Dschang. Th\u00e8se pr\u00e9sent\u00e9e et d\u00e9fendue publiquement en vue de l\u2019obtention du Master Professionnel en Epid\u00e9miologie et Sant\u00e9 Publique, D\u00e9partement des Sciences Biom\u00e9dicales, Facult\u00e9 des Sciences, Universit\u00e9 de Dschang. Ann\u00e9e acad\u00e9mique 2013-2014 Etudiante :\u00a0NAFACK […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_eb_attr":"","om_disable_all_campaigns":false,"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-2050","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/masante-cam.org\/masante\/wp-json\/wp\/v2\/pages\/2050","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/masante-cam.org\/masante\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/masante-cam.org\/masante\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/masante-cam.org\/masante\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/masante-cam.org\/masante\/wp-json\/wp\/v2\/comments?post=2050"}],"version-history":[{"count":4,"href":"https:\/\/masante-cam.org\/masante\/wp-json\/wp\/v2\/pages\/2050\/revisions"}],"predecessor-version":[{"id":2057,"href":"https:\/\/masante-cam.org\/masante\/wp-json\/wp\/v2\/pages\/2050\/revisions\/2057"}],"wp:attachment":[{"href":"https:\/\/masante-cam.org\/masante\/wp-json\/wp\/v2\/media?parent=2050"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}