Cervical cancer prevention program in Nepal: a ‘training of trainers’ approach

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dc.citation.articleNumbere2023077en_US
dc.citation.journalTitleJournal of Global Health Reportsen_US
dc.citation.volumeNumber7en_US
dc.contributor.authorBatman, Samanthaen_US
dc.contributor.authorPiya, Madanen_US
dc.contributor.authorChapagain, Sandhyaen_US
dc.contributor.authorLama, Poonamen_US
dc.contributor.authorMaharjan, Pabitraen_US
dc.contributor.authorAryal, Binoden_US
dc.contributor.authorNeupane, Mayaen_US
dc.contributor.authorPariyar, Shashwaten_US
dc.contributor.authorPhoolcharoen, Natachaen_US
dc.contributor.authorEaton, Vanessaen_US
dc.contributor.authorSarchet, Vanessaen_US
dc.contributor.authorKremzier, Meganen_US
dc.contributor.authorCarns, Jennyen_US
dc.contributor.authorRichards-Kortum, Rebeccaen_US
dc.contributor.authorBaker, Ellenen_US
dc.contributor.authorVaron, Melissa Lopezen_US
dc.contributor.authorSalcedo, Mila Pontremolien_US
dc.contributor.authorMilan, Jessicaen_US
dc.contributor.authorSchmeler, Kathleenen_US
dc.contributor.authorPariyar, Jitendraen_US
dc.date.accessioned2024-05-08T18:56:10Zen_US
dc.date.available2024-05-08T18:56:10Zen_US
dc.date.issued2023en_US
dc.description.abstractBackground: Cervical cancer remains the leading cause of cancer-related death among Nepalese women. To this effect, Cancer Care Nepal established an international collaboration to implement a 'training of trainers' (TOT) program to expand the reach of cervical cancer prevention techniques. Methods: The Nepal cervical cancer prevention program began with an in-person TOT session in Kathmandu in November 2019. Due to the COVID-19 pandemic, two additional TOT courses were held in October and November 2021 with virtual support, didactic lectures from international faculty, and a hands-on component by Nepalese faculty. The Nepalese providers underwent training in these courses and then held further training in five collaborating centers across Nepal. Participants completed pre- and post-course knowledge assessments. The trainings were supplemented by the creation of a new Project ECHO® (Extension for Community Healthcare Outcomes) telementoring hub at Cancer Care Nepal. A capstone refresher course was held in November 2022. Results: 42 participants attended the initial TOT course in 2019. The two follow-up TOT courses held in October/November 2021 were two days long and included providers from five participating regions in Nepal. The courses included virtual didactic sessions followed by hands-on stations led by the Nepalese faculty who had participated in the 2019 TOT course. The stations included: visual inspection with acetic acid (VIA), colposcopy, thermal ablation, and loop electrosurgical excision procedure (LEEP). There were 41 participants in the October/November TOT courses. The trainers who received the TOT education then conducted local courses of similar content in each of the five regions for 152 local providers. Participants had improved mean knowledge scores after the training (0.70, 95% CI=0.67-0.72) in comparison to prior to training (0.50, 95% CI=0.47-0.53), p\<0.001. The program concluded with a capstone course in November 2022 attended by 26 participants. To date, 11 Project ECHO sessions have been held, with an average of 20 participants per session. Conclusions: Nepal's cervical cancer prevention program has increased the number of providers trained in cervical cancer prevention techniques. By increasing provider capacity, individuals will have increased access to cervical cancer screening and treatment of pre-invasive disease, hopefully decreasing the burden of cervical cancer in Nepal.en_US
dc.identifier.citationBatman, S., Piya, M., Chapagain, S., Lama, P., Maharjan, P., Aryal, B., Neupane, M., Pariyar, S., Phoolcharoen, N., Eaton, V., Sarchet, V., Kremzier, M., Carns, J., Richards-Kortum, R., Baker, E., Varon, M. L., Salcedo, M. P., Milan, J., Schmeler, K., & Pariyar, J. (2023). Cervical cancer prevention program in Nepal: A ‘training of trainers’ approach. Journal of Global Health Reports, 7, e2023077. https://doi.org/10.29392/001c.90042en_US
dc.identifier.digital90042-cervical-cancer-prevention-program-in-nepal-a-training-of-trainers-approachen_US
dc.identifier.doihttps://doi.org/10.29392/001c.90042en_US
dc.identifier.urihttps://hdl.handle.net/1911/115672en_US
dc.language.isoengen_US
dc.publisherInternational Society of Global Healthen_US
dc.rightsExcept where otherwise noted, this work is licensed under a Creative Commons Attribution (CC BY) license. Permission to reuse, publish, or reproduce the work beyond the terms of the license or beyond the bounds of fair use or other exemptions to copyright law must be obtained from the copyright holder.en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/en_US
dc.titleCervical cancer prevention program in Nepal: a ‘training of trainers’ approachen_US
dc.typeJournal articleen_US
dc.type.dcmiTexten_US
dc.type.publicationpublisher versionen_US
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