Development of Cervical Cancer Screening Model for Women aged 30 – 60 years in Primary Care Cluster Nongkhai Hospital

Abstract

Objectives : The purpose is to study the situation, context factors that related to cervical cancer, cervical cancer screening model among high-risk women aged 30 – 60 years and the result of using new cervical cancer screening model at primary care cluster Nongkhai Hospital.

Methodology and methods : This study is action research. There are 4 steps, include; 1.) Planning and Improvement, 2.) Action Period, 3.) Observation and 4.) Reflection. The data provider consists of 5 staffs, 15 community leaders, 15 volunteers and 35 high-risk women. The period of this study was from February to September 2018. Communities at primary care cluster Nongkhai Hospital were the conduct and study area. Three conducting research namely; 1.) Situation analysis, 2.) Action period and 3.) Evaluation period. Analyze quantitative data by using descriptive statistics, the different of mean scores, plan with Paired t-test and qualitative data was analyzed by content analysis

Results : There are 3 factors periods of the research result.1.) Education analysis period, many reasons that make the women did not come to cervical cancer screening 150 sample are embarrassment of staff 74.28 percent, the remote inspection location 62.85 percent, did not know the benefits of mechanical’s cervical cancer screening, afraid of discovering the disease 20 percent and not having time 15 percent. 2.) Action period: first of all, the researcher convened a meeting of staffs, community leaders and volunteers. Then adjust the cervical cancer screening method by using outside staffs and, disposable speculum and Liquid Based cytology. After that, notify the result within 2 weeks. Last, proactively and providing services and recruit 35 high-risk women to be a role model. Last, organize education and health belief model plans. The average comparison result between before and after implementation were significantly different at 0.05 (p<0.05). 3.) Evaluation period, after the proactively provide cervical cancer screening knowledge in the communities and persuade with high-risk women aged 30 -60 years who did not take the cervical cancer screening, causing those women to come for cervical cancer screening rate increase to 78.88 percent.

Conclusions : The new cervical cancer screening model innovation has been used for encourage the high-risk women to receive cervical cancer screening service at primary care cluster Nongkhai Hospital in order to maximize benefits to clients.