# Adherence to treatment and follow-up after a positive cervical screening test in Ethiopia

Source: https://onco.cc/key-papers/paper-stroetmann-via-follow-up-ethiopia-oncologist-2024/  
OnCo record `paper-stroetmann-via-follow-up-ethiopia-oncologist-2024` (Key paper). Data CC BY-NC 4.0, attribute "Data from OnCo (onco.cc)"; commercial use needs a licence.

## TL;DR

In 14 health facilities in Addis Ababa and Oromia, over 90% of women with a positive visual inspection screening test were treated, but only about half came back for the recommended follow-up check.

## Summary

Screening logbooks from 2017 to 2020 were reviewed in 14 health facilities of Addis Ababa and Oromia region, and women with a positive VIA (visual inspection with acetic acid) result were invited to a telephone interview about treatment and follow-up.

## Fields

- Kind: Key paper
- Last checked: 2026-11-04
- Journal: The Oncologist
- Year: 2024
- DOI: 10.1093/oncolo/oyae027
- Authors: Stroetmann CY, Gizaw M, Alemayehu R, et al.
- Findings: Around 13,800 women had VIA screening, of whom about 820 (5.9%) were positive; data for 741 were extracted.; Over 90% of women with a positive screen received treatment, but only about half of those treated returned for follow-up; 31 had a positive re-screen.; Educational status, age over 40, missing or incorrect follow-up appointments, facility barriers and the use of reminders influenced follow-up.
- What it means: Ethiopia's screen-and-treat approach reaches treatment well, but follow-up is where women are lost; appointment cards and phone calls can help.
- Caveats: Two regions and logbook data; phone interviews reach only women who could be contacted.

## Sources

- Oncologist 2024: https://doi.org/10.1093/oncolo/oyae027
- PubMed: https://pubmed.ncbi.nlm.nih.gov/38394385/

## Connected records

- cancers: [Cervical cancer](https://onco.cc/cancers/cervical/)
- institutions: [Federal Ministry of Health, Ethiopia](https://onco.cc/institutions/ethiopia-ministry-of-health/)

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