Main Organiser

Julius Centre University of Malaya

Co-organiser

Department of Social and Preventive Medicine, Faculty of Medicine, University of Malay

Supported by

University of Malaya

EVALUATION OF A CALL-RECALL SYSTEM TO INCREASE PAP SMEAR SCREENING PRACTICE IN MIDDLE INCOME COUNTRIES THROUGH WORKPLACE: A CLUSTER RANDOMIZED TRIAL

Author

Fauziah Abdullah 1,2 , Liam Murray 3 , Tin Tin Su 1

Institution

1 Centre for Population Health (CePH), Department of Social & Preventive Medicine, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia
2 Ministry of Health, Malaysia
3 School of Medicine, Dentistry and Biomedical Sciences, Queen’s University of Belfast, Belfast

Abstract

Objectives: To determine the effect of a call-recall system in increasing Pap Smear uptake among career women in Malaysia.

Methods: A cluster randomized trial was conducted between January and November 2010 in 40 public secondary schools among 403 female teachers who never or infrequently had a Pap test. Cluster randomization method was applied in assigning schools to both groups. The intervention group received a call-recall system while the control group received usual care from the existing opportunistic cervical screening program. Multivariate logistic regression was performed to determine the impact of an intervention program on Pap smear practice within 24 weeks of follow- up period.

Results: The proportion of women who had Pap test was significantly higher in the intervention than control group (18.1 vs. 10.1%). A call-recall system doubled the Pap smear uptake with an adjusted odds ratio of 2.44 (95% CI 1.29-4.62).

Conclusion: The proposed strategy based on workplace health promotion should be highly appreciated by policy makers and health care providers in middle-income countries as a powerful alternative intervention for reducing the long standing burden of cervical cancer