South Africa programs / South Africa award 674-A-12-00020 · 2014–2019 · University of the Witwatersrand
Background: From 2010 to 2014, approximately 2 million Pap smears from HIV-infected women were submitted to the South African National Health Laboratory Services (NHLS) through the national cervical cancer screening programme. The objective of this analysis was to determine whether using the plastic Cervex brush ("broom") would be a cost-effective approach to improve cytology specimen quality as compared to the wooden spatula used currently. Methods: A decision analysis model was built using the expected adequacy rates for samples collected with the spatula (<$0.02) and broom ($0.23) and the probability of detecting cervical dysplasia. NHLS data was used for testing volumes and rates of HIV-positivity, suitability of specimens, and presence of endocervical cells. Expected positivity of Pap smears in HIV-infected women (73 %), odds ratios of the effectiveness of the broom (OR: 1.57), and improved sensitivity when endocervical cells present (OR: 1.89) are from literature. NHLS costs were used for the collection devices and conventional cytology ($4.89). Cost of clinic visit is from WHO CHOICE ($8.36). Results: In 2010, 80 % of specimens submitted to NHLS were adequate for evaluati
Source: DEC abstract, PB-AAG-033 (2015). The source's own text.
Operated in: South Africa.
When the program ran, from its start year to the latest document year. A hatched bar means the start is our estimate.
Axis: award years, end from years in documents. The start year comes from award fiscal year; the end is the latest document year, so the program may have run longer.
A few documents to read first. Each opens in the side panel, with the PDF to download.
| Name | Role | Years | Basis | Evidence |
|---|---|---|---|---|
| University of the Witwatersrand | implementer | 2014 to 2018 | Stated in a document | 4 sources |
| University of North Carolina Chapel Hill | implementer | 2014 to 2019 | Stated in a document | 4 sources |
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Operated in South Africa, 2014 to 2019 6 sources
Scope: country: South Africa. Set by the countries the program's documents name most often. High confidence.
How sure we are: 1.
| Name | Years | Basis | Evidence |
|---|---|---|---|
| Witkoppen Hlth & Welf Ctr |
| implementer |
| 2014 to 2019 |
| Stated in a document |
| 3 sources |
| Boston University | implementer | 2018 | Stated in a document | 1 source |
| University of Cape Town | implementer | 2018 | Stated in a document | 1 source |
| Johns Hopkins Bloomberg School of Public Health | implementer | 2019 | Stated in a document | 1 source |
| Right Care | implementer | 2015 | Stated in a document | 1 source |
| South African Natl Dept Hlth | implementer | 2015 | Stated in a document | 1 source |
| Name | Role | Years | Basis | Evidence |
|---|---|---|---|---|
| University of Antwerp | implementer | 2019 | Stated in a document | 1 source |
| 2014 to 2019 |
| Stated in a document |
| 6 sources |
| 674-A-12-00029 (cooperative agreement, FY2012) | 2015 to 2018 | Stated in a document | 2 sources |
| 674-A-08-00007 (cooperative agreement, FY2008) | 2014 to 2015 | Stated in a document | 2 sources |
| 674-A-12-00033 (cooperative agreement, FY2012) | 2014 to 2019 | Stated in a document | 2 sources |
| Name | Years | Basis | Evidence |
|---|---|---|---|
| U.S. Agency for International Development (USAID) | 2014 to 2019 | Stated in a document | 4 sources |
| U.S. President's Emergency Plan for AIDS Relief (PEPFAR) | 2015 | Stated in a document | 1 source |
| Name | Years | Basis | Evidence |
|---|---|---|---|
| South Africa | 2015 | Stated in a document | 1 source |
Sector profile (computed): Tuberculosis 26%; Health systems, policy and finance (general health) 24%; Maternal and child health 13%
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32 facts shown; 0 unconfirmed links; 0 support mechanisms (not programs); 6 documents cite this program.
Program key awd:674-A-12-00020