"Cervical cancer screening: awareness is not enough". Understanding barriers to screening among women in West Cameroon-a qualitative study using focus groups.

Autor:	Datchoua Moukam AM; Department of Obstetrics and Gynecology and Maternal Heath, University of Dschang, Dschang District Hospital, Dschang, Cameroon., Embolo Owono MS; Faculty of Medicine and Pharmaceutical Sciences, Department of Public Health and Epidemiology, University of Dschang, Dschang, Cameroon., Kenfack B; Department of Obstetrics and Gynecology and Maternal Heath, University of Dschang, Dschang District Hospital, Dschang, Cameroon., Vassilakos P; Gynecology Division, Department of Pediatrics, Obstetrics and Gynecology, University Hospitals of Geneva, Geneva, Switzerland.; Geneva Foundation for Medical Education and Research, Geneva, Switzerland., Petignat P; Gynecology Division, Department of Pediatrics, Obstetrics and Gynecology, University Hospitals of Geneva, Geneva, Switzerland., Sormani J; Gynecology Division, Department of Pediatrics, Obstetrics and Gynecology, University Hospitals of Geneva, Geneva, Switzerland.; Geneva School of Health Sciences, HESSO University of Applied Sciences and Arts Western Switzerland, Geneva, Switzerland., Schmidt NC; Gynecology Division, Department of Pediatrics, Obstetrics and Gynecology, University Hospitals of Geneva, Geneva, Switzerland. nicole.schmidt@ksh-m.de.; Faculty of Social Science, Catholic University of Applied Science, Preysingstr. 95, 81667, Munich, Germany. nicole.schmidt@ksh-m.de.
Jazyk:	angličtina
Zdroj:	Reproductive health [Reprod Health] 2021 Jul 09; Vol. 18 (1), pp. 147. Date of Electronic Publication: 2021 Jul 09.
DOI:	10.1186/s12978-021-01186-9
Abstrakt:	Background: Cervical cancer is the second leading cause of cancer-related death among women in sub-Saharan countries, constituting a major public health concern. In Cameroon, cervical cancer ranks as the second most common type of cancer among women and the leading cause of cancer-related deaths, mainly due to the lack of prevention. Objectives: Our first and main objective was to understand the barriers affecting women's decision-making process regarding participation in a cervical cancer screening program in the Dschang district (West Cameroon). Second, we aimed to explore the acceptability and perception of a single-visit approach (screen and treat). Methods: A qualitative study using focus groups (FGs) was conducted from February to March 2020. Female participants aged between 30 and 49 years and their male partners were invited to participate. Thematic analysis was used, and barriers were classified according to the three-delay model of Thaddeus and Maine. Results: In total, six FGs with 43 participants (31 women and 12 men) were conducted. The most important barriers were lack of health literacy, low accessibility of the program (in respect to cost and distance), and disrespectful treatment by healthcare workers. Conclusions: Our study identified three needs: (1) enhancing health literacy; (2) improving the delivery of cervical cancer screening in rural areas; and (3) providing training for healthcare providers and community healthcare workers to improve patient-provider-communication. Trial registration Ethical Cantonal Board of Geneva, Switzerland (CCER, N°2017-0110 and CER-amendment n°3) and Cameroonian National Ethics Committee for Human Health Research (N°2018/07/1083/CE/CNERSH/SP). NCT: 03757299. (© 2021. The Author(s).)
Databáze:	MEDLINE
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