Barriers to cervical cancer prevention in rural Cameroon: a qualitative study on healthcare providers’ perspective
| Autor: | Jessica Sormani, Nicole Schmidt, Karoline Tatrai, Amandine Noemie Roux, Pierre Vassilakos, Bruno Kenfack, Patrick Petignat, Alexandre Ndjalla, Ania Wisniak |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Health Knowledge Attitudes Practice medicine.medical_specialty Health Personnel Uterine Cervical Neoplasms Context (language use) preventive medicine primary care 03 medical and health sciences 0302 clinical medicine Obstetrics and Gynaecology Humans Mass Screening Medicine Cameroon 030212 general & internal medicine Early Detection of Cancer Qualitative Research Preventive healthcare Cervical cancer gynaecological oncology business.industry Public health Papillomavirus Infections public health Perspective (graphical) Cancer General Medicine Patient Acceptance of Health Care medicine.disease Focus group 030220 oncology & carcinogenesis Family medicine Female community gynaecology business Switzerland Qualitative research |
| Zdroj: | BMJ Open, Vol 11, Iss 6 (2021) BMJ Open |
| ISSN: | 2044-6055 |
| DOI: | 10.1136/bmjopen-2020-043637 |
| Popis: | ObjectiveCervical cancer in Cameroon ranks as the second most frequent cancer among women and the leading cause of cancer-related deaths, mainly due to the lack of prevention. Our principal objective was to explore potential barriers to an human papillomavirus (HPV)-based cervical cancer screening from a healthcare provider (HCP) perspective in a low-income context. Second, we aimed to explore the acceptability of a single-visit approach using HPV self-sampling.SettingsThe study took place in the District hospital of Dschang, Cameroon.ParticipantsFocus groups (FGs) involved HCPs working in the area of Dschang and Mbouda.Primary and secondary outcome measuresAll FGs were audiorecorded, transcribed and coded independently by two researchers using the ATLAS.ti software. A qualitative methodology was used to capture insights related to the way people perceive their surroundings. Discussion topics focused on perceived barriers, suggestions to improve cervical cancer screening uptake, and acceptability.ResultsA total of 16 HCPs were interviewed between July and August 2019. The identified barriers were (1) lack of basic knowledge on cervical cancer among most women and men and (2) lack of awareness of the role and existence of a screening programme to prevent it. Screening for cervical cancer prevention using HPV self-sampling was considered as an acceptable approach for patients according to HCPs. Traditional chiefs were identified as key entry points to raise awareness because they were perceived as essential to reach not only women, but also their male partners.ConclusionsAwareness campaigns about cervical cancer, its prevention and the availability of the screening programmes are crucial. Furthermore, involving male partners, as well as key community leaders or institutions was identified as a key strategy to encourage participation in the cervical cancer screening programme.Trial registrationEthical Cantonal Board of Geneva, Switzerland (CCER, N°2017-0110 and CER-amendment n°2) and Cameroonian National Ethics Committee for Human Health Research (N°2018/07/1083/CE/CNERSH/SP). |
| Databáze: | OpenAIRE |
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