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Asking physicians how best to implement cervical cancer prevention services in India: A qualitative study from Mysore

Cervical cancer is the second most common cancer among Indian women. Screening is an effective prevention strategy, but achieving high screening rates depend upon identifying barriers at multiple levels of healthcare delivery. There is limited research on understanding the perspectives of providers...

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Autores principales: Adsul, Prajakta, de Cortina, Sasha Herbst, Pramathesh, Rashmi, Jayakrishna, Poornima, Srinivas, Vijaya, Nethan, Suzanne Tanya, Dhanasekaran, Kavitha, Hariprasad, Roopa, Madhivanan, Purnima
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021426/
https://www.ncbi.nlm.nih.gov/pubmed/36962451
http://dx.doi.org/10.1371/journal.pgph.0000570
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author Adsul, Prajakta
de Cortina, Sasha Herbst
Pramathesh, Rashmi
Jayakrishna, Poornima
Srinivas, Vijaya
Nethan, Suzanne Tanya
Dhanasekaran, Kavitha
Hariprasad, Roopa
Madhivanan, Purnima
author_facet Adsul, Prajakta
de Cortina, Sasha Herbst
Pramathesh, Rashmi
Jayakrishna, Poornima
Srinivas, Vijaya
Nethan, Suzanne Tanya
Dhanasekaran, Kavitha
Hariprasad, Roopa
Madhivanan, Purnima
author_sort Adsul, Prajakta
collection PubMed
description Cervical cancer is the second most common cancer among Indian women. Screening is an effective prevention strategy, but achieving high screening rates depend upon identifying barriers at multiple levels of healthcare delivery. There is limited research on understanding the perspectives of providers who deliver cancer prevention services. The objective of this study was to explore physician perspectives on cervical cancer prevention, barriers to effective implementation, and strategies to overcome these barriers in India. Guided by the “Multilevel influences on the Cancer Care Continuum” theoretical framework, we conducted semi-structured interviews with physicians in Mysore, India. From November 2015- January 2016, we interviewed 15 (50.0%) primary care physicians, seven (23.3%) obstetrician/gynecologists, six (20.0%) oncologists, and two (6.7%) pathologists. We analyzed interview transcripts in Dedoose using a grounded theory approach. Approximately two-thirds (n = 19, 63.3%) of the participants worked in the public sector. Only seven (23.3%) physicians provided cervical cancer screening, none of them primary care physicians. Physicians discussed the need for community-level, culturally-tailored education to improve health literacy and reduce stigma surrounding cancer and gynecologic health. They described limited organizational capacity in the public sector to provide cancer prevention services, and emphasized the need for further training before they could perform cervical cancer screening. Physicians recommend an integrated strategy for cervical cancer prevention at multiple levels of uptake and delivery with specific efforts focused on culturally-tailored stigma-reducing education, community-level approaches utilizing India’s community health workers, and providing physician training and continuing education in cancer prevention.
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spelling pubmed-100214262023-03-17 Asking physicians how best to implement cervical cancer prevention services in India: A qualitative study from Mysore Adsul, Prajakta de Cortina, Sasha Herbst Pramathesh, Rashmi Jayakrishna, Poornima Srinivas, Vijaya Nethan, Suzanne Tanya Dhanasekaran, Kavitha Hariprasad, Roopa Madhivanan, Purnima PLOS Glob Public Health Research Article Cervical cancer is the second most common cancer among Indian women. Screening is an effective prevention strategy, but achieving high screening rates depend upon identifying barriers at multiple levels of healthcare delivery. There is limited research on understanding the perspectives of providers who deliver cancer prevention services. The objective of this study was to explore physician perspectives on cervical cancer prevention, barriers to effective implementation, and strategies to overcome these barriers in India. Guided by the “Multilevel influences on the Cancer Care Continuum” theoretical framework, we conducted semi-structured interviews with physicians in Mysore, India. From November 2015- January 2016, we interviewed 15 (50.0%) primary care physicians, seven (23.3%) obstetrician/gynecologists, six (20.0%) oncologists, and two (6.7%) pathologists. We analyzed interview transcripts in Dedoose using a grounded theory approach. Approximately two-thirds (n = 19, 63.3%) of the participants worked in the public sector. Only seven (23.3%) physicians provided cervical cancer screening, none of them primary care physicians. Physicians discussed the need for community-level, culturally-tailored education to improve health literacy and reduce stigma surrounding cancer and gynecologic health. They described limited organizational capacity in the public sector to provide cancer prevention services, and emphasized the need for further training before they could perform cervical cancer screening. Physicians recommend an integrated strategy for cervical cancer prevention at multiple levels of uptake and delivery with specific efforts focused on culturally-tailored stigma-reducing education, community-level approaches utilizing India’s community health workers, and providing physician training and continuing education in cancer prevention. Public Library of Science 2022-06-02 /pmc/articles/PMC10021426/ /pubmed/36962451 http://dx.doi.org/10.1371/journal.pgph.0000570 Text en © 2022 Adsul et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Adsul, Prajakta
de Cortina, Sasha Herbst
Pramathesh, Rashmi
Jayakrishna, Poornima
Srinivas, Vijaya
Nethan, Suzanne Tanya
Dhanasekaran, Kavitha
Hariprasad, Roopa
Madhivanan, Purnima
Asking physicians how best to implement cervical cancer prevention services in India: A qualitative study from Mysore
title Asking physicians how best to implement cervical cancer prevention services in India: A qualitative study from Mysore
title_full Asking physicians how best to implement cervical cancer prevention services in India: A qualitative study from Mysore
title_fullStr Asking physicians how best to implement cervical cancer prevention services in India: A qualitative study from Mysore
title_full_unstemmed Asking physicians how best to implement cervical cancer prevention services in India: A qualitative study from Mysore
title_short Asking physicians how best to implement cervical cancer prevention services in India: A qualitative study from Mysore
title_sort asking physicians how best to implement cervical cancer prevention services in india: a qualitative study from mysore
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021426/
https://www.ncbi.nlm.nih.gov/pubmed/36962451
http://dx.doi.org/10.1371/journal.pgph.0000570
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