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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...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2022
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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. |
format | Online Article Text |
id | pubmed-10021426 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
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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