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Exploring Complicity of Cervical Cancer Screening in Malawi: The Interplay of Behavioral, Cultural, and Societal Influences

OBJECTIVE: Cervical cancer is preventable, and early diagnosis is possible using low-cost technologies, but a scant number of women receive cancer screening in Malawi. This study aims to identify facilitators and barriers that influence the uptakes of cervical cancer screening behavior in Malawi. ME...

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Autores principales: Lee, Haeok, Mtengezo, Jasintha T., Kim, Deogwoon, Makin, Mary Sue, Kang, Younhee, Malata, Address, Fitzpatrick, Joyce
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6927154/
https://www.ncbi.nlm.nih.gov/pubmed/31879680
http://dx.doi.org/10.4103/apjon.apjon_48_19
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author Lee, Haeok
Mtengezo, Jasintha T.
Kim, Deogwoon
Makin, Mary Sue
Kang, Younhee
Malata, Address
Fitzpatrick, Joyce
author_facet Lee, Haeok
Mtengezo, Jasintha T.
Kim, Deogwoon
Makin, Mary Sue
Kang, Younhee
Malata, Address
Fitzpatrick, Joyce
author_sort Lee, Haeok
collection PubMed
description OBJECTIVE: Cervical cancer is preventable, and early diagnosis is possible using low-cost technologies, but a scant number of women receive cancer screening in Malawi. This study aims to identify facilitators and barriers that influence the uptakes of cervical cancer screening behavior in Malawi. METHODS: A rapid ethnographic approach with the goal of optimizing planning for a future intervention study was utilized. Data were collected from three focus groups and seven individual interviews with adults in their communities, stakeholders, and health-care providers. RESULTS: Three categories (sociocultural influences, access to the health-care system, and individual factors) have emerged as facilitators or barriers to cervical cancer screening among Malawian women. The findings also showed that cervical cancer screening behavior is situated socially through cultural and health-care services of a given community. CONCLUSIONS: Cancer screenings are only sought when illness symptoms persist or worsen. Awareness and knowledge of cervical cancer and cervical cancer screening is low among both health-care providers and the general population. Health-care systems are donor driven and focus on a single disease, health-care access is the greatest challenge to cervical cancer screening, and health-care providers are not adequately prepared to work for rapid increase in the prevalence of cervical cancer. Integrating cervical cancer screening into the existing health-care system is sustainable way forward, and nurses prepared to handle cervical cancer management can play an essential role to promote cervical cancer screening in a health resource-constrained setting.
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spelling pubmed-69271542019-12-26 Exploring Complicity of Cervical Cancer Screening in Malawi: The Interplay of Behavioral, Cultural, and Societal Influences Lee, Haeok Mtengezo, Jasintha T. Kim, Deogwoon Makin, Mary Sue Kang, Younhee Malata, Address Fitzpatrick, Joyce Asia Pac J Oncol Nurs Original Article OBJECTIVE: Cervical cancer is preventable, and early diagnosis is possible using low-cost technologies, but a scant number of women receive cancer screening in Malawi. This study aims to identify facilitators and barriers that influence the uptakes of cervical cancer screening behavior in Malawi. METHODS: A rapid ethnographic approach with the goal of optimizing planning for a future intervention study was utilized. Data were collected from three focus groups and seven individual interviews with adults in their communities, stakeholders, and health-care providers. RESULTS: Three categories (sociocultural influences, access to the health-care system, and individual factors) have emerged as facilitators or barriers to cervical cancer screening among Malawian women. The findings also showed that cervical cancer screening behavior is situated socially through cultural and health-care services of a given community. CONCLUSIONS: Cancer screenings are only sought when illness symptoms persist or worsen. Awareness and knowledge of cervical cancer and cervical cancer screening is low among both health-care providers and the general population. Health-care systems are donor driven and focus on a single disease, health-care access is the greatest challenge to cervical cancer screening, and health-care providers are not adequately prepared to work for rapid increase in the prevalence of cervical cancer. Integrating cervical cancer screening into the existing health-care system is sustainable way forward, and nurses prepared to handle cervical cancer management can play an essential role to promote cervical cancer screening in a health resource-constrained setting. Wolters Kluwer - Medknow 2019-12-10 /pmc/articles/PMC6927154/ /pubmed/31879680 http://dx.doi.org/10.4103/apjon.apjon_48_19 Text en Copyright: © 2019 Ann & Joshua Medical Publishing Co. Ltd http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Lee, Haeok
Mtengezo, Jasintha T.
Kim, Deogwoon
Makin, Mary Sue
Kang, Younhee
Malata, Address
Fitzpatrick, Joyce
Exploring Complicity of Cervical Cancer Screening in Malawi: The Interplay of Behavioral, Cultural, and Societal Influences
title Exploring Complicity of Cervical Cancer Screening in Malawi: The Interplay of Behavioral, Cultural, and Societal Influences
title_full Exploring Complicity of Cervical Cancer Screening in Malawi: The Interplay of Behavioral, Cultural, and Societal Influences
title_fullStr Exploring Complicity of Cervical Cancer Screening in Malawi: The Interplay of Behavioral, Cultural, and Societal Influences
title_full_unstemmed Exploring Complicity of Cervical Cancer Screening in Malawi: The Interplay of Behavioral, Cultural, and Societal Influences
title_short Exploring Complicity of Cervical Cancer Screening in Malawi: The Interplay of Behavioral, Cultural, and Societal Influences
title_sort exploring complicity of cervical cancer screening in malawi: the interplay of behavioral, cultural, and societal influences
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6927154/
https://www.ncbi.nlm.nih.gov/pubmed/31879680
http://dx.doi.org/10.4103/apjon.apjon_48_19
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