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Barriers to cervical cancer prevention in rural Cameroon: a qualitative study on healthcare providers’ perspective

OBJECTIVE: Cervical 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...

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Autores principales: Roux, Amandine Noemie, Kenfack, Bruno, Ndjalla, Alexandre, Sormani, Jessica, Wisniak, Ania, Tatrai, Karoline, Vassilakos, Pierre, Petignat, Patrick, Schmidt, Nicole
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8212185/
https://www.ncbi.nlm.nih.gov/pubmed/34140340
http://dx.doi.org/10.1136/bmjopen-2020-043637
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author Roux, Amandine Noemie
Kenfack, Bruno
Ndjalla, Alexandre
Sormani, Jessica
Wisniak, Ania
Tatrai, Karoline
Vassilakos, Pierre
Petignat, Patrick
Schmidt, Nicole
author_facet Roux, Amandine Noemie
Kenfack, Bruno
Ndjalla, Alexandre
Sormani, Jessica
Wisniak, Ania
Tatrai, Karoline
Vassilakos, Pierre
Petignat, Patrick
Schmidt, Nicole
author_sort Roux, Amandine Noemie
collection PubMed
description OBJECTIVE: Cervical 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. SETTINGS: The study took place in the District hospital of Dschang, Cameroon. PARTICIPANTS: Focus groups (FGs) involved HCPs working in the area of Dschang and Mbouda. PRIMARY AND SECONDARY OUTCOME MEASURES: All 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. RESULTS: A 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. CONCLUSIONS: Awareness 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 REGISTRATION: Ethical 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).
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spelling pubmed-82121852021-07-01 Barriers to cervical cancer prevention in rural Cameroon: a qualitative study on healthcare providers’ perspective Roux, Amandine Noemie Kenfack, Bruno Ndjalla, Alexandre Sormani, Jessica Wisniak, Ania Tatrai, Karoline Vassilakos, Pierre Petignat, Patrick Schmidt, Nicole BMJ Open Obstetrics and Gynaecology OBJECTIVE: Cervical 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. SETTINGS: The study took place in the District hospital of Dschang, Cameroon. PARTICIPANTS: Focus groups (FGs) involved HCPs working in the area of Dschang and Mbouda. PRIMARY AND SECONDARY OUTCOME MEASURES: All 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. RESULTS: A 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. CONCLUSIONS: Awareness 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 REGISTRATION: Ethical 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). BMJ Publishing Group 2021-06-17 /pmc/articles/PMC8212185/ /pubmed/34140340 http://dx.doi.org/10.1136/bmjopen-2020-043637 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Obstetrics and Gynaecology
Roux, Amandine Noemie
Kenfack, Bruno
Ndjalla, Alexandre
Sormani, Jessica
Wisniak, Ania
Tatrai, Karoline
Vassilakos, Pierre
Petignat, Patrick
Schmidt, Nicole
Barriers to cervical cancer prevention in rural Cameroon: a qualitative study on healthcare providers’ perspective
title Barriers to cervical cancer prevention in rural Cameroon: a qualitative study on healthcare providers’ perspective
title_full Barriers to cervical cancer prevention in rural Cameroon: a qualitative study on healthcare providers’ perspective
title_fullStr Barriers to cervical cancer prevention in rural Cameroon: a qualitative study on healthcare providers’ perspective
title_full_unstemmed Barriers to cervical cancer prevention in rural Cameroon: a qualitative study on healthcare providers’ perspective
title_short Barriers to cervical cancer prevention in rural Cameroon: a qualitative study on healthcare providers’ perspective
title_sort barriers to cervical cancer prevention in rural cameroon: a qualitative study on healthcare providers’ perspective
topic Obstetrics and Gynaecology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8212185/
https://www.ncbi.nlm.nih.gov/pubmed/34140340
http://dx.doi.org/10.1136/bmjopen-2020-043637
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