Cargando…
Knowledge, Barriers and Motivators to Cervical Cancer Screening in Rwanda: A Qualitative Study
BACKGROUND: Cervical cancer is a global public health problem with marked geographical disparity. High morbidity and mortality rates in developing countries are associated with low screening rates. In 2020, in Rwanda, 3.7 million women aged 15–59 years were at risk of developing cervical cancer, the...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9443995/ https://www.ncbi.nlm.nih.gov/pubmed/36072693 http://dx.doi.org/10.2147/IJWH.S374487 |
_version_ | 1784783116731154432 |
---|---|
author | Gafaranga, Jean Pierre Manirakiza, Felix Ndagijimana, Emmanuel Urimubabo, Jean Christian Karenzi, Irénée David Muhawenayo, Esperance Gashugi, Phophina Muhimpundu Nyirasebura, Dancilla Rugwizangoga, Belson |
author_facet | Gafaranga, Jean Pierre Manirakiza, Felix Ndagijimana, Emmanuel Urimubabo, Jean Christian Karenzi, Irénée David Muhawenayo, Esperance Gashugi, Phophina Muhimpundu Nyirasebura, Dancilla Rugwizangoga, Belson |
author_sort | Gafaranga, Jean Pierre |
collection | PubMed |
description | BACKGROUND: Cervical cancer is a global public health problem with marked geographical disparity. High morbidity and mortality rates in developing countries are associated with low screening rates. In 2020, in Rwanda, 3.7 million women aged 15–59 years were at risk of developing cervical cancer, the most commonly diagnosed female cancer in Rwanda. Despite Rwanda being the first African country to vaccinate against human papilloma virus with a three-dose regimen vaccination coverage of nearly 93% in the target population of girls aged <15 years, and having established cervical cancer screening program, recent studies have found low screening rates. Our study sought to determine knowledge, motivators and barriers of cervical cancer screening. METHODS: We conducted a qualitative descriptive study; using focus group interview in an urban health facility (Muhima district hospital) and a rural health center (Nyagasambu health center) offering cervical screening services in Rwanda. Participants were women seeking these services and other women attending the health facility for any reason, and female staff working in these facilities. Interviews were recorded and transcribed, and data were analyzed using content analysis. RESULTS: Thirty women participated in focus group interview, with an average age of 39 years. Many of women showed knowledge about cervical cancer existence and prevention methods. However, fear for pain, lack of knowledge about screening, how and where the screening was done, and concern for privacy were recurring subthemes. Some participants also mentioned lack of health insurance as a barrier for cervical cancer screening. CONCLUSION: Barriers to uptake cervical cancer screening services in Rwanda are related to poor information about cervical cancer and the importance of screening as well as non-adherence to medical insurance. Population sensitization through campaign and community outreach activities could have a positive impact on increasing the usage of cervical cancer screening in Rwanda. |
format | Online Article Text |
id | pubmed-9443995 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-94439952022-09-06 Knowledge, Barriers and Motivators to Cervical Cancer Screening in Rwanda: A Qualitative Study Gafaranga, Jean Pierre Manirakiza, Felix Ndagijimana, Emmanuel Urimubabo, Jean Christian Karenzi, Irénée David Muhawenayo, Esperance Gashugi, Phophina Muhimpundu Nyirasebura, Dancilla Rugwizangoga, Belson Int J Womens Health Original Research BACKGROUND: Cervical cancer is a global public health problem with marked geographical disparity. High morbidity and mortality rates in developing countries are associated with low screening rates. In 2020, in Rwanda, 3.7 million women aged 15–59 years were at risk of developing cervical cancer, the most commonly diagnosed female cancer in Rwanda. Despite Rwanda being the first African country to vaccinate against human papilloma virus with a three-dose regimen vaccination coverage of nearly 93% in the target population of girls aged <15 years, and having established cervical cancer screening program, recent studies have found low screening rates. Our study sought to determine knowledge, motivators and barriers of cervical cancer screening. METHODS: We conducted a qualitative descriptive study; using focus group interview in an urban health facility (Muhima district hospital) and a rural health center (Nyagasambu health center) offering cervical screening services in Rwanda. Participants were women seeking these services and other women attending the health facility for any reason, and female staff working in these facilities. Interviews were recorded and transcribed, and data were analyzed using content analysis. RESULTS: Thirty women participated in focus group interview, with an average age of 39 years. Many of women showed knowledge about cervical cancer existence and prevention methods. However, fear for pain, lack of knowledge about screening, how and where the screening was done, and concern for privacy were recurring subthemes. Some participants also mentioned lack of health insurance as a barrier for cervical cancer screening. CONCLUSION: Barriers to uptake cervical cancer screening services in Rwanda are related to poor information about cervical cancer and the importance of screening as well as non-adherence to medical insurance. Population sensitization through campaign and community outreach activities could have a positive impact on increasing the usage of cervical cancer screening in Rwanda. Dove 2022-09-01 /pmc/articles/PMC9443995/ /pubmed/36072693 http://dx.doi.org/10.2147/IJWH.S374487 Text en © 2022 Gafaranga et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Gafaranga, Jean Pierre Manirakiza, Felix Ndagijimana, Emmanuel Urimubabo, Jean Christian Karenzi, Irénée David Muhawenayo, Esperance Gashugi, Phophina Muhimpundu Nyirasebura, Dancilla Rugwizangoga, Belson Knowledge, Barriers and Motivators to Cervical Cancer Screening in Rwanda: A Qualitative Study |
title | Knowledge, Barriers and Motivators to Cervical Cancer Screening in Rwanda: A Qualitative Study |
title_full | Knowledge, Barriers and Motivators to Cervical Cancer Screening in Rwanda: A Qualitative Study |
title_fullStr | Knowledge, Barriers and Motivators to Cervical Cancer Screening in Rwanda: A Qualitative Study |
title_full_unstemmed | Knowledge, Barriers and Motivators to Cervical Cancer Screening in Rwanda: A Qualitative Study |
title_short | Knowledge, Barriers and Motivators to Cervical Cancer Screening in Rwanda: A Qualitative Study |
title_sort | knowledge, barriers and motivators to cervical cancer screening in rwanda: a qualitative study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9443995/ https://www.ncbi.nlm.nih.gov/pubmed/36072693 http://dx.doi.org/10.2147/IJWH.S374487 |
work_keys_str_mv | AT gafarangajeanpierre knowledgebarriersandmotivatorstocervicalcancerscreeninginrwandaaqualitativestudy AT manirakizafelix knowledgebarriersandmotivatorstocervicalcancerscreeninginrwandaaqualitativestudy AT ndagijimanaemmanuel knowledgebarriersandmotivatorstocervicalcancerscreeninginrwandaaqualitativestudy AT urimubabojeanchristian knowledgebarriersandmotivatorstocervicalcancerscreeninginrwandaaqualitativestudy AT karenziireneedavid knowledgebarriersandmotivatorstocervicalcancerscreeninginrwandaaqualitativestudy AT muhawenayoesperance knowledgebarriersandmotivatorstocervicalcancerscreeninginrwandaaqualitativestudy AT gashugiphophinamuhimpundu knowledgebarriersandmotivatorstocervicalcancerscreeninginrwandaaqualitativestudy AT nyiraseburadancilla knowledgebarriersandmotivatorstocervicalcancerscreeninginrwandaaqualitativestudy AT rugwizangogabelson knowledgebarriersandmotivatorstocervicalcancerscreeninginrwandaaqualitativestudy |