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Assessing Barriers Encountered by Women in Cervical Cancer Screening and Follow-Up Care in Urban Bolivia, Cochabamba

Background: Timely detection of cervical cells infected with high-risk human papillomavirus (HPV) improves cervical cancer prevention. In Bolivia, actual screening coverage only reaches 33.3% of the target population aged between 25 and 64 years despite free cytology screening. Furthermore, 50% to 8...

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Autores principales: Bensemmane, Sherihane, Loayza Villarroel, Katherine, Montaño, Kevin, Louati, Elyas, Ascarrunz, Carla, Rodriguez, Patricia, Fontaine, Véronique, Laokri, Samia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9498362/
https://www.ncbi.nlm.nih.gov/pubmed/36141216
http://dx.doi.org/10.3390/healthcare10091604
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author Bensemmane, Sherihane
Loayza Villarroel, Katherine
Montaño, Kevin
Louati, Elyas
Ascarrunz, Carla
Rodriguez, Patricia
Fontaine, Véronique
Laokri, Samia
author_facet Bensemmane, Sherihane
Loayza Villarroel, Katherine
Montaño, Kevin
Louati, Elyas
Ascarrunz, Carla
Rodriguez, Patricia
Fontaine, Véronique
Laokri, Samia
author_sort Bensemmane, Sherihane
collection PubMed
description Background: Timely detection of cervical cells infected with high-risk human papillomavirus (HPV) improves cervical cancer prevention. In Bolivia, actual screening coverage only reaches 33.3% of the target population aged between 25 and 64 years despite free cytology screening. Furthermore, 50% to 80% screened women are lost during follow-up. This study aimed at identifying factors explaining this lack of follow-up care. Method: During the first phase, face-to-face semi-structured interviews were conducted with HPV-positive women. Secondly, we explored the reasons for the non-adherence to the follow-up care: knowledge, perceptions and beliefs about HPV, as well as barriers to healthcare access, using a structured survey on Cochabamba women and healthcare professionals. Results: Barriers to effective follow-up of the targeted populations were associated with health system shortcomings, including poor service delivery at the front- and second-line, health providers shortage, inadequate training, waiting time, high direct and indirect costs of care seeking and care, complex procedures to obtain HPV screening results and poor patient–provider communication. The follow-up was perceived as extremely stressful by the participants. Conclusion: Improved communication on HPV and HPV-related cancers in terms of representation in the general population and among the health professional’s population is vital to improve access for HPV infection follow-up care.
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spelling pubmed-94983622022-09-23 Assessing Barriers Encountered by Women in Cervical Cancer Screening and Follow-Up Care in Urban Bolivia, Cochabamba Bensemmane, Sherihane Loayza Villarroel, Katherine Montaño, Kevin Louati, Elyas Ascarrunz, Carla Rodriguez, Patricia Fontaine, Véronique Laokri, Samia Healthcare (Basel) Article Background: Timely detection of cervical cells infected with high-risk human papillomavirus (HPV) improves cervical cancer prevention. In Bolivia, actual screening coverage only reaches 33.3% of the target population aged between 25 and 64 years despite free cytology screening. Furthermore, 50% to 80% screened women are lost during follow-up. This study aimed at identifying factors explaining this lack of follow-up care. Method: During the first phase, face-to-face semi-structured interviews were conducted with HPV-positive women. Secondly, we explored the reasons for the non-adherence to the follow-up care: knowledge, perceptions and beliefs about HPV, as well as barriers to healthcare access, using a structured survey on Cochabamba women and healthcare professionals. Results: Barriers to effective follow-up of the targeted populations were associated with health system shortcomings, including poor service delivery at the front- and second-line, health providers shortage, inadequate training, waiting time, high direct and indirect costs of care seeking and care, complex procedures to obtain HPV screening results and poor patient–provider communication. The follow-up was perceived as extremely stressful by the participants. Conclusion: Improved communication on HPV and HPV-related cancers in terms of representation in the general population and among the health professional’s population is vital to improve access for HPV infection follow-up care. MDPI 2022-08-24 /pmc/articles/PMC9498362/ /pubmed/36141216 http://dx.doi.org/10.3390/healthcare10091604 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Bensemmane, Sherihane
Loayza Villarroel, Katherine
Montaño, Kevin
Louati, Elyas
Ascarrunz, Carla
Rodriguez, Patricia
Fontaine, Véronique
Laokri, Samia
Assessing Barriers Encountered by Women in Cervical Cancer Screening and Follow-Up Care in Urban Bolivia, Cochabamba
title Assessing Barriers Encountered by Women in Cervical Cancer Screening and Follow-Up Care in Urban Bolivia, Cochabamba
title_full Assessing Barriers Encountered by Women in Cervical Cancer Screening and Follow-Up Care in Urban Bolivia, Cochabamba
title_fullStr Assessing Barriers Encountered by Women in Cervical Cancer Screening and Follow-Up Care in Urban Bolivia, Cochabamba
title_full_unstemmed Assessing Barriers Encountered by Women in Cervical Cancer Screening and Follow-Up Care in Urban Bolivia, Cochabamba
title_short Assessing Barriers Encountered by Women in Cervical Cancer Screening and Follow-Up Care in Urban Bolivia, Cochabamba
title_sort assessing barriers encountered by women in cervical cancer screening and follow-up care in urban bolivia, cochabamba
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9498362/
https://www.ncbi.nlm.nih.gov/pubmed/36141216
http://dx.doi.org/10.3390/healthcare10091604
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