A cervical cancer prevention programme in rural Mexico: addressing women and their context

Abstract

This article reports on the development and administration of a programme in seven rural villages in the Mexican state of Oaxaca to address high rates of cervical cancer. The rationale and strategy are described on which the programme is based. The development and administration of the programme (to 1513 women) is presented, aimed at enabling women to take better care of themselves. Various additional activities that were added in the course of the programme in order to facilitate contextual factors are also described, including community campaigning, programmes with men and the training of health personnel. Effectiveness was evaluated in terms of both process and impact indices, showing high rates of attendance at programme sessions by enrolled women, an increase in knowledge and a substantial increase in the number of preventive diagnostic tests. The final section reflects on both the achievements, and the scope and the limitations of the programme.

Capacity building for decentralisation in Mexico: a psychosocial approach

“…Thus, the primary target of training programs are concrete situations that have been selected on the basis of need analysis as being relevant to the target population and as offering scope for change. Experience in Latin American countries, especially in Mexico, with several programs of behavior change has shown that changes are reached most effectively, in interactive situations (including role playing and simulations) (Venguer et al, submitted;Givaudan et al, 2005).…”

Avoiding piecemeal research on participation in cervical cancer screening: the advantages of a social identity framework

“…Moreover, Campbell and Jovchelovitch suggest that such participation is intimately related to social psychological processes such as power and social identification. To date, however, only a limited number of studies have considered this form of participation in community‐based cervical cancer screening interventions, 47–49,78 and additionally, there seems to be considerable scope for much more explicit consideration of how this research relates to other conceptualizations of participation.…”

La política focalizada en el programa de vacunación contra el Virus del Papiloma Humano en México: aspectos éticos

“…Las mujeres que viven en áreas marginadas y geográficamente inaccesibles suelen presentar factores de riesgo nutricionales que las hacen tener una respuesta inmune limitada frente a una infección persistente por VPH (3,25).…”

“…Aunque, en el plano mundial, los programas exitosos para reducir la incidencia de CaCu se han basado en estrategias mejoradas de tamizaje, seguimiento y tratamiento, en el caso de México se invierten recursos públicos para financiar una política de vacunación focalizada contra VPH, dado que en la población más afectada por esta enfermedad en términos de mortalidad -mujer en área marginada y mujer indígena-se han demostrado inequidades en el acceso a los programas de tamizaje de CaCu (3,25). Uno de los grupos sociales que se encuentra rezagado respecto a la atención en salud sexual y reproductiva es la población indígena, sobre la cual se ha evidenciado el trato discriminatorio de los servicios de salud institucionales (27).…”