Challenges of health promotion and education strategies to prevent cervical cancer in India: A systematic review

Thulaseedharan, Jissa Vinoda; Frie, Kirstin Grosse; Sankaranarayanan, Rengaswamy

doi:10.4103/jehp.jehp_156_19

Cited by 19 publications

(4 citation statements)

References 74 publications

(241 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…3 ). Suggested strategies will be based on four dimensions: improvement of knowledge, advocacy and partnerships, screening coverage, and financial mechanisms ( 3 , 12 , 15 , 19 , 21 – 24 , 26 , 27 , 32 , 36 , 42 , 43 , 45 , 47 , 48 , 52 , 59 – 61 , 64 , 65 , 67 , 70 , 73 , 74 ). Additionally, effective advocacy campaigns can raise awareness about the importance of early detection and encourage individuals to participate in screening, further contributing to the reduction of the incidence and mortality rates associated with this disease.…”

Section: Discussionmentioning

confidence: 99%

Cervical Cancer Prevention, Its Challenges and Solutions in Iran and Worldwide: A Systematic Review

Pirani,

Jafari,

Bagherzadeh

et al. 2023

ijph

View full text Add to dashboard Cite

Background: Widespread use of screening in high-income countries has led to significant reductions in mortality from cervical cancer. However, in Iran, the main reason for the late diagnosis of cervical cancer was the failure to perform a Pap smear (Papanicolaou). We aimed to investigate the status of cervical cancer prevention and its challenges and solutions in Iran. Method: We conducted a systematic review of literature published from 1974 to 2021 in the electronic databases, including PubMed, Web of Science, Embase, Scopus, and Google Scholar, and retrieved all English-language articles. Following the application of the inclusion and exclusion criteria, full-text articles were identified and evaluated for eligibility. Finally, these publications were analyzed as part of the synthesis. Results: Lower social-economic level, inadequate knowledge of screening tests and health centers for Pap test performance leading to worse outcomes such as lower screening participation or coverage. Conclusion: By addressing these challenges through increasing education, increasing service accessibility, expanding screening programs, improving public awareness, improving insurance coverage, and establishing a control protocol for follow-up, it is possible to reduce cervical cancer incidence and mortality.

show abstract

Section: Discussionmentioning

confidence: 99%

Cervical Cancer Prevention, Its Challenges and Solutions in Iran and Worldwide: A Systematic Review

Pirani,

Jafari,

Bagherzadeh

et al. 2023

ijph

View full text Add to dashboard Cite

show abstract

“…The study conducted by Thulaseedharan and Zomordi et al ., when integrated with other theoretical models such as the theory of planned behavior, and cognitive behavioral therapy, the health belief model of health education intervention program was proven to be even more effective in encouraging cervical cancer screening and prevention. [ 11 14 ]…”

Section: Discussionmentioning

confidence: 99%

The effect of the health belief model education for cervical cancer prevention, screening promotion among rural women in Chengalpattu district, Tamil Nadu (HBMECC)

Thahirabanuibrahim,

Logaraj

2023

Journal of Education and Health Promotion

View full text Add to dashboard Cite

BACKGROUND: The objective of this interventional study is to investigate the efficacy of health belief model-based health education in screening promotion and improving awareness about cervical cancer prevention. MATERIALS AND METHODS: A total of 370 rural married respondents were selected using a multistage random sampling method. To gather information from study participants before and after the six-month intervention period, the standard questionnaire instrument paired with a health belief model and cervical cancer knowledge assessments was employed. This quasi-experimental study incorporated health belief model-based education for 45 minutes, supplemented by audio-visual, flipchart, and interactive sessions, and regular motivation was given once every three days until the call for mass screening camps, which were held every 15 days. The data was imported into Excel and analyzed using SPSS 21. A paired test for pre- and post-intervention significance and a cross-tab test for association was utilized. At the end of the study, the percentage of all women screened was estimated. RESULTS: The findings revealed that 37.8% of participants were between the ages of 30 and 40, 32.7% had no formal education, and 42% were housewives. The pre-and post-test mean scores for knowledge about cervical cancer and prevention differed, with a mean value difference of 4 for signs of cervical cancer, 24.32 for risk factors, 1.31 for the cervical cancer screening (Pap) test, 1.07 for vaccination, and 0.48 for attitude toward self-assessment of cervical cancer symptoms and attitude toward screening. By the end of the study, 39% of the women had been screened in a mass screening camp and from outside sources. CONCLUSION: The health belief model, therefore, assisted in increasing the required information and addressed the perception regarding screening obstacles, consequently increasing the screening rate, and can thus be implemented as an appropriate strategy for instructing women about cervical cancer screening and prevention.

show abstract

“…This could have led to the perception of a higher prevalence of cervical cancer screening in NFHS-4 compared to NFHS-5 [ 15 , 19 ]. A systematic review of 78 studies published between 1993–2017 (52 of them between 2012–17) revealed that the percentage of women from the general population of India who have participated in cervical cancer screening ranged from 0.7% to 12.2% [ 21 ]. This is in line with the results of the NFHS-5’s reporting of 0.2% to 10.1% of screening prevalence between the states.…”

Section: Discussionmentioning

confidence: 99%

Patterns in the prevalence and wealth-based inequality of cervical cancer screening in India

Muthuramalingam

Muraleedharan

2023

BMC Women's Health

View full text Add to dashboard Cite

Background Cervical cancer is the second leading cause of deaths due to cancer among women in India. This study assesses the prevalence of cervical cancer screening among women in the 30 to 49 years age-group and its relation to demographic, social and economic factors. The equity in the prevalence of screening is studied with respect to the women’s household wealth. Methods Data from the fifth National Family Health Survey are analyzed. The adjusted odds ratio is used to assess the prevalence of screening. The Concentration Index (CIX) and the Slope Index of Inequality (SII) are analyzed to assess the inequality. Results The average national prevalence of cervical cancer screening is found to be 1.97% (95% C.I, 1.8–2.1), ranging from 0.2% in West Bengal and Assam to 10.1% in Tamil Nadu. Screening is significantly more prevalent among the following demographics: educated, higher age group, Christian, scheduled caste, Government health insurance coverage, and high household wealth. Significantly lower prevalence is found among Muslim women, women from scheduled tribes, general category castes, non-Government health insurance coverage, high parity, and those who use oral contraceptive pills and tobacco. Marital status, place of residence, age at first sexual activity, and IUD usage are not significant influencers. At the national level, CIX (0.22 (95% C.I, 0.20–0.24)) and SII (0.018 (95% C.I, 0.015–0.020)) indicate significantly higher prevalence of screening among women from the wealthier quintiles. Significantly higher screening prevalence among wealthier quintiles in the North-East (0.1), West (0.21) and Southern (0.05) regions and among the poor quintiles in the Central (-0.05) region. Equiplot analysis shows a “top inequality pattern” in the North, North-East and Eastern regions, with overall low performance where the rich alone manage to avail screening. The Southern region exhibits an overall progress in screening prevalence with the exception of the poorest quintile, which is left behind. Pro-poor inequality exists in the Central region, with significantly higher prevalence of screening among poor. Conclusion The prevalence of cervical cancer screening is very low (2%) in India. Cervical cancer screening is substantially higher among women with education and Government Health insurance coverage. Wealth-based inequality exists in the prevalence of cervical cancer screening and the prevalence is concentrated among the women from wealthier quintiles.

show abstract

Challenges of health promotion and education strategies to prevent cervical cancer in India: A systematic review

Cited by 19 publications

References 74 publications

Cervical Cancer Prevention, Its Challenges and Solutions in Iran and Worldwide: A Systematic Review

Cervical Cancer Prevention, Its Challenges and Solutions in Iran and Worldwide: A Systematic Review

The effect of the health belief model education for cervical cancer prevention, screening promotion among rural women in Chengalpattu district, Tamil Nadu (HBMECC)

Patterns in the prevalence and wealth-based inequality of cervical cancer screening in India

Contact Info

Product

Resources

About