“My husband says this: If you are alive, you can be someone…”: Facilitators and barriers to cervical cancer screening among women living with HIV in India

Kung, Timothy-Paul H.; Gordon, Janna R.; Abdullahi, Asha; Barve, Apurva; Chaudhari, Vipul; Kosambiya, J K; Kumar, Amit; Gamit, Sukesha; Wells, Kristen J.

doi:10.1007/s10552-019-01145-7

Cited by 4 publications

(2 citation statements)

References 29 publications

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“…, 2016 ), while several articles suggested that the fear of screening results was a barrier to undergoing screening. In one of the studies from India, more than 75% of the women who were interviewed feared the Pap smear and the subsequent results ( Kung et al. , 2019 ).…”

Section: Resultsmentioning

confidence: 99%

Barriers to cervical cancer and breast cancer screening uptake in low- and middle-income countries: a systematic review

Srinath

Merode

Rao

et al. 2022

Health Policy and Planning

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There is an alarmingly high growth in breast and cervical cancers in low-and-middle-income countries. Due to late presentation to the doctors, there is a lower cure rate. The screening programs in low-and-middle-income countries are not comprehensive. In this paper, we systematically analyse the barriers to screening through an accessibility framework. We performed a systematic literature search in PubMed, Mendeley and Google Scholar to retrieve all English language studies (quantitative, qualitative and mixed-methods) that contained information on breast and cervical cancer screening in low-and-middle-income countries. We only considered publications published between the 1st of January 2016 and the 31st of May 2021. The review was guided by PRISMA-S, an extension to the PRISMA Statement for Reporting Literature Searches in Systematic Reviews. The search yielded a total of 67 articles from low-and-middle-income countries in this review. We used a framework on accessibility known as the 5A framework, which distinguishes five aspects of access: approachability, acceptability, availability, affordability and appropriateness, to classify the screening barriers. We added two more aspects: awareness and angst, as they could explain other important barriers to screening. They confirmed how the lack of awareness, cost of the screening service and distance to the screening centre act as major impediments to screening. They also revealed how embarrassment and fear of screening and cultural factors such as lack of spousal or family support could be obstacles to screening. We conclude that more needs to be done by policymakers and governments to improve the confidence of the people in the health systems Women should be made aware of the causes and risk factors of cancer through evidence-based strategies so that there is an increased adherence to screening.

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Section: Resultsmentioning

confidence: 99%

Barriers to cervical cancer and breast cancer screening uptake in low- and middle-income countries: a systematic review

Srinath

Merode

Rao

et al. 2022

Health Policy and Planning

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“…Family support is also essential and required for women of reproductive age who wish to undergo an examination and those suffering from breast or cervical cancer (Kung et al, 2019;Rasul et al, 2015). It is similar to Azriful's research from 2021, which explains that family support is a cue to action that causes a person to live a healthy life.…”

Section: Social Support For Early Detectionmentioning

confidence: 99%

Early Detection Program for Breast and Cervical Cancer in Indonesia: How is Implementation?

Azriful¹,

Alam²,

Siddiq³

2022

Al-sihah

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Breast and cervical cancer have ranked first and second in terms of the highest cancer cases in Indonesia. The high incidence of breast and cervical cancer is due to the low coverage of early detection. This study aimed to examine the implementation of breast cancer early detection programs using the SADANIS method and cervical cancer using the IVA method. This current study used a qualitative and descriptive approach through input, process, output, and impact variables. Data was collected through in-depth interviews, observation, and documentation review. The results revealed that the number of trained human resources, facilities, and infrastructure was sufficient. The program had also implemented online and offline information systems and was actively conducting inspections integrated with the “Family Planning” program. The high achievement of the program had also been supported by the existence of an innovative screening system and direct examination in the community. The program achievements for 2021-2022 (January-June) and cases of cervical cancer had decreased. Implementing the early detection program for breast and cervical cancer is considered better. It can thus become a model for other regencies.

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Barriers to Cervical Cancer Screening Among Women Living With HIV in Low- and Middle-Income Countries: A Systematic Review

Guillaume¹,

Chandler²,

Igbinoba³

2020

J Assoc Nurses AIDS Care

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Women living with HIV in low-and-middle-income countries (LMICs) are at high risk of developing cervical cancer due to their immunocompromised status. Screening is an imperative prevention measure for early detection and for ultimately reducing high rates of cervical cancer; however, cervical cancer screening uptake among this group remains low. This systematic review aimed to identify barriers to cervical cancer screening among women living with HIV in LMIC. A comprehensive literature search was undertaken, and an analysis of included studies was completed to abstract major themes related to cervical cancer screening barriers for women living with HIV in LMIC. Lack of cervical cancer and cervical cancer screening knowledge among patients was found to be the most prevalent barrier to cervical cancer screening. Our findings highlight a dire need for interventions to increase knowledge and awareness of cervical cancer screening among women living with HIV in LMIC, along with addressing barriers within health care systems.

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“My husband says this: If you are alive, you can be someone…”: Facilitators and barriers to cervical cancer screening among women living with HIV in India

Cited by 4 publications

References 29 publications

Barriers to cervical cancer and breast cancer screening uptake in low- and middle-income countries: a systematic review

Barriers to cervical cancer and breast cancer screening uptake in low- and middle-income countries: a systematic review

Early Detection Program for Breast and Cervical Cancer in Indonesia: How is Implementation?

Barriers to Cervical Cancer Screening Among Women Living With HIV in Low- and Middle-Income Countries: A Systematic Review

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