“…24,25 In the recent past, there has been growing evidence to demonstrate the strong impact of culture, and superstition on health care in terms of health equality, health literacy, and effectiveness of public health interventions. 22,[26][27][28][29][30] Airhihenbuwa (1989) developed "PEN-3 cultural model" to understand the effect of culture on health behavior (acceptance towards cervical cancer screening, mammography, AIDS prevention etc) and health outcomes. 31,32 There are three domains in PEN-3 cultural model, namely Cultural Identity (Person, Extended Family, Neighbourhood), Relationships and Expectations (Perceptions, Enablers, and Nurturers), and Cultural Empowerment (Positive, Existential, and Negative).…”