Barriers and facilitators to cervical cancer screening in Nepal: A qualitative study

Barriers and facilitators to cervical cancer screening in Nepal: A qualitative study
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DOI:
10.1016/j.srhc.2019.02.001
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发表时间:
2019-06-01
影响因子:
1.8
通讯作者:
Shakya, Sunila
Shakya, Sunila
中科院分区:
医学3区
文献类型:
--
作者:
Darj, Elisabeth;Chalise, Pratibha;Shakya, Sunila

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目的:尽管宫颈癌是可以预防的,但它仍然是尼泊尔妇女中最常见的癌症,尼泊尔没有全国性的筛查方案。因此,我们的目标是调查和更好地了解尼泊尔妇女的观念,参与宫颈癌筛查的障碍,什么可能有利于他们participation.Methods:采用定性研究设计与焦点小组讨论和妇女有目的地邀请。访谈录音,逐字转录,并使用显式内容analysis.Findings分析:妇女有误解的筛选和低水平的知识。社会文化障碍、服务提供者的行为、地理上的挑战和有限的资金都被认为是参加筛查中心的障碍。促进因素,如参与提高认识的方案和支持,从家庭和妇女团体,可能会说服妇女参加筛查clinics.Conclusions:研究结果有助于尼泊尔妇女的看法宫颈癌筛查的信息。它们可在必要时支持尼泊尔政府促进宫颈癌筛查和治疗,将其作为所有尼泊尔妇女的一项权利。
Objectives: Despite being preventable, cervical cancer remains the most common cancer among women in Nepal, a country where there is no nationwide screening programme. Hence, the objective was to investigate and better understand Nepali women's perceptions on barriers to participation in cervical cancer screening and what might facilitate their participation.Methods: A qualitative study design with focus group discussions was employed and women were purposively invited. The interviews were tape-recorded, transcribed verbatim, and analysed using manifest content analysis.Findings: Women had misconceptions about the screening and low levels of knowledge. Sociocultural barriers, service providers' behaviour, geographical challenges, and limited finances were all perceived as obstacles to attending screening centres. Facilitating factors, such as participation in awareness programmes and support from family and women's groups, may convince women to attend screening clinics.Conclusions: The findings contribute information on Nepalese women's perceptions of cervical cancer screening. They may serve to support the Government of Nepal's promotion of cervical cancer screening and treatment as a right for all Nepali women, whenever necessary.