Barriers to Cervical Cancer Screening in Rural Kenya: Perspectives from a Provider Survey.
Barriers to Cervical Cancer Screening in Rural Kenya: Perspectives from a Provider Survey.
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DOI：
10.1007/s10900-015-9996-1
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发表时间：
2015-08
影响因子：
5.9
通讯作者：
Huchko MJ
中科院分区：
文献类型：
--
作者：
Rosser JI;Hamisi S;Njoroge B;Huchko MJ
虽然宫颈癌通过筛查是高度可预防的，但由于缺乏预防方案的资金和基础设施，它仍然是肯尼亚妇女癌症相关死亡的头号原因。2012年，家庭艾滋病护理和教育服务与肯尼亚卫生部合作，开始在11个农村卫生设施提供免费筛查。我们试图探索为什么在某些地点筛查覆盖率仍然很低。我们通过对106名医护人员的调查，研究了筛查的障碍。最常提到的提供服务的障碍包括工作人员短缺、缺乏训练有素的工作人员、空间不足和供应问题。工作人员普遍认为患者的障碍包括知识不足，等待时间，与男性提供者的不适，以及对窥镜检查疼痛的恐惧。尽管多边努力实施宫颈癌筛查，工作人员面临着提供服务的重大挑战，需要对提供者和患者进行更多的教育。
Although cervical cancer is highly preventable through screening, it remains the number one cause of cancer-related death in Kenyan women due to lack of funding and infrastructure for prevention programs. In 2012, Family AIDS Care and Education Services in partnership with the Kenya Ministry of Health began offering free screening at eleven rural health facilities. We sought to explore why screening coverage remains low at some sites. We examined the barriers to screening through a survey of 106 healthcare staff. The most frequently cited barriers to service delivery included staffing shortages, lack of trained staff, insufficient space, and supply issues. The patient barriers commonly perceived by the staff included inadequate knowledge, wait time, discomfort with male providers, and fear of pain with the speculum exam. Despite multilateral efforts to implement cervical cancer screening, staff face significant challenges to service provision and increased education is needed for both providers and patients.
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影响因子：
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作者：
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DOI：
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DOI：
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