Understanding barriers to access and utilization of cervical cancer screening services among women living with HIV in Kyenjojo District, Western Uganda protocol

Scale Up ◽

Cervical Cancer Prevention ◽

Women Living With Hiv ◽

Barriers To Access ◽

Screening Services ◽

Living With Hiv ◽

IntroductionCervical Cancer is preventable and ranks as the second common cancer among women globally. Since 1981, the incidence of cervical cancer has been on the rise among women living with HIV/AIDS. Cervical cancer in Uganda is usually diagnosed late and the prognosis is very poor. There are gaps in general knowledge on cervical cancer (CC) screening and availability of screening services in the country. This study is intended to explore such barriers to access and utilization of cervical cancer screening services among WHIV in Kyenjojo DistrictMethodologyWe will search publications and written articles on cervical cancer prevention especially screening among HIV women, from PubMed, Cochrane libraries, as well as the ministry of health unpublished reports. We will employ a qualitative study design using key informant (KI) purposively selected from Kyenjojo Hospital Reproductive Health and ART Clinics. This will permit us to achieve a detailed investigation using health belief model on individual perceptions while providing deeper insights into the factors that hinder access and utilization of cervical cancer screening services among HIV/AIDS women in Kyenjojo District. ConclusionThis study is intended to explore such barriers to access and utilization of cervical cancer screening services among WHIV in Kyenjojo. The study will thus significantly contribute to improved programming, advocacy, and efforts to scale up CC services among rural populations in Uganda while contributing to overall maternal survival in line with 2030 Sustainable Development Goals country initiatives

Improving uptake of cervical cancer screening services for women living with HIV and attending chronic care services in rural Malawi

BMJ Open Quality ◽

10.1136/bmjoq-2019-000892 ◽

2020 ◽

Vol 9 (3) ◽

pp. e000892

Author(s):

George C Talama ◽

Mairead Shaw ◽

Jordan Maloya ◽

Tafwirapo Chihana ◽

Lawrence Nazimera ◽

...

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Communicable Disease ◽

Scale Up ◽

Cervical Cancer Prevention ◽

Reproductive Age ◽

Hiv Care ◽

Women Living With Hiv ◽

Living With Hiv

Malawi has the second highest age-standardised incidence rate and the highest mortality rate of cervical cancer in the world. Though the prevalence of HIV is currently 11.7% for Malawian women of reproductive age, cervical cancer screening rates remain low. To address this issue, we integrated cervical cancer screening into a dual HIV and non-communicable disease clinic at a rural district hospital in Neno, Malawi. The project was implemented between January 2017 and March 2018 using the Plan-Do-Study-Act model of quality improvement (QI). At baseline (January to December 2016), only 13 women living with HIV were screened for cervical cancer. One year after implementation of the QI project, 73% (n=547) of women aged 25 to 49 years living with HIV enrolled in HIV care were screened for cervical cancer, with 85.3% of these receiving the screening test for the first time. The number of women living with HIV accessing cervical cancer services increased almost 10 times (from four per month to 39 per month, p<0.001). Key enablers in our QI process included: strong mentorship, regular provision of cervical cancer health talks throughout the hospital, nationally accredited cervical cancer prevention training for all providers, consistent community engagement, continuous monitoring and evaluation, and direct provision of resources to strengthen gaps in the public system. This practical experience integrating cervical cancer screening into routine HIV care may provide valuable lessons for scale-up in rural Malawi.

Comprehensive knowledge and uptake of cervical cancer screening is low among women living with HIV/AIDS in Northwest Ethiopia

Gynecologic Oncology Research and Practice ◽

10.1186/s40661-017-0057-6 ◽

2017 ◽

Vol 4 (1) ◽

Cited By ~ 10

Author(s):

Daniel Asfaw Erku ◽

Adeladlew Kassie Netere ◽

Amanual Getnet Mersha ◽

Sileshi Ayele Abebe ◽

Abebe Basazn Mekuria ◽

...

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Northwest Ethiopia ◽

Women Living With Hiv ◽

Comprehensive Knowledge ◽

Living With Hiv ◽

Comprehensive Knowledge and Uptake of Cervical Cancer Screening is Low Among Women Living with HIV/AIDS in Northwest Ethiopia

Value in Health ◽

10.1016/j.jval.2017.08.535 ◽

2017 ◽

Vol 20 (9) ◽

pp. A493 ◽

Cited By ~ 1

Author(s):

AG Mersha

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Northwest Ethiopia ◽

Women Living With Hiv ◽

Comprehensive Knowledge ◽

Living With Hiv ◽

2246. Assessment of Factors Impacting Cervical Cancer Screening Rates Among Urban Women Living with HIV/AIDS

Open Forum Infectious Diseases ◽

10.1093/ofid/ofy210.1899 ◽

2018 ◽

Vol 5 (suppl_1) ◽

pp. S664-S664

Author(s):

Nicole Reynoso-Vasquez ◽

Pooja Kothari ◽

Anna Haywood ◽

Baljinder Singh ◽

Shoba Swaminathan ◽

...

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Urban Women ◽

Women Living With Hiv ◽

Living With Hiv ◽

Willingness and acceptability of cervical cancer screening among women living with HIV/AIDS in Addis Ababa, Ethiopia: a cross sectional study

Gynecologic Oncology Research and Practice ◽

10.1186/s40661-015-0012-3 ◽

2015 ◽

Vol 2 (1) ◽

Cited By ~ 23

Author(s):

Netsanet Belete ◽

Yosief Tsige ◽

Habtamu Mellie

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Addis Ababa ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Women Living With Hiv ◽

Living With Hiv ◽

Understanding barriers to access and utilization of cervical cancer screening services among women living with HIV in Kenya and Uganda

10.31730/osf.io/y4mvt ◽

2021 ◽

Author(s):

Katwesige Wycliff ◽

. Kathya Cordova-Pozo ◽

. Peter Hagono ◽

. Ebenezer Obi Daniel ◽

Abul Kalam

Keyword(s):

Cervical Cancer ◽

Statistical Analysis ◽

Perceived Risk ◽

Health Facilities ◽

Perceived Severity ◽

Women Living With Hiv ◽

Barriers To Access ◽

Screening Services ◽

Living With Hiv ◽

Background: Invasive cervical cancer (ICC) is one of the most preventable and curable forms of cancer. In East Africa, primarily Uganda and Kenya, where HIV/AIDs are common, it is usually diagnosed late, resulting in a public health hazard due to its poor prognosis. ICC is the second most common malignancy causing maternal death. This study explored factors that impede access and utilization of ICC screening services among women living with HIV in low resource settings in Uganda and Kenya. Methods: A cross-sectional study design employing qualitative and quantitative techniques were conducted in six selected health facilities in Uganda and Kenya. A systematic cluster randomized sampling was used to select health facilities from which women living with HIV were invited to participate in the interviews, including focus group discussions, and triangulated this with in-depth interviews and literature. Data collection, coding, categorization, and statistical analysis of quantitative data were employed to rank correlation among the most critical factors that hinder access to ICC screening services.Findings: Two hundred thirty-two (232) out of 310 women completed the interviewer-administered questionnaire making the response rate 75%. The results uncovered a negative correlation between the perception of barriers to access the services. Two variables, the perceived risk for having ICC and the perceived severity, may impact the likelihood of undergoing ICC screening. There was a positive correlation between the perceived risk for ICC and the perceived severity. Statistical analysis shows that results are valid and reliable.Conclusion: The study uncovered the health system barriers affecting ICC screening services at health facilities in Kenya and Uganda. It highlights the strengths and challenges while providing recommendations to promote health to include the most vulnerable women with HIV/AIDS living in socially deprived areas.