scholarly journals Community-Engaged Approaches to Cervical Cancer Prevention and Control in Sub-Saharan Africa: A Scoping Review

2021 ◽  
Vol 2 ◽  
Author(s):  
Magdiel A. Habila ◽  
Linda Jepkoech Kimaru ◽  
Namoonga Mantina ◽  
Dora Yesenia Valencia ◽  
D. Jean McClelland ◽  
...  

Background: Cervical cancer remains one of the top causes of cancer mortality among African women. Cervical cancer screening and early detection and treatment of precancer is one of the evidence-based interventions to reduce incidence and mortality. The application of community-based participatory research (CBPR) has been used in the United States to improve participation in screening and reduce cervical cancer disparities. However, it is unclear whether these engaged approaches have been used in sub-Saharan African to address disparities related to cervical cancer mortality.Objectives: Highlight community engagement in cervical cancer prevention and control in Sub-Saharan Africa (SSA), describe the community engagement efforts that are currently being used, and to describe the best practices for community engagement toward the end-goal of cervical cancer prevention and control.Methods: We searched PubMed, Embase, CINHAL, African Journals Online (AJOL), and African Index Medicus-WHO from inception until June 8, 2020. After screening 620 titles and abstracts, and reviewing 56 full-text articles according to inclusion and exclusion criteria, 9 articles met the selection criteria and were included. Relevant data variables were extracted from the included articles and a narrative synthesis was performed.Results: Between 2005 and 2019, 9 articles describing research in Ghana, Kenya, Zambia, Senegal, South Africa, and Nigeria were included. These articles described work that largely took place in rural settings predominantly among women age 15–65 years. Leveraging community networks such as community health workers, religious organizations, traditional leaders, and educational institutions increased awareness of cervical cancer. Working within existing social structures and training community members through the research effort were promising methods for addressing the disparities in cervical cancer incidence and mortality among communities.Discussion: The findings of this scoping review have contributed to the understanding of which novel approaches to community-based practices can be used to address cervical cancer disparities among SSA communities that carry a disproportionate disease burden. Community engagement in the research process, while effortful, has shown to be beneficial to researchers and to the communities that they serve, and provides valuable next steps in the effort to address cervical cancer disparities in SSA.

2020 ◽  
Author(s):  
Magdiel A Habila ◽  
Namoonga Mantina ◽  
Linda Jepkoech Kimaru ◽  
Jonah Musa ◽  
Maia Ingram ◽  
...  

Abstract Introduction Cervical cancer is the fourth leading cause of death in women globally and remains the foremost cause of death in African women in spite of campaigns to increase education and prevention of the disease. The goal of participatory action research or community based participatory research is to engage communities in the research process in order to increase disease awareness and decrease disease mortality as a result of health disparities. The primary objective of this study is to summarize methods of community engagement in research on the prevention and control of cervical cancer in sub-Saharan Africa (SSA). MethodsWe will search through the following electronic databases for potential studies: PubMed, Embase, African Journals Online (AJOL), and African Index Medicus-WHO from inception until the date the last search will be conducted. Articles included will be restricted to those published in English and pertaining to research conducted in SSA. Articles generated from the search will be managed in our database. A narrative synthesis will be performed on the final list of included articles. DiscussionThis scoping review will provide evidence and perspectives on how research studies have engaged community members to bolster the cervical cancer prevention and control efforts. Findings of this review will contribute to the literature by identifying the benefits of community engagement in cervical cancer prevention in SSA and advance the science of cervical cancer prevention in the region and globally.


2014 ◽  
Vol 21 (2) ◽  
pp. 255 ◽  
Author(s):  
J.E. Tota ◽  
A.V. Ramana–Kumar ◽  
Z. El-Khatib ◽  
E.L. Franco

Oncology ◽  
2013 ◽  
Vol 84 (2) ◽  
pp. 75-80 ◽  
Author(s):  
Fred Okuku ◽  
Abrahams Omoding ◽  
Victoria Walusansa ◽  
Martin Origa ◽  
Gerald Mutungi ◽  
...  

2021 ◽  
pp. 109019812199038
Author(s):  
Rhoda K. Moise ◽  
Eddy Jonas ◽  
Elizabeth M. Campa ◽  
Mary Clisbee ◽  
Gilberto Lopes ◽  
...  

This study aimed to increase understanding of barriers to cervical cancer prevention and control in Haitian women using photovoice methodology. Consented participants were (1) trained to use a digital camera and encouraged to capture their screening barriers, (2) interviewed to unpack and analyze their images, and (3) invited to participate in follow-up focus groups for refined discussion and data triangulation for content analysis using NVivo software. The sample included women ( n = 25) who were on average 42 years ( SD = 9.8, range: 26–57) and born and raised in Haiti. Results highlighted multiple barriers, including gendered family responsibilities, concerns about quality of care, financial and time constraints, worries about discomfort and exam efficacy, and emotional deterrents such as frustration. Framed by the PEN-3 model’s dimensions of cultural identity, relationships and expectations, and cultural empowerment, women’s recommendations to overcome barriers spanned education, evaluation, and empowerment, respectively, across individual, interpersonal, and institutional systems. Study results call for more extensive examination of the diversity present in the groups of African origin to unearth transnational, multifaceted determinants of health by biology, beliefs, and behaviors including sociocultural and socioenvironmental access. Future interventions must include development of proactive policies, which deliberately pressure the government and global community to prioritize health infrastructure while simultaneously educating women about and dispelling fear of cervical cancer, thus empowering Haitian women to live their healthiest lives. Accordingly, this study may contribute to understanding global health equity advances and improving public health infrastructure in underresourced settings in low- and middle-income countries in the Caribbean.


2021 ◽  
Author(s):  
Tariku Laelago Ersado

Cervical cancer is caused by HPV (human papilloma virus). It is the second most common cancer in women living low developed countries. The components of cervical cancer prevention and control comprises primary prevention, secondary prevention and tertiary prevention. Primary prevention of cervical cancer encompasses prevention of infection with HPV. Giving HPV vaccine for girls aged 9–14 years before they initiate sexual activity is one of the interventions of primary prevention of cervical cancer. Screening and treatment is needed in secondary prevention of cervical cancer. Screening of cervical cancer encompasses testing a target group (women) who are at risk for a cervical pre-cancer. Tertiary prevention of cervical cancer comprises treatment of cervical cancer and palliative care. The components of tertiary care comprise surgery, radiotherapy, chemotherapy and palliative care. Community mobilization, health education and counseling on cervical cancer prevention and control is vital to make ownership on cervical prevention. Monitoring and evaluation of cervical cancer prevention and control on key program indicators should be done regularly.


2020 ◽  
Author(s):  
Oscar Tapera ◽  
Anna M Nyakabau ◽  
Ndabaningi Simango ◽  
Bothwell T Guzha ◽  
Shamiso Jombo-Nyakuwa ◽  
...  

Abstract Background Cervical cancer is the fourth most common cancer amongst women globally and it accounts for many cancer deaths among females in Zimbabwe. The objective of this midterm review was to measure the progress of cervical cancer prevention and control interventions in Zimbabwe. Methods A mixed methods approach was used for the midterm review. Secondary data was collected from programme documents, published and grey literature. Primary data was collected in six provinces, including Harare Metropolitan. Key informant interviews were conducted with officials from relevant departments in the Ministry of Health and Child Care (MoHCC) and partners working in cervical cancer spaces. Two focus group discussions with beneficiaries were facilitated in Manicaland and Matabeleland South Provinces. After data analysis, a draft report was presented to a technical working group to validate the findings and to fill in any gaps. Results The cervical cancer strategy led to the raising of awareness especially around cervical cancer screening and this created demand for services. Coverage of HPV vaccination achieved by 2019 was 86% against a target of 80%. Every district in Zimbabwe had a screening site with a total of 106 clinics across the whole country. Almost two thirds (66%) of women with precancerous lesions received treatment in 2018 against a target of 80%. Tertiary hospitals are offering surgery to eligible women with cervical cancer and there are ongoing efforts towards establishing two centres of excellence in the country. There are opportunities for collaborative, coordinated comprehensive cervical cancer care and research at institutions (public and academic) that can be strengthened and better coordinated by MoHCC. Successes scored in fundraising for ZCCPCS strategy thematic areas including awareness, cervical cancer screening and HPV vaccination set the pace for comprehensive inclusion of diagnosis, treatment and palliative care. Conclusions This midterm review revealed a myriad of gaps of the strategy particularly in diagnosis, treatment and care of cervical cancer and the primary focus was on secondary prevention. Lessons learnt reveals that development and implementation of the next strategy will require increased stakeholder collaboration between government, private sector, academia and non-governmental organizations for more sustainable cervical cancer interventions.


2004 ◽  
Vol 26 (11) ◽  
pp. 1004-1014 ◽  
Author(s):  
Gavin Stuart ◽  
Gregory Taylor ◽  
Christina M. Bancej ◽  
Jennifer Beaulac ◽  
Terence Colgan ◽  
...  

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