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<title xml:lang="en">Myths and misconceptions about cervical cancer among Zambian women: rapid assessment by peer educators</title>
<author>
<name sortKey="Chirwa, Susan" sort="Chirwa, Susan" uniqKey="Chirwa S" first="Susan" last="Chirwa">Susan Chirwa</name>
<affiliation>
<nlm:aff id="A1">Center for Infectious Disease Research in Zambia, Plot # 5977 Benekale Road, Northmead, Lusaka, Zambia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mwanahamuntu, Mulindi" sort="Mwanahamuntu, Mulindi" uniqKey="Mwanahamuntu M" first="Mulindi" last="Mwanahamuntu">Mulindi Mwanahamuntu</name>
<affiliation>
<nlm:aff id="A1">Center for Infectious Disease Research in Zambia, Plot # 5977 Benekale Road, Northmead, Lusaka, Zambia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">University Teaching Hospital, Lusaka, Zambia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kapambwe, Sharon" sort="Kapambwe, Sharon" uniqKey="Kapambwe S" first="Sharon" last="Kapambwe">Sharon Kapambwe</name>
<affiliation>
<nlm:aff id="A1">Center for Infectious Disease Research in Zambia, Plot # 5977 Benekale Road, Northmead, Lusaka, Zambia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mkumba, Gracilia" sort="Mkumba, Gracilia" uniqKey="Mkumba G" first="Gracilia" last="Mkumba">Gracilia Mkumba</name>
<affiliation>
<nlm:aff id="A1">Center for Infectious Disease Research in Zambia, Plot # 5977 Benekale Road, Northmead, Lusaka, Zambia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">University Teaching Hospital, Lusaka, Zambia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Stringer, Jeff" sort="Stringer, Jeff" uniqKey="Stringer J" first="Jeff" last="Stringer">Jeff Stringer</name>
<affiliation>
<nlm:aff id="A1">Center for Infectious Disease Research in Zambia, Plot # 5977 Benekale Road, Northmead, Lusaka, Zambia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3">University of Alabama at Birmingham, Birmingham, Alabama</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Sahasrabuddhe, Vikrant" sort="Sahasrabuddhe, Vikrant" uniqKey="Sahasrabuddhe V" first="Vikrant" last="Sahasrabuddhe">Vikrant Sahasrabuddhe</name>
<affiliation>
<nlm:aff id="A4">Vanderbilt University, Nashville, Tennessee</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pfaendler, Krista" sort="Pfaendler, Krista" uniqKey="Pfaendler K" first="Krista" last="Pfaendler">Krista Pfaendler</name>
<affiliation>
<nlm:aff id="A1">Center for Infectious Disease Research in Zambia, Plot # 5977 Benekale Road, Northmead, Lusaka, Zambia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A5">University of Cincinnati, Cincinnati, Ohio</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Parham, Groesbeck" sort="Parham, Groesbeck" uniqKey="Parham G" first="Groesbeck" last="Parham">Groesbeck Parham</name>
<affiliation>
<nlm:aff id="A1">Center for Infectious Disease Research in Zambia, Plot # 5977 Benekale Road, Northmead, Lusaka, Zambia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">University Teaching Hospital, Lusaka, Zambia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3">University of Alabama at Birmingham, Birmingham, Alabama</nlm:aff>
</affiliation>
</author>
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<idno type="pmid">20595342</idno>
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<idno type="RBID">PMC:4123628</idno>
<idno type="doi">10.1177/1757975910363938</idno>
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<title xml:lang="en" level="a" type="main">Myths and misconceptions about cervical cancer among Zambian women: rapid assessment by peer educators</title>
<author>
<name sortKey="Chirwa, Susan" sort="Chirwa, Susan" uniqKey="Chirwa S" first="Susan" last="Chirwa">Susan Chirwa</name>
<affiliation>
<nlm:aff id="A1">Center for Infectious Disease Research in Zambia, Plot # 5977 Benekale Road, Northmead, Lusaka, Zambia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mwanahamuntu, Mulindi" sort="Mwanahamuntu, Mulindi" uniqKey="Mwanahamuntu M" first="Mulindi" last="Mwanahamuntu">Mulindi Mwanahamuntu</name>
<affiliation>
<nlm:aff id="A1">Center for Infectious Disease Research in Zambia, Plot # 5977 Benekale Road, Northmead, Lusaka, Zambia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">University Teaching Hospital, Lusaka, Zambia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kapambwe, Sharon" sort="Kapambwe, Sharon" uniqKey="Kapambwe S" first="Sharon" last="Kapambwe">Sharon Kapambwe</name>
<affiliation>
<nlm:aff id="A1">Center for Infectious Disease Research in Zambia, Plot # 5977 Benekale Road, Northmead, Lusaka, Zambia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Mkumba, Gracilia" sort="Mkumba, Gracilia" uniqKey="Mkumba G" first="Gracilia" last="Mkumba">Gracilia Mkumba</name>
<affiliation>
<nlm:aff id="A1">Center for Infectious Disease Research in Zambia, Plot # 5977 Benekale Road, Northmead, Lusaka, Zambia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">University Teaching Hospital, Lusaka, Zambia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Stringer, Jeff" sort="Stringer, Jeff" uniqKey="Stringer J" first="Jeff" last="Stringer">Jeff Stringer</name>
<affiliation>
<nlm:aff id="A1">Center for Infectious Disease Research in Zambia, Plot # 5977 Benekale Road, Northmead, Lusaka, Zambia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3">University of Alabama at Birmingham, Birmingham, Alabama</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Sahasrabuddhe, Vikrant" sort="Sahasrabuddhe, Vikrant" uniqKey="Sahasrabuddhe V" first="Vikrant" last="Sahasrabuddhe">Vikrant Sahasrabuddhe</name>
<affiliation>
<nlm:aff id="A4">Vanderbilt University, Nashville, Tennessee</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Pfaendler, Krista" sort="Pfaendler, Krista" uniqKey="Pfaendler K" first="Krista" last="Pfaendler">Krista Pfaendler</name>
<affiliation>
<nlm:aff id="A1">Center for Infectious Disease Research in Zambia, Plot # 5977 Benekale Road, Northmead, Lusaka, Zambia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A5">University of Cincinnati, Cincinnati, Ohio</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Parham, Groesbeck" sort="Parham, Groesbeck" uniqKey="Parham G" first="Groesbeck" last="Parham">Groesbeck Parham</name>
<affiliation>
<nlm:aff id="A1">Center for Infectious Disease Research in Zambia, Plot # 5977 Benekale Road, Northmead, Lusaka, Zambia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">University Teaching Hospital, Lusaka, Zambia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3">University of Alabama at Birmingham, Birmingham, Alabama</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Global health promotion</title>
<idno type="ISSN">1757-9759</idno>
<idno type="eISSN">1757-9767</idno>
<imprint>
<date when="2010">2010</date>
</imprint>
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<front>
<div type="abstract" xml:lang="en">
<sec id="S1">
<title>Objective</title>
<p id="P1">To make a rapid assessment of the common myths and misconceptions surrounding the causes of cervical cancer and lack of screening among unscreened low-income Zambian women.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">We initiated a door-to-door community-based initiative, led by peer educators, to inform unscreened women about the existence of a new see-and-treat cervical cancer prevention program. During home visits peer educators posed the following two questions to women: 1. What do you think causes cervical cancer? 2. Why haven’t you been screened for cervical cancer? The most frequent types of responses gathered in this exercise were analyzed thematically.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Peer educators contacted over 1100 unscreened women over a period of two months. Their median age was 33 years, a large majority (58%) were not educated beyond primary school, over two-thirds (71%) did not have monthly incomes over 500,000 Zambian Kwacha (US$100) per month, and just over half (51%) were married and cohabiting with their spouses. Approximately 75% of the women engaged in discussions had heard of cervical cancer and had heard of the new cervical cancer prevention program in the local clinic. The responses of unscreened low-income Zambian women to questions posed by peer educators in urban Lusaka reflect the variety of prevalent ‘folk’ myths and misconceptions surrounding cervical cancer and its prevention methods.</p>
</sec>
<sec id="S4">
<title>Conclusion</title>
<p id="P4">The information in our rapid assessment can serve as a basis for developing future educational and intervention campaigns for improving uptake of cervical cancer prevention services in Zambia. It also speaks to the necessity of ensuring that programs addressing women’s reproductive health take into account societal inputs at the time they are being developed and implemented. Taking a community-based participatory approach to program development and implementation will help ensure sustainability and impact.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-journal-id">101497462</journal-id>
<journal-id journal-id-type="pubmed-jr-id">35831</journal-id>
<journal-id journal-id-type="nlm-ta">Glob Health Promot</journal-id>
<journal-id journal-id-type="iso-abbrev">Glob Health Promot</journal-id>
<journal-title-group>
<journal-title>Global health promotion</journal-title>
</journal-title-group>
<issn pub-type="ppub">1757-9759</issn>
<issn pub-type="epub">1757-9767</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">20595342</article-id>
<article-id pub-id-type="pmc">4123628</article-id>
<article-id pub-id-type="doi">10.1177/1757975910363938</article-id>
<article-id pub-id-type="manuscript">NIHMS605244</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Myths and misconceptions about cervical cancer among Zambian women: rapid assessment by peer educators</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Chirwa</surname>
<given-names>Susan</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mwanahamuntu</surname>
<given-names>Mulindi</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Kapambwe</surname>
<given-names>Sharon</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Mkumba</surname>
<given-names>Gracilia</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Stringer</surname>
<given-names>Jeff</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sahasrabuddhe</surname>
<given-names>Vikrant</given-names>
</name>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pfaendler</surname>
<given-names>Krista</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Parham</surname>
<given-names>Groesbeck</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A3">3</xref>
<email>groesbeck.parham@cidrz.org</email>
<email>doctorparham@hotmail.com</email>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Center for Infectious Disease Research in Zambia, Plot # 5977 Benekale Road, Northmead, Lusaka, Zambia</aff>
<aff id="A2">
<label>2</label>
University Teaching Hospital, Lusaka, Zambia</aff>
<aff id="A3">
<label>3</label>
University of Alabama at Birmingham, Birmingham, Alabama</aff>
<aff id="A4">
<label>4</label>
Vanderbilt University, Nashville, Tennessee</aff>
<aff id="A5">
<label>5</label>
University of Cincinnati, Cincinnati, Ohio</aff>
<pub-date pub-type="nihms-submitted">
<day>18</day>
<month>6</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub">
<month>6</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>06</day>
<month>8</month>
<year>2014</year>
</pub-date>
<volume>17</volume>
<issue>2 0</issue>
<fpage>47</fpage>
<lpage>50</lpage>
<pmc-comment>elocation-id from pubmed: 10.1177/1757975910363938</pmc-comment>
<permissions>
<copyright-statement>© The Author(s) 2010</copyright-statement>
<copyright-year>2010</copyright-year>
</permissions>
<abstract>
<sec id="S1">
<title>Objective</title>
<p id="P1">To make a rapid assessment of the common myths and misconceptions surrounding the causes of cervical cancer and lack of screening among unscreened low-income Zambian women.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">We initiated a door-to-door community-based initiative, led by peer educators, to inform unscreened women about the existence of a new see-and-treat cervical cancer prevention program. During home visits peer educators posed the following two questions to women: 1. What do you think causes cervical cancer? 2. Why haven’t you been screened for cervical cancer? The most frequent types of responses gathered in this exercise were analyzed thematically.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">Peer educators contacted over 1100 unscreened women over a period of two months. Their median age was 33 years, a large majority (58%) were not educated beyond primary school, over two-thirds (71%) did not have monthly incomes over 500,000 Zambian Kwacha (US$100) per month, and just over half (51%) were married and cohabiting with their spouses. Approximately 75% of the women engaged in discussions had heard of cervical cancer and had heard of the new cervical cancer prevention program in the local clinic. The responses of unscreened low-income Zambian women to questions posed by peer educators in urban Lusaka reflect the variety of prevalent ‘folk’ myths and misconceptions surrounding cervical cancer and its prevention methods.</p>
</sec>
<sec id="S4">
<title>Conclusion</title>
<p id="P4">The information in our rapid assessment can serve as a basis for developing future educational and intervention campaigns for improving uptake of cervical cancer prevention services in Zambia. It also speaks to the necessity of ensuring that programs addressing women’s reproductive health take into account societal inputs at the time they are being developed and implemented. Taking a community-based participatory approach to program development and implementation will help ensure sustainability and impact.</p>
</sec>
</abstract>
<kwd-group>
<kwd>cervical cancer</kwd>
<kwd>misconceptions</kwd>
<kwd>myths</kwd>
<kwd>peer educators</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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