Mind the gaps: a qualitative study of perceptions of healthcare professionals on challenges and proposed remedies for cervical cancer help-seeking in post conflict northern Uganda
Identifieur interne : 000217 ( Main/Exploration ); précédent : 000216; suivant : 000218Mind the gaps: a qualitative study of perceptions of healthcare professionals on challenges and proposed remedies for cervical cancer help-seeking in post conflict northern Uganda
Auteurs : Amos D. Mwaka [Ouganda] ; Henry R. Wabinga [Ouganda] ; Harriet Mayanja-Kizza [Ouganda]Source :
- BMC Family Practice [ 1471-2296 ] ; 2013.
Abstract
There are limited data on perceptions of health professionals on challenges faced by cervical cancer patients seeking healthcare in the developing countries. We explored the views of operational level health professionals on perceived barriers to cervical screening and early help–seeking for symptomatic cervical cancer and the proposed remedies to the challenges.
Fifteen key informant interviews were held with health professionals including medical directors, gynecologists, medical officers, nurses and midwives in the gynecology and obstetrics departments of two hospitals in northern Uganda during August 2012 to April 2013. We used content analysis techniques to analyze the data.
Health professionals’ perceived barriers to cervical cancer care included: (i) patients and community related barriers e.g. lack of awareness on cervical cancer and available services, discomfort with exposure of women’s genitals and perceived pain during pelvic examinations, and men’s lack of emotional support to women (ii) individual healthcare professional’s challenges e.g. inadequate knowledge and skills about cervical cancer management; (iii) health facility related barriers e.g. long distances and lack of transport to cervical cancer screening and care centers, few gynecologists and lack of pathologists, delayed histology results, lack of established palliative care services and inadequate pain control; and (iv) health policy challenges e.g. lack of specialized cancer treatment services, and lack of vaccination for human papilloma virus. Other challenges included increased number of cervical cancer patients and late stage of cervical cancer at presentations.
Operational level healthcare professionals in northern Uganda reported several practical challenges facing cervical cancer care that influence their decisions, management goals and practices. The challenges and proposed remedies can inform targeted interventions for early detection, management, and control of cervical cancer in Uganda.
Url:
DOI: 10.1186/1471-2296-14-193
PubMed: 24341601
PubMed Central: 3915559
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Mind the gaps: a qualitative study of perceptions of healthcare professionals on challenges and proposed remedies for cervical cancer help-seeking in post conflict northern Uganda</title><author><name sortKey="Mwaka, Amos D" sort="Mwaka, Amos D" uniqKey="Mwaka A" first="Amos D" last="Mwaka">Amos D. Mwaka</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Medicine, School of Medicine, College of Health Sciences, Makerere University, P.O Box 7072, Kampala, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Medicine, School of Medicine, College of Health Sciences, Makerere University, P.O Box 7072, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author><author><name sortKey="Wabinga, Henry R" sort="Wabinga, Henry R" uniqKey="Wabinga H" first="Henry R" last="Wabinga">Henry R. Wabinga</name><affiliation wicri:level="1"><nlm:aff id="I2">Kampala Cancer Registry, Department of Pathology, School of Biomedical Sciences, College of Health Sciences, Makerere University, Kampala, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Kampala Cancer Registry, Department of Pathology, School of Biomedical Sciences, College of Health Sciences, Makerere University, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author><author><name sortKey="Mayanja Kizza, Harriet" sort="Mayanja Kizza, Harriet" uniqKey="Mayanja Kizza H" first="Harriet" last="Mayanja-Kizza">Harriet Mayanja-Kizza</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Medicine, School of Medicine, College of Health Sciences, Makerere University, P.O Box 7072, Kampala, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Medicine, School of Medicine, College of Health Sciences, Makerere University, P.O Box 7072, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24341601</idno><idno type="pmc">3915559</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3915559</idno><idno type="RBID">PMC:3915559</idno><idno type="doi">10.1186/1471-2296-14-193</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000294</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000294</idno><idno type="wicri:Area/Pmc/Curation">000293</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000293</idno><idno type="wicri:Area/Pmc/Checkpoint">000185</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000185</idno><idno type="wicri:Area/Ncbi/Merge">000285</idno><idno type="wicri:Area/Ncbi/Curation">000285</idno><idno type="wicri:Area/Ncbi/Checkpoint">000285</idno><idno type="wicri:Area/Main/Merge">000218</idno><idno type="wicri:Area/Main/Curation">000217</idno><idno type="wicri:Area/Main/Exploration">000217</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Mind the gaps: a qualitative study of perceptions of healthcare professionals on challenges and proposed remedies for cervical cancer help-seeking in post conflict northern Uganda</title><author><name sortKey="Mwaka, Amos D" sort="Mwaka, Amos D" uniqKey="Mwaka A" first="Amos D" last="Mwaka">Amos D. Mwaka</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Medicine, School of Medicine, College of Health Sciences, Makerere University, P.O Box 7072, Kampala, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Medicine, School of Medicine, College of Health Sciences, Makerere University, P.O Box 7072, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author><author><name sortKey="Wabinga, Henry R" sort="Wabinga, Henry R" uniqKey="Wabinga H" first="Henry R" last="Wabinga">Henry R. Wabinga</name><affiliation wicri:level="1"><nlm:aff id="I2">Kampala Cancer Registry, Department of Pathology, School of Biomedical Sciences, College of Health Sciences, Makerere University, Kampala, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Kampala Cancer Registry, Department of Pathology, School of Biomedical Sciences, College of Health Sciences, Makerere University, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author><author><name sortKey="Mayanja Kizza, Harriet" sort="Mayanja Kizza, Harriet" uniqKey="Mayanja Kizza H" first="Harriet" last="Mayanja-Kizza">Harriet Mayanja-Kizza</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Medicine, School of Medicine, College of Health Sciences, Makerere University, P.O Box 7072, Kampala, Uganda</nlm:aff><country xml:lang="fr">Ouganda</country><wicri:regionArea>Department of Medicine, School of Medicine, College of Health Sciences, Makerere University, P.O Box 7072, Kampala</wicri:regionArea><wicri:noRegion>Kampala</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Family Practice</title><idno type="eISSN">1471-2296</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>There are limited data on perceptions of health professionals on challenges faced by cervical cancer patients seeking healthcare in the developing countries. We explored the views of operational level health professionals on perceived barriers to cervical screening and early help–seeking for symptomatic cervical cancer and the proposed remedies to the challenges.</p></sec><sec><title>Methods</title><p>Fifteen key informant interviews were held with health professionals including medical directors, gynecologists, medical officers, nurses and midwives in the gynecology and obstetrics departments of two hospitals in northern Uganda during August 2012 to April 2013. We used content analysis techniques to analyze the data.</p></sec><sec><title>Results</title><p>Health professionals’ perceived barriers to cervical cancer care included: (i) patients and community related barriers e.g. lack of awareness on cervical cancer and available services, discomfort with exposure of women’s genitals and perceived pain during pelvic examinations, and men’s lack of emotional support to women (ii) individual healthcare professional’s challenges e.g. inadequate knowledge and skills about cervical cancer management; (iii) health facility related barriers e.g. long distances and lack of transport to cervical cancer screening and care centers, few gynecologists and lack of pathologists, delayed histology results, lack of established palliative care services and inadequate pain control; and (iv) health policy challenges e.g. lack of specialized cancer treatment services, and lack of vaccination for human papilloma virus. Other challenges included increased number of cervical cancer patients and late stage of cervical cancer at presentations.</p></sec><sec><title>Conclusions</title><p>Operational level healthcare professionals in northern Uganda reported several practical challenges facing cervical cancer care that influence their decisions, management goals and practices. 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J">JM Bourque</name></author><author><name sortKey="Pynda, Y" uniqKey="Pynda Y">Y Pynda</name></author><author><name sortKey="Izewska, J" uniqKey="Izewska J">J Izewska</name></author><author><name sortKey="Van Der Merwe, D" uniqKey="Van Der Merwe D">D Van der Merwe</name></author><author><name sortKey="Zubizarreta, E" uniqKey="Zubizarreta E">E Zubizarreta</name></author><author><name sortKey="Rosenblatt, E" uniqKey="Rosenblatt E">E Rosenblatt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Banura, C" uniqKey="Banura C">C Banura</name></author><author><name sortKey="Mirembe, Fm" uniqKey="Mirembe F">FM Mirembe</name></author><author><name sortKey="Katahoire, Ar" uniqKey="Katahoire A">AR Katahoire</name></author><author><name sortKey="Namujju, Pb" uniqKey="Namujju P">PB Namujju</name></author><author><name sortKey="Mbidde, Ek" uniqKey="Mbidde E">EK Mbidde</name></author></analytic></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Ouganda</li></country></list><tree><country name="Ouganda"><noRegion><name sortKey="Mwaka, Amos D" sort="Mwaka, Amos D" uniqKey="Mwaka A" first="Amos D" last="Mwaka">Amos D. Mwaka</name></noRegion><name sortKey="Mayanja Kizza, Harriet" sort="Mayanja Kizza, Harriet" uniqKey="Mayanja Kizza H" first="Harriet" last="Mayanja-Kizza">Harriet Mayanja-Kizza</name><name sortKey="Wabinga, Henry R" sort="Wabinga, Henry R" uniqKey="Wabinga H" first="Henry R" last="Wabinga">Henry R. Wabinga</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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