University of New South Wales School of Public Health and Community Medicine, Kensington, NSW, 2033, Australia.
Gulu University, Faculty of Medicine, P. O Box 166, Gulu, Uganda.
BMC Public Health. 2020 Sep 14;20(1):1396. doi: 10.1186/s12889-020-09482-y.
Uganda has one of the highest burdens of cervical cancer globally. In 2010 the Ugandan Ministry of Health launched the Strategic Plan for Cervical Cancer Prevention and Control with the hope of developing cervical cancer policy in Uganda. This study explored the beliefs of senior key informants in Uganda about cervical cancer prevention, the control programme, and the relevance of cervical cancer policy.
We conducted 15 key informant interviews with participants from six organisations across Northern and Central Uganda. Participants were drawn from district local government health departments, St. Mary's Hospital Lacor, Uganda Nurses and Midwifery Council, non-governmental organisations (NGOs) and Ministry of Health in Kampala, Uganda. The interview recordings were transcribed and analysed using thematic analysis.
Seven themes emerged relating to the cervical cancer prevention and control programmes in Uganda: (1) policy frameworks for cervical cancer, (2) operationalising cervical cancer prevention and control, (3) financial allocation and alignment, (4) human resources and capability, (5) essential supplies and vaccines, (6) administrative data and resource distribution, and (7) cervical cancer services.
The key informants perceive that the lack of a cervical cancer policy in Uganda is hindering cervical cancer prevention and control programmes. Therefore, the Ministry of Health and stakeholders need to work together in coming up with an effective policy framework that will accelerate efforts towards cervical cancer prevention and control in Uganda.
乌干达是全球宫颈癌负担最重的国家之一。2010 年,乌干达卫生部发布了《宫颈癌预防和控制战略计划》,希望在乌干达制定宫颈癌政策。本研究探讨了乌干达高级关键信息员对宫颈癌预防、控制规划以及宫颈癌政策相关性的看法。
我们在乌干达北部和中部的六个组织中对 15 名关键信息员进行了访谈。参与者来自区地方政府卫生部门、圣玛丽医院拉科尔、乌干达护士和助产士理事会、非政府组织(NGO)和乌干达坎帕拉卫生部。访谈录音转录后,采用主题分析进行分析。
有七个主题与乌干达的宫颈癌预防和控制规划有关:(1)宫颈癌政策框架,(2)宫颈癌预防和控制的运作,(3)财务分配和调整,(4)人力资源和能力,(5)基本用品和疫苗,(6)行政数据和资源分配,以及(7)宫颈癌服务。
关键信息员认为,乌干达缺乏宫颈癌政策阻碍了宫颈癌的预防和控制规划。因此,卫生部和利益相关者需要共同努力,制定一个有效的政策框架,以加速乌干达宫颈癌的预防和控制工作。