Department of Obstetrics and Gynecology and Maternal Heath, University of Dschang, Dschang District Hospital, Dschang, Cameroon.
Faculty of Medicine and Pharmaceutical Sciences, Department of Public Health and Epidemiology, University of Dschang, Dschang, Cameroon.
Reprod Health. 2021 Jul 9;18(1):147. doi: 10.1186/s12978-021-01186-9.
Cervical cancer is the second leading cause of cancer-related death among women in sub-Saharan countries, constituting a major public health concern. In Cameroon, cervical cancer ranks as the second most common type of cancer among women and the leading cause of cancer-related deaths, mainly due to the lack of prevention.
Our first and main objective was to understand the barriers affecting women's decision-making process regarding participation in a cervical cancer screening program in the Dschang district (West Cameroon). Second, we aimed to explore the acceptability and perception of a single-visit approach (screen and treat).
A qualitative study using focus groups (FGs) was conducted from February to March 2020. Female participants aged between 30 and 49 years and their male partners were invited to participate. Thematic analysis was used, and barriers were classified according to the three-delay model of Thaddeus and Maine.
In total, six FGs with 43 participants (31 women and 12 men) were conducted. The most important barriers were lack of health literacy, low accessibility of the program (in respect to cost and distance), and disrespectful treatment by healthcare workers.
Our study identified three needs: (1) enhancing health literacy; (2) improving the delivery of cervical cancer screening in rural areas; and (3) providing training for healthcare providers and community healthcare workers to improve patient-provider-communication. Trial registration Ethical Cantonal Board of Geneva, Switzerland (CCER, N°2017-0110 and CER-amendment n°3) and Cameroonian National Ethics Committee for Human Health Research (N°2018/07/1083/CE/CNERSH/SP). NCT: 03757299.
在撒哈拉以南非洲国家，宫颈癌是导致女性癌症相关死亡的第二大原因，是一个主要的公共卫生关注点。在喀麦隆，宫颈癌是女性中第二常见的癌症类型，也是癌症相关死亡的主要原因，主要是由于缺乏预防措施。
我们的首要和主要目标是了解影响女性参与宫颈癌筛查计划决策过程的障碍，该计划在喀麦隆西部大区的杜阿拉市实施。其次，我们旨在探讨单次就诊（筛查和治疗）方法的可接受性和认知。
采用焦点小组（FG）的定性研究方法，于 2020 年 2 月至 3 月进行。邀请年龄在 30 至 49 岁之间的女性参与者及其男性伴侣参加。使用主题分析，根据 Thaddeus 和 Maine 的三拖延模型对障碍进行分类。
共进行了六次有 43 名参与者（31 名女性和 12 名男性）参加的 FG。最重要的障碍是健康素养低、该计划（在成本和距离方面）可及性低以及医疗保健工作者的不尊重待遇。
我们的研究确定了三种需求：（1）提高健康素养；（2）改善农村地区宫颈癌筛查的提供；（3）为医疗保健提供者和社区医疗保健工作者提供培训，以改善医患沟通。
瑞士日内瓦州伦理委员会（CCER，N°2017-0110 和 CER-amendment n°3）和喀麦隆国家人类健康研究伦理委员会（N°2018/07/1083/CE/CNERSH/SP）。NCT03757299。
