School of Public Health and Primary Care, Fiji National University, Suva, Fiji.
BMC Health Serv Res. 2021 Oct 25;21(1):1154. doi: 10.1186/s12913-021-07176-8.
Cervical cancer is the thirdly vast usual cause of cancer in women, and the second vast majority cause of death among women aged 14 to 44 years, both in developed and developing countries. This paper aims to explore the perception of women and Health Care Workers (HCWs) about health care related factors affecting the Pap smear services among women who are screened in the Women Wellness Centre (WWC) in Suva, Fiji.
This study used a qualitative method in July-September 2019 in which women screened for cervical cancer used in-depth interviews whereas HCWs used Focus Group Discussion (FGD) in WWC in Suva, Fiji. This study used purposive maximum variation sampling where participants are selected according to the inclusion and exclusion criteria. Semi-structured open ended questionnaires were used to collect the data among participants. Data coding was done until theoretical saturation was reached. Thematic analysis was used and all the text has been coded, themes were abstracted from the coded text segments.
A total of 20 women screened for cervical cancer and 5 HCWs were present during the duration of the study. Health care system was a factor recognized by both groups to have been a cause for the hindrance of cervical screening. There were 8 themes identified from the study, 3 themes from the women screened for cervical cancer and 5 from HCWs. Nearly all the participants reported about the compromised of cervical cancer screening services delivery because of factors such as lack of equipment and supplies, shortage of staff, long distances to health facilities, turnaround time and delay of results which affect the uptake of cervical cancer screening services.
While improvement has been made in the distribution of cervical cancer screening in WWC, a number of barriers and factors affect service uptake and delivery. Investments to be made in order to address the identified barriers such as turnaround time, long distances to health facilities, shortage of supplies and staff in order to improve uptake of cervical cancer screening services.
在发达国家和发展中国家，宫颈癌是女性中第三大常见癌症，也是 14 至 44 岁女性死亡的第二大常见原因。本文旨在探讨妇女和卫生保健工作者（HCWs）对影响在斐济苏瓦妇女健康中心（WWC）筛查的妇女进行巴氏涂片检查服务的保健相关因素的看法。
本研究于 2019 年 7 月至 9 月采用定性方法进行，在苏瓦的 WWC 中，对接受宫颈癌筛查的妇女使用深入访谈，对 HCWs 使用焦点小组讨论（FGD）。本研究采用了有目的的最大变异抽样法，根据纳入和排除标准选择参与者。使用半结构式开放式问卷收集参与者的数据。对数据进行编码，直到达到理论饱和度。采用主题分析，对所有文本进行编码，从编码的文本段中提取主题。
在研究期间，共有 20 名接受宫颈癌筛查的妇女和 5 名 HCWs 参加。卫生保健系统是两组都认为是阻碍宫颈癌筛查的一个因素。从研究中确定了 8 个主题，其中 3 个来自接受宫颈癌筛查的妇女，5 个来自 HCWs。几乎所有参与者都报告了由于缺乏设备和用品、人员短缺、到卫生设施的距离长、周转时间和结果延迟等因素，导致宫颈癌筛查服务的提供受到影响，从而影响了宫颈癌筛查服务的利用率。
虽然在 WWC 中已经改善了宫颈癌筛查的分布，但一些障碍和因素仍然影响服务的利用和提供。为了解决确定的障碍，如周转时间、到卫生设施的距离长、用品和人员短缺，需要进行投资，以提高宫颈癌筛查服务的利用率。
