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Background <p>Several studies have been conducted in Africa on barriers to cervical cancer screening from the individual and the healthcare professional perspective, while the existing interventions to overcome these barriers have been seldom reported.</p> <p>Our aim was to assess the barriers to the cervical cancer continuum process from the healthcare system perspective, and interventions in place to improve screening in 5 African countries: Cȏte d’Ivoire, Ethiopia, Uganda, Zambia and Zimbabwe.</p> Methods <p>As part of a training, collaborators from the five countries filled in a questionnaire on barriers to the cervical cancer continuum and interventions in place to improve screening. They had to prioritize barriers at each step of the process of the cancer continuum organization. Results were presented using outputs from INTERVENER, a web-based tool matching barriers to the cancer continuum and evidence-based interventions to overcome them.</p> Results <p>Barriers were mainly related to service availability (e.g., shortage of trained personnel for further management), and effectiveness, including information system barriers, mostly linked to an inadequate population registry. On the other hand, many interventions implemented in the countries focused on improving access to screening services.</p> Conclusion <p>Future research should aim to understand the underlying causes of the barriers to guide the design and implementation of interventions to overcome them. As part of quality improvement, countries should monitor and evaluate the interventions’ impact over time.</p>

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Assessment of barriers to the cervical cancer continuum and existing interventions in 5 African countries

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月4日

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  • Isabel Mosquera,
  • Arunah Chandran,
  • Mary Luz Rol,
  • Adie Yao Mesmin Olivier,
  • Yacubu Bakare Herve Julius,
  • Takelech Moges Asnake,
  • Frank Rwabinumi Mugabe,
  • Bridget Kebirungi,
  • Mwate Joseph Chaila,
  • George Pupwe,
  • Bothwell Takaingofa Guzha,
  • Ndabaningi Simango,
  • Sharon Kapambwe,
  • Jean Marie Dangou,
  • Partha Basu,
  • Andre Lopes Carvalho

摘要

Background

Several studies have been conducted in Africa on barriers to cervical cancer screening from the individual and the healthcare professional perspective, while the existing interventions to overcome these barriers have been seldom reported.

Our aim was to assess the barriers to the cervical cancer continuum process from the healthcare system perspective, and interventions in place to improve screening in 5 African countries: Cȏte d’Ivoire, Ethiopia, Uganda, Zambia and Zimbabwe.

Methods

As part of a training, collaborators from the five countries filled in a questionnaire on barriers to the cervical cancer continuum and interventions in place to improve screening. They had to prioritize barriers at each step of the process of the cancer continuum organization. Results were presented using outputs from INTERVENER, a web-based tool matching barriers to the cancer continuum and evidence-based interventions to overcome them.

Results

Barriers were mainly related to service availability (e.g., shortage of trained personnel for further management), and effectiveness, including information system barriers, mostly linked to an inadequate population registry. On the other hand, many interventions implemented in the countries focused on improving access to screening services.

Conclusion

Future research should aim to understand the underlying causes of the barriers to guide the design and implementation of interventions to overcome them. As part of quality improvement, countries should monitor and evaluate the interventions’ impact over time.