A mobile unit: an effective service for cervical cancer screening among rural Thai women

Swaddiwudhipong, Witaya; Chaovakiratipong, Chaveewan; Nguntra, Patchree; Mahasakpan, Pranee; Tatip, Yuvadee; Boonmak, Chid

doi:10.1093/ije/28.1.35

Cited by 41 publications

(32 citation statements)

References 15 publications

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“…21 Mobile clinics have been shown to be both feasible and cost-effective in providing other types of specialized care to underserved populations, such as counseling for breast cancer risk-reduction strategies, hypertension diagnosis and management, mammography, HIV and tuberculosis diagnosis and treatment, and cervical cancer screening. 22,23,24,25,26 …”

Section: Discussionmentioning

confidence: 99%

A Qualitative Study of Pregnancy Intention and the Use of Contraception among Homeless Women with Children

Kennedy¹,

Grewal²,

Roberts³

et al. 2014

hpu

121

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We undertook a qualitative analysis informed by grounded theory to explore pregnancy intention and the barriers to contraceptive use as perceived by homeless women with children. Semi-structured interviews (n = 22) were performed in English and in Spanish. The dominant theme emerging from the interviews was a strong desire to avoid pregnancy while homeless. However, few women in our sample used contraception or accessed reproductive health care consistently. There were multiple barriers to using contraception and to accessing reproductive health care services that homeless women reported: (1) inability to prioritize health due to competing demands, (2) shelter-related obstacles and restrictive provider practices that impede access to reproductive health care services and the use of contraception, and (3) change in the power dynamics of sexual relationships while homeless, making women more vulnerable to sexual exploitation. Findings suggest a multifactorial approach is needed to help homeless women use contraception and access reproductive health services.

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Section: Discussionmentioning

confidence: 99%

A Qualitative Study of Pregnancy Intention and the Use of Contraception among Homeless Women with Children

Kennedy¹,

Grewal²,

Roberts³

et al. 2014

hpu

121

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“…18 Effective programs also will work with community leaders to develop innovative strategies (such as mobile campaigns) for delivery of services to hard-to-reach women. 27 These measures also will reduce attrition, as will having strong follow-up protocols in place that can track and effectively motivate women to return for follow-up. 12,17 In addition, programs with effective information systems that link to communities are better able to notify potential clients of any changes or interruptions to routine service delivery systems.…”

Section: Discussionmentioning

confidence: 99%

Factors affecting utilization of cervical cancer prevention services in low-resource settings

Bingham¹,

Bishop²,

Coffey³

et al. 2003

Salud pública Méx

130

136

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ResumenLas estrategias para introducir o fortalecer programas de prevención de cáncer cervical deben enfocarse hacia garantizar servicios costo-efectivos, que se encuentren disponibles para que las mujeres que los necesiten puedan utilizarlos. Este artículo resume la experiencia de proyectos de investigación realizados en Bolivia, Perú, Kenya, Sudáfrica y México. Los factores que afectan la tasa de participación en programas de prevención son categorizados en tres secciones. La primera describe los factores que surgen predominantemente por normas socioculturales que influyen en la visión que las mujeres tienen sobre la salud reproductiva. La segunda discute los factores relacionados con los requerimientos clínicos y el tipo de servicio ofrecido, así como el sistema mediante el cual las mujeres están siendo invitadas a participar. La tercera sección discute factores relacionados con la calidad de la atención. Finalmente, se proveen ejemplos de las estrategias sobre los programas que son utilizados para alentar la participación de las mujeres en los servicios de prevención del cáncer cervical. Este artículo también está disponible en: http://www.insp.mx/ salud/index.html Palabras clave: neoplasmas del cuello uterino/prevención y control; participación de la paciente; calidad de la atención de salud This paper is available too at: http://www.insp.mx/salud/index.html Abstract Strategies for introducing or strengthening cervical cancer prevention programs must focus on ensuring that appropriate, cost-effective services are available and that women who most need the services will, in fact, use them. This article summarizes the experiences of research projects in Bolivia, Peru, Kenya, South Africa, and Mexico. Factors that affect participation rates in cervical cancer prevention programs are categorized in three sections. The first section describes factors that arise from prevailing sociocultural norms that influence women's views on reproductive health, well being, and notions of illness. The second section discusses factors related to the clinical requirements and the type of service delivery system in which a woman is being asked to participate. The third section discusses factors related to quality of care. Examples of strategies that programs are using to encourage women's participation in cervical cancer prevention services are provided. This paper is available too at:

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“…Mobile services have been effective in delivering preventive services such as breast 13,14 and cervical 15 cancer screening, as well as in delivering both of these types of screening together with immunizations. 16 Given 0 that cancer screening guidelines present some overlap in age eligibility for cervical, breast and colorectal cancer [8][9][10] it makes sense to integrate the provision of these 3 types of screening to increase participation.…”

Section: Discussionmentioning

confidence: 99%

Enhancing access to cervical and colorectal cancer screening for women in rural and remote northern Alberta: a pilot study

et al. 2017

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Background: Women in rural and remote northern Alberta access breast cancer screening through a mobile mammogram program (Screen Test). The Enhanced Access to Cervical and Colorectal Cancer Screening (EACS) project was a 2-year pilot that aimed to integrate cervical and colorectal cancer screening with the Screen Test program. This study compares cervical and colorectal cancer screening uptake among women screened through the pilot (Screen Test-EACS) versus Screen Test.Methods: Screen Test-EACS was offered between 2013 and 2015 in selected rural and remote sites, with a focus on hard-toreach women living in First Nations, Métis and Hutterite communities. Participation in cervical and colorectal cancer screening was analyzed for Screen Test and Screen Test-EACS participants 6 weeks before clients received their mammogram and then again 3 months after.Results: A total of 8390 and 1312 women participated in Screen Test and Screen Test-EACS, respectively. Screen Test-EACS significantly increased uptake of cervical (10.1% v. 27.5%) and colorectal (10.9% v. 22.5%) cancer screening, increasing the prevalence of women up to date with screening from 52.5% to 62.9% for cervical cancer screening and from 37.3% to 48.7% for colorectal cancer screening.Interpretation: Screen Test-EACS increased participation in and the overall prevalence of cervical and colorectal cancer screening among hard-to-reach clients in northern Alberta, probably through removal of barriers to access and increased awareness. Further research should focus on balancing the benefits of increased participation with the costs and potential risks of over-screening. Abstract ResearchResearch CMAJ OPEN CMAJ OPEN, 5(4)

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A mobile unit: an effective service for cervical cancer screening among rural Thai women

Abstract: The use of a mobile unit may be an effective screening programme in rural areas where existing screening activities cannot effectively reach the female population at risk.

Cited by 41 publications

References 15 publications

A Qualitative Study of Pregnancy Intention and the Use of Contraception among Homeless Women with Children

A Qualitative Study of Pregnancy Intention and the Use of Contraception among Homeless Women with Children

Factors affecting utilization of cervical cancer prevention services in low-resource settings

Enhancing access to cervical and colorectal cancer screening for women in rural and remote northern Alberta: a pilot study

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