Integration of comprehensive women’s health programmes into health systems: cervical cancer prevention, care and control in Rwanda

Binagwaho, Agnès; Ngabo, Fidèle; Wagner, Claire; Mugeni, Cathy; Gatera, Maurice; Nutt, Cameron T; Nsanzimana, Sabin

doi:10.2471/blt.12.116087

Cited by 74 publications

(106 citation statements)

References 18 publications

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“…Other study (Binagwaho et al, 2013) concurs with our study finding. In cytology-based screening programs it is need to obtain the Pap smear in health centers by midwife and to transport them to laboratories for interpretation.…”

Section: Discussionsupporting

confidence: 79%

Challenges of Providing Cervical Cancer Prevention Programs In Iran: A Qualitative Study

Bayrami

Taghipour²,

Ebrahimipour³

2015

Asian Pacific Journal of Cancer Prevention

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Background: Cervical cancer has become a major public health problem worldwide. Iran, like other developing countries, is facing a number of challenges in managing the disease. This qualitative study documents challenges encountered in cervical cancer preventing programs in Iran. Materials and Methods: In-depth interviews were conducted with 28 participants including eleven patients with cervical cancer, three gynecologic oncologists, five specialists in Obstetrics and Gynecology, five midwives, three health care managers and one epidemiologist in Mashhad Iran, between May and December of 2012. The sample was selected purposively until data saturation was achieved. Data credibility verified via allocated sufficient time for data collection, using member checking and peer debriefing. Data analysis was carried out using conventional content analysis approach with ATLAS. ti software. Results: Findings from data analysis demonstrated 2 major themes and 6 categories about challenges of providing cervical cancer prevention programs including: individual and social challenges (cognitive/behavioral challenges and socio/cultural challenges) and health system challenges (stewardship, financing, competency of health care providers and access to services). Each category included some subcategories. Conclusions: Managing the cervical cancer prevention programs need to include the consideration of individuals, health care providers and health system challenges. Addressing the low level of knowledge, negative attitudes, socio cultural challenges, Poor intersectional collaboration and coordination and intra-sectional management, financing and competency of health care providers are essential steps toward significantly reducing the burdens of cervical cancer.

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Section: Discussionsupporting

confidence: 79%

Challenges of Providing Cervical Cancer Prevention Programs In Iran: A Qualitative Study

Bayrami

Taghipour²,

Ebrahimipour³

2015

Asian Pacific Journal of Cancer Prevention

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“…Integrating cervical-cancer education into secondary and medical schools contributed to the reduction in the incidence of cervicalcancer in Rwanda [31]. Technical effectiveness: In a study involving 350 women (divided into two arms) carried out in Nigeria, aimed at evaluating the effect of a group educational programme on awareness of cervical screening, there was an increase in knowledge about cervical-cancer and cervical-cancer screening among the intervention group exposed to educational programme compared with the control (not exposed to educational programme), suggesting that expanding the programme may increase knowledge and cervical-cancer screening uptake in the country [4].…”

Section: Group Educationmentioning

confidence: 99%

Analysis of Interventions for Improving Cervical-Cancer Screening Uptake among Nigerian Women

Afam¹

2017

PHOA

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Cervical-cancer is preventable through early detection of cervical intraepithelial neoplasia that heralds the disease via cervical-cancer screening, yet its mortality is still high especially in developing countries. In Nigeria, researchers have attributed the high cervical-cancer mortality to low uptake of cervical-cancer screening predicated on wrong perception and low knowledge of cervical-cancer and cervical-cancer screening; lack of cervical-cancer screening programme; inadequate community support for cervical-cancer screening and gap in screening skills among health-workers where opportunistic cervical-cancer screening exists. This study aims to identify context-specific interventions for improving cervical-cancer screening uptake and reducing cervical-cancer burden in Nigeria. Secondary data was used for the study.Literature were obtained from Global Health, Popline and PubMed databases; WHO and other relevant websites using Eldis search engine; and from libraries in the University of Leeds and WHO in Geneva. Interventions for improving cervical-cancer screening uptake were analyzed using a set of appraisal criteria which include; technical and cost effectiveness, organizational, gender, cultural and political feasibility to determine their applicability and transferability in Nigeria. Broad interventions identified are; intervention aimed at correcting perception, improving knowledge and increasing access to cervical-cancer screening. Reducing the burden and impact of cervical-cancer in Nigeria will depend on implementation of these interventions by stakeholders.

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“…The paper by Binagwaho et al in this issue 13 illustrates the progress that can be made in addressing women's health problems when there is commitment at the country level and the necessary changes to the health system are made. Rwanda has undertaken a major health system reform in recent years to improve the coverage and efficiency of key services.…”

Section: Leadership Mattersmentioning

confidence: 99%

“…Papers in this issue of the Bulletin [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] cover various aspects of women's health that are not limited to the reproductive years. Taken together, they highlight persistent failures to address women's critical health needs.…”

Section: Perspectivesmentioning

confidence: 99%

Policy directions to improve women’s health beyond reproduction

Bustreo

Zoysa²,

Carvalho

2013

Bull. World Health Organ.

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Integration of comprehensive women’s health programmes into health systems: cervical cancer prevention, care and control in Rwanda

Cited by 74 publications

References 18 publications

Challenges of Providing Cervical Cancer Prevention Programs In Iran: A Qualitative Study

Challenges of Providing Cervical Cancer Prevention Programs In Iran: A Qualitative Study

Analysis of Interventions for Improving Cervical-Cancer Screening Uptake among Nigerian Women

Policy directions to improve women’s health beyond reproduction

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