“My motivation was to save”: a qualitative study exploring factors influencing motivation of community healthcare workers in a cervical cancer screening program in Dschang, Cameroon

Hämmerli, Pauline; Moukam, Alida Datchoua; Wisniak, Ania; Sormani, Jessica; Vassilakos, Pierre; Petignat, Patrick; Schmidt, Nicole

doi:10.1186/s12978-022-01420-y

Cited by 1 publication

(4 citation statements)

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“…Of four articles which highlighted the role of supervision in cervical cancer screening programs, only the one cited above mentioned its impact on the success of screening programs [ 9 ]. On the flip side, CHWs’ accountability to a senior staff in the program could play an enabling role in their task of sensitizing women to screen for cervical cancer [ 32 ]. This is shown in the comment below from a female worker [ 32 ]: “ Because…….there are some cases of refusal, but when we come to see him [a doctor in the screening program], he gives us more ideas to go and convince the person.…”

Section: Resultsmentioning

confidence: 99%

“…On the flip side, CHWs’ accountability to a senior staff in the program could play an enabling role in their task of sensitizing women to screen for cervical cancer [ 32 ]. This is shown in the comment below from a female worker [ 32 ]: “ Because…….there are some cases of refusal, but when we come to see him [a doctor in the screening program], he gives us more ideas to go and convince the person. ” (Maka04) …”

Section: Resultsmentioning

confidence: 99%

“…Conversely, Adedimeji and collaborators [ 23 ] highlighted the extensive focus of public health resources on health programs like HIV/AIDS to be a major reason for insufficient attention to other important issues like cervical cancer. Moreover, many cancer screening programs in this review were initiated primarily by private or international institutions [ 23 ], some in partnership with public institutions, but with little or no information about the transition plan from international leadership to government ownership for sustainability [ 26 , 32 ].…”

Section: Resultsmentioning

confidence: 99%

“…In Iran, the recruitment of women by CHWs raised cervical cancer screening rates from 0% to 62.85% over a period of two months [ 40 ]. This indicates that CHW contribute to increase cervical cancer screening uptake by women [ 32 ]. Furthermore, the WHP and cervical cancer screening project in Dschang had independent program-specific training curricula for frontline providers of screening and treatment of CIN [ 27 , 28 ].…”

Section: Discussionmentioning

confidence: 99%

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Disparities in cervical cancer screening programs in Cameroon: a scoping review of facilitators and barriers to implementation and uptake of screening

Woks,

Anwi,

Kefiye

et al. 2023

Int J Equity Health

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Background Cervical cancer is the fourth most common cancer worldwide. Organized screening has achieved significant reductions in cervical cancer incidence and mortality in many high-income countries (HICs). But the gap between HICs and low-and-middle-income countries (LMICs) is still substantial as the highest burden of the disease is in LMICs. Cameroon is a LMIC, where cervical cancer is the leading cause of cancer-related deaths among women, only 3–5% of eligible women have been screened and there is no effective national cervical cancer prevention program. Objective(s) Identify facilitators and barriers to the implementation and uptake of existing cervical cancer screening programs in Cameroon to inform the implementation of a comprehensive national program. Methods We conducted a scoping review using the Preferred Reporting Items for Systematic Reviews and Meta-analysis, extension for Scoping Reviews (PRISMA-ScR). Google Scholar and five electronic databases (PubMed, CINAHL, Embase, Cochrane library and Web of Science) were searched systematically from 2012 to 2022. Articles on cervical cancer screening programs in Cameroon were eligible for inclusion. Two reviewers independently screened search results and extracted relevant data. Results A total of 182 articles were identified using our search strategy, and 20 were included. There was scarcity of publications from the North, Adamawa, East and South regions of Cameroon. Barriers and facilitators found were presented using the World Health Organisation framework for health systems. Cross-cutting barriers were: (1) the lack of a national training curriculum for screening providers with no elaborate, harmonized screening and treatment algorithm for cervical precancers; and (2) women’s lack of information about cervical cancer screening activities. Conversely, provision of screening services at a low or no cost to women in some programs and the feasibility of using novel point of care screening methods like the Human Papillomavirus DNA test were identified as facilitators. Conclusion This scoping review indicates that there are knowledge and research gaps concerning the state of cervical cancer screening services in some regions of Cameroon. Moreover, it underlines the need for comprehensive cancer control policies and practices integrating all six-health system building blocks to reduce disparities between regions, and rural versus urban areas in Cameroon.

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Section: Resultsmentioning

confidence: 99%