Abstract:Objectives
The World Health Organization’s (WHO) global strategy for cervical cancer elimination has set the target of 70% of women screened in all countries by 2030. Community sensitization through media is often used, but community health workers’ (CHW) involvement may contribute to improving screening coverage. We aimed to assess effectiveness and costs of two cervical cancer screening recruitment strategies conducted in a low-resource setting.
Methods
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“…In this study, respondents also suggests that telemedicine can be used as effective tool in early detection of cancer by sharing pictures of cervix with consultants via digital cameras; was wellsupported with Arviliana and his co-associates 24 findings. Also, community information channels such as radio, television and advertisements raises cervical cancer awareness and engages large population in short period of time 25 ; well supports our findings i.e. cervical cancer screening programs must be advertised through mass media.…”
Section: Source Of Information With Respect To Cervical Cancer and It...supporting
Objectives: To discover role of mass media in cervical cancer and its screening awareness with socio-demographic profile, understanding, source of information and advocacy towards the disease. Study Design: Descriptive study. Setting: OPD of Gynecology and Obstetrics Department, Shaikh Zayed Hospital, Lahore, Pakistan. Period: 1st August, 2022 to 31st October, 2022. Material & Methods: Participants were selected via convenient sampling technique. Data was analyzed through SPSS version 24. Results: 17% respondents agreed that mass media has attributed to cervical cancer awareness while 83% were not familiar with the disease. 93% and 7% respondents had poor and good understanding, respectively. 36% respondents attained information from doctors/health care workers. Whereas, 68% and 32% respondents had found mass media imperative and had not found significant in cervical cancer and its screening advocacy, respectively. Conclusion: The study revealed poor understanding but with the help of health care workers, print and digital media, respondent’s knowledge on cervical cancer and its screening may enhance as well as awareness on their health spectrum may broaden.
“…In this study, respondents also suggests that telemedicine can be used as effective tool in early detection of cancer by sharing pictures of cervix with consultants via digital cameras; was wellsupported with Arviliana and his co-associates 24 findings. Also, community information channels such as radio, television and advertisements raises cervical cancer awareness and engages large population in short period of time 25 ; well supports our findings i.e. cervical cancer screening programs must be advertised through mass media.…”
Section: Source Of Information With Respect To Cervical Cancer and It...supporting
Objectives: To discover role of mass media in cervical cancer and its screening awareness with socio-demographic profile, understanding, source of information and advocacy towards the disease. Study Design: Descriptive study. Setting: OPD of Gynecology and Obstetrics Department, Shaikh Zayed Hospital, Lahore, Pakistan. Period: 1st August, 2022 to 31st October, 2022. Material & Methods: Participants were selected via convenient sampling technique. Data was analyzed through SPSS version 24. Results: 17% respondents agreed that mass media has attributed to cervical cancer awareness while 83% were not familiar with the disease. 93% and 7% respondents had poor and good understanding, respectively. 36% respondents attained information from doctors/health care workers. Whereas, 68% and 32% respondents had found mass media imperative and had not found significant in cervical cancer and its screening advocacy, respectively. Conclusion: The study revealed poor understanding but with the help of health care workers, print and digital media, respondent’s knowledge on cervical cancer and its screening may enhance as well as awareness on their health spectrum may broaden.
“…A cross-sectional, interventional study conducted in the Dschang health district observed a 30.1% (584/1940) increase in women’s attendance at the cervical cancer screening program following recruitment by community health workers (CHWs) [ 33 ]. These findings are similar to women’s participation in screening programs at 35.9% (1292/3600) in another study in where Community Mother and Child Aids (CoMCHAs) sensitized women about cervical cancer screening [ 25 ].…”
Section: Resultsmentioning
confidence: 99%
“…These findings are similar to women’s participation in screening programs at 35.9% (1292/3600) in another study in where Community Mother and Child Aids (CoMCHAs) sensitized women about cervical cancer screening [ 25 ]. Farmers and housewives, who are sometimes difficult to reach were more represented in the CHW-led recruitment at 42.6% and 25.2% [ 33 ].…”
Section: Resultsmentioning
confidence: 99%
“…Specific roles with clearly defined responsibilities played an important role in the success of WHP and Dschang cervical cancer screening programs [ 27 ]. CHWs in Dschang distributed invitation vouchers to each woman they approached, such that these vouchers were presented by women at their cervical cancer screening visits [ 33 ]. It enabled traceability to distinguish between the impact of CHWs and communication and information channels [ 33 ].…”
Section: Resultsmentioning
confidence: 99%
“…CHWs in Dschang distributed invitation vouchers to each woman they approached, such that these vouchers were presented by women at their cervical cancer screening visits [ 33 ]. It enabled traceability to distinguish between the impact of CHWs and communication and information channels [ 33 ]. In the WHP, nurses screened and treated women for premalignant lesions of the cervix, performed biopsies and referred women in need of higher level of care to the appropriate facilities [ 9 , 27 ].…”
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.
Cervical cancer screening is a critical public health measure, especially vital for underserved communities where disparities in access and outcomes are pronounced. Despite the life-saving potential of regular screening, numerous barriers—including geographical isolation, cultural and linguistic challenges, and socioeconomic factors—severely hinder accessibility for these populations. Multicancer early detection (MCED) tests emerge as a potentially effective intervention, offering a less invasive, more accessible approach that could transform how screenings are conducted. This paper explores the existing challenges in traditional cervical cancer screening methods, the potential of MCED tests to address these barriers, and the implications of these technologies for global health equity. Through a comprehensive review, we highlight the need for culturally sensitive, tailored interventions and the importance of effectively overcoming logistical and financial difficulties to implement MCED tests. Despite the promise shown by MCED tests, the paper acknowledges significant implementation challenges, including cost, logistical obstacles, and the need for cultural acceptance and validation studies. This study emphasizes the necessity for equitable MCED test implementation strategies, highlighting the potential of these innovative technologies to advance global health equity in cervical cancer prevention.
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