Barriers and facilitators of retention in care after cervical cancer screening: patients' and healthcare providers' perspectives

被引：0

作者：

Owokuhaisa, Judith ^{[1
]}

Turyakira, Eleanor ^{[1
]}

Ssedyabane, Frank ^{[2
]}

Tusubira, Deusdedit ^{[3
]}

Kajabwangu, Rogers ^{[4
]}

Musinguzi, Pius ^{[5
]}

Galiwango, Martin ^{[6
]}

Randall, Thomas C. ^{[7
]}

Kakongi, Nathan ^{[3
]}

Castro, Cesar M. ^{[8
,9
]}

Atukunda, Esther C. ^{[10
]}

Maling, Samuel ^{[11
]}

机构：

[1] Mbarara Univ Sci & Technol, Fac Med, Dept Community Hlth, Mbarara, Uganda

[2] Mbarara Univ Sci & Technol, Fac Med, Dept Med Lab Sci, Mbarara, Uganda

[3] Mbarara Univ Sci & Technol, Fac Med, Dept Biochem, Mbarara, Uganda

[4] Mbarara Univ Sci & Technol, Fac Med, Dept Obstet & Gynecol, Mbarara, Uganda

[5] Mbarara Univ Sci & Technol, Fac Med, Dept Nursing, Mbarara, Uganda

[6] Mbarara Univ Sci Sci & Technol, Fac Appl Sci & Technol, Dept Elect & Elect Engn, POB 1410, Mbarara, Uganda

[7] Harvard Med Sch, Massachusetts Gen Hosp, Dept Global Hlth & Social Med, Boston, MA USA

[8] Harvard Med Sch, Massachusetts Gen Hosp, Ctr Syst Biol, Boston, MA 02114 USA

[9] Harvard Med Sch, Massachusetts Gen Hosp, Canc Ctr, Boston, MA 02114 USA

[10] Mbarara Univ Sci & Technol, Fac Med, Dept Pharm, Mbarara, Uganda

[11] Mbarara Univ Sci & Technol, Fac Med, Dept Psychiat, Mbarara, Uganda

来源：

BMC WOMENS HEALTH | 2024年 / 24卷 / 01期

关键词：

Cancer; Cervix; Screening; Loss to follow-up; Retention in care; Barriers; Facilitators; FOLLOW-UP CARE; MIDDLE-INCOME COUNTRIES; WOMEN; PREVENTION;

D O I：

10.1186/s12905-024-03343-1

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

BackgroundCervical cancer continues to threaten women's health, especially in low-resource settings. Regular follow-up after screening and treatment is an effective strategy for monitoring treatment outcomes. Consequently, understanding the factors contributing to patient non-attendance of scheduled follow-up visits is vital to providing high-quality care, reducing morbidity and mortality, and unnecessary healthcare costs in low-resource settings.MethodsA descriptive qualitative study was done among healthcare providers and patients who attended the cervical cancer screening clinic at Mbarara Regional Referral Hospital in southwestern Uganda. In-depth interviews were conducted using a semi-structured interview guide. Interviews were audio-recorded, transcribed verbatim, and thematically analysed in line with the social-ecological model to identify barriers and facilitators.ResultsWe conducted 23 in-depth interviews with 5 healthcare providers and 18 patients. Health system barriers included long waiting time at the facility, long turnaround time for laboratory results, congestion and lack of privacy affecting counselling, and healthcare provider training gaps. The most important interpersonal barrier among married women was lacking support from male partners. Individual-level barriers were lack of money for transport, fear of painful procedures, emotional distress, and illiteracy. Inadequate and inaccurate information was a cross-cutting barrier across the individual, interpersonal, and community levels of the socio-ecological model. The facilitators were social support, positive self-perception, and patient counselling.ConclusionsOur study revealed barriers to retention in care after cervical cancer screening, including lack of partner support, financial and educational constraints, and inadequate information. It also found facilitators that included social support, positive self-perception, and effective counselling.

引用

页数：13