Mapping the Health Communication Infrastructure in Rural Senegal: an Assessment to Support Cervical Cancer Screening

Cervical cancer is the leading cause of women's cancer deaths in Senegal, but few medical personnel are trained to perform cervical cancer screening. In rural areas, the situation is worse. To remedy this, a collaborative of researchers and stakeholders trained local health-care workers in cervical cancer screening through the "training-of-trainers" method. However, lack of cancer screening knowledge, barriers, and a hard-to-reach population may jeopardize the collaborative's efforts. The purpose of this study is to map the health communication infrastructure by applying communication infrastructure theory to assess general health and cancer screening knowledge, as well as attitudes and barriers toward screening. Results from focus groups and interviews show that women have minimal knowledge of cervical cancer. Moreover, health workers report detrimental attitudes in menopausal women. Our findings identified routes for information dissemination and attitude change including community radio and local health talks.