Exploring the Impact of COVID-19 on Cervical Cancer Screening Services: A Qualitative Study of Healthcare Providers' and Women's Perspectives and Experiences.

IF 2.4 Q2 HEALTH CARE SCIENCES & SERVICES
Health Services Insights Pub Date : 2024-09-03 eCollection Date: 2024-01-01 DOI:10.1177/11786329241275883
Fennie Mantula, Yoesrie Toefy
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引用次数: 0

Abstract

A qualitative exploration was conducted to analyse the reasons behind the low utilisation of cervical cancer screening services in Gwanda district, Zimbabwe, focusing on the impact of the COVID-19 pandemic. The study involved 5 focus group discussions with 36 women, utilising maximum variation sampling to explore the effects of COVID-19 on screening coverage. Additionally, in-depth interviews were conducted with 25 health-care providers from primary health facilities and the provincial hospital offering screening services. The results suggest a decline in the progress of the cervical cancer screening programme due to the disruptions caused by COVID-19 which subsequently reduced women's access to screening and treatment services. It was anticipated that restoring women's confidence in adherence to screening would require time post-pandemic. Moreover, findings highlighted the potential progression of undetected precursor lesions to advanced cancer stages during non-screening periods, which may increase future cervical cancer morbidity and mortality. The findings underscore the importance of integrating cervical cancer screening messaging within broader health communication strategies to emphasise the significance of health interventions for overall well-being. This study recommends the adoption of more efficient screening methods, such as Human-Papillomavirus self-sampling to mitigate future disruptions in screening services, thereby guiding policymakers towards implementing best screening approaches.

探索 COVID-19 对宫颈癌筛查服务的影响:医疗保健提供者和妇女的观点与经验定性研究》。
我们进行了一项定性研究,分析了津巴布韦 Gwanda 地区宫颈癌筛查服务利用率低的原因,重点关注 COVID-19 大流行的影响。这项研究包括与 36 名妇女进行的 5 次焦点小组讨论,利用最大变异抽样来探讨 COVID-19 对筛查覆盖率的影响。此外,还对提供筛查服务的基层医疗机构和省级医院的 25 名医护人员进行了深入访谈。结果表明,由于 COVID-19 的干扰,宫颈癌筛查计划的进展有所下降,妇女获得筛查和治疗服务的机会也随之减少。预计大流行过后,恢复妇女坚持筛查的信心需要时间。此外,研究结果还强调,在未进行筛查期间,未被发现的前驱病变可能会发展到癌症晚期,这可能会增加未来宫颈癌的发病率和死亡率。研究结果强调了将宫颈癌筛查信息纳入更广泛的健康传播战略的重要性,以强调健康干预对整体健康的重要意义。本研究建议采用更有效的筛查方法,如人类乳头状瘤病毒自我采样,以减少未来筛查服务的中断,从而指导政策制定者实施最佳筛查方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health Services Insights
Health Services Insights HEALTH CARE SCIENCES & SERVICES-
CiteScore
3.60
自引率
0.00%
发文量
47
审稿时长
8 weeks
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