Asian Pacific Journal of Cancer Prevention

  • 제13권6호
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  • Pages.2913-2921
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  • 2012
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  • 1513-7368(pISSN)
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  • 2476-762X(eISSN)
아시아태평양암예방학회 (Asian Pacific Journal of Cancer Prevention)
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Influencing Women's Actions on Cervical Cancer Screening and Treatment in Karawang District, Indonesia

  • 발행 : 2012.06.30
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초록

Introduction: The impact of cervical cancer prevention programs depends on persuading women to go for screening and, if needed, treatment. As part of an evaluation of a pilot project in Indonesia, qualitative research was conducted to explore the factors that influence women's decisions regarding screening and treatment and to generate practical recommendations to increase service coverage and reduce loss to follow up. Methods: Research was conducted at 7 of the 17 public health centers in Karawang District that implemented the pilot project. Interviews and focus group discussions were held with 20 women, 20 husbands, 10 doctors, 18 midwives, 3 district health officials, and 16 advocacy team members. Results: Free services and mobile outreach events encouraged women to go for screening, along with promotional efforts by community health workers, advocacy teams, and the mass media. Knowledge and perceptions were the most important barriers to screening: women were not aware of cervical cancer risks, did not know the disease was treatable, and were fatalistic. Factors facilitating treatment were social support from husbands, relatives, and friends and the encouragement and role modeling of health workers. Barriers to prompt treatment included limited access to services and the requirement for husband's consent for cryotherapy. Conclusion: As cervical cancer prevention services are scaled up throughout Indonesia, the findings suggest three strategies to expand screening coverage and ensure prompt treatment: strengthening community mobilization and advocacy activities, modifying the service delivery model to encourage a single visit approach to screening and treatment, and working to gain men's support.

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참고문헌

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  1. Evaluation of a 5-year cervical cancer prevention project in Indonesia: Opportunities, issues, and challenges vol.39, pp.6, 2013, https://doi.org/10.1111/jog.12052
  2. Barriers to Cervical Cancer Screening in Rural Kenya: Perspectives from a Provider Survey vol.40, pp.4, 2015, https://doi.org/10.1007/s10900-015-9996-1
  3. Barriers to Cervical Cancer Screening in Burkina Faso: Needs for Patient and Professional Education vol.31, pp.4, 2016, https://doi.org/10.1007/s13187-015-0898-9
  4. Intervenções que favorecem a adesão ao exame de colpocitologia oncótica: revisão integrativa vol.69, pp.2, 2016, https://doi.org/10.1590/0034-7167.2016690226i
  5. How is Indonesia coping with its epidemic of chronic noncommunicable diseases? A systematic review with meta-analysis vol.12, pp.6, 2017, https://doi.org/10.1371/journal.pone.0179186
  6. Men’s knowledge and attitudes about cervical cancer screening in Kenya vol.14, pp.1, 2014, https://doi.org/10.1186/s12905-014-0138-1
  7. “My husband says this: If you are alive, you can be someone…”: Facilitators and barriers to cervical cancer screening among women living with HIV in India pp.1573-7225, 2019, https://doi.org/10.1007/s10552-019-01145-7