ArticleThe oncologist2015
Expanding Cervical Cancer Screening and Treatment in Tanzania: Stakeholders' Perceptions of Structural Influences on Scale-Up.
Article in The oncologist, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 29 citations in OpenAlex.
- The Effect of Peer-Led Navigation Approach as a Form of Task Shifting in Promoting Cervical Cancer Screening Knowledge, Intention, and Practices Among Urban Women in Tanzania: A Randomized Controlled Trial.Cancer control : journal of the Moffitt Cancer CenterTrial
- Regional variations and predictors of low uptake of cervical cancer screening among women aged 30-49 years in Tanzania: a geospatial and multilevel analysis of population-based survey.Research in health services & regions · 2026Article
- Access to cervical cancer care in sub-Saharan Africa: a narrative review of barriers and opportunities.Frontiers in public health · 2026Review
- Exploring Recent Trends in Cervical Cancer Screening Uptake in Tanzania.The East African health research journal · 2025Article
- Article
- Drivers of cervical cancer prevention and management in sub-Saharan Africa: a qualitative synthesis of mixed studies.Health research policy and systems · 2024Review
- Article
- Health workers' perspectives on barriers and facilitators to implementing a new national cervical cancer screening program in Ethiopia.BMC women's health · 2021Article
- Model strategies to address barriers to cervical cancer treatment and palliative care among women in Zimbabwe: a public health approach.BMC women's health · 2021Article
- Tanzanian women´s knowledge about Cervical Cancer and HPV and their prevalence of positive VIA cervical screening results. Data from a Prevention and Awareness Campaign in Northern Tanzania, 2017 - 2019.Global health action · 2021Article
- Regulatory effects of comprehensive psychological intervention on adverse emotions and immune status of cervical cancer patients during the perioperative period.American journal of translational research · 2021Article
- Geospatial evaluation of trade-offs between equity in physical access to healthcare and health systems efficiency.BMJ global health · 2020Article
- Cervical cancer in low and middle-income countries.Oncology letters · 2020Review
- Factors influencing the uptake of cervical cancer screening services in Tanzania: A health system perspective from national and district levels.Nursing open · 2020Article
- Assessment of the scale-up of cervical cancer screening in Abidjan stratified by HIV status.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2019Article
- Cervical cancer in Tanzania: A systematic review of current challenges in six domains.Gynecologic oncology reports · 2019Review
- Cancer Training for Frontline Healthcare Providers in Tanzania.Journal of cancer education : the official journal of the American Association for Cancer Education · 2019Article
- Article
- Expanding the Single-Visit Approach for Cervical Cancer Prevention: Successes and Lessons From Burkina Faso.Global health, science and practice · 2018Article
- Cervical Cancer Awareness among Women in Tanzania: An Analysis of Data from the 2011-12 Tanzania HIV and Malaria Indicators Survey.International journal of chronic diseases · 2018Article
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
Abstract
unlabelledTanzania has the highest burden of cervical cancer in East Africa. This study aims to identify perceived barriers and facilitators that influence scale-up of regional and population-level cervical cancer screening and treatment programs in Tanzania. Convenience sampling was used to select participants for this qualitative study among 35 key informants. Twenty-eight stakeholders from public-sector health facilities, academia, government, and nongovernmental organizations completed in-depth interviews, and a seven-member municipal health management team participated in a focus group discussion. The investigation identified themes related to the infrastructure of health services for cervical cancer prevention, service delivery, political will, and sociocultural influences on screening and treatment. Decentralizing service delivery, improving access to screening and treatment, increasing the number of trained health workers, and garnering political will were perceived as key facilitators for enhancing and initiating screening and treatment services. In conclusion, participants perceived that system-level structural factors should be addressed to expand regional and population-level service delivery of screening and treatment. IMPLICATIONS FOR PRACTICE: Tanzanian women have a high burden of cervical cancer. Understanding the perceived structural factors that may influence screening coverage for cervical cancer and availability of treatment may be beneficial for program scale-up. This study showed that multiple factors contribute to the challenge of cervical cancer screening and treatment in Tanzania. In addition, it highlighted systematic developments aimed at expanding services. This study is important because the themes that emerged from the results may help inform programs that plan to improve screening and treatment in Tanzania and potentially in other areas with high burdens of cervical cancer.
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