Evidence map›Paper›PMID 29934410›Full record

ArticleThe oncologist2019

Barriers and Facilitators to Cervical Cancer Screening, Diagnosis, Follow-Up Care and Treatment: Perspectives of Human Immunodeficiency Virus-Positive Women and Health Care Practitioners in Tanzania.

Lori Brand Bateman, Shaundra Blakemore, Alaya Koneru, Thereza Mtesigwa, Renicha McCree, Nedra F Lisovicz, Eric A Aris, Safina Yuma, Julius D Mwaiselage, Pauline E Jolly

Open access · bronzeAbstract read
In one paragraph

Article in The oncologist, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 3 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Article
  9. Adherence to cervical screening and follow-up care in HIV-positive women at a Canadian tertiary care centre.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2026
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Factors contributing to delayed diagnosis of cervical cancer in human immunodeficiency virus-positive women.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Lori Brand BatemanDivision of Preventive Medicine loribateman@uabmc.edu.
Shaundra BlakemoreDepartment of Pediatrics, Division of Pediatric Emergency Medicine, University of Alabama at Birmingham School of Medicine, Birmingham, Alabama, USA.
Alaya KoneruSchool of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Thereza MtesigwaManagement and Development for Health, Dar es Salaam, Tanzania.
Renicha McCreeDepartment of Pediatrics, Division of Pediatric Emergency Medicine, University of Alabama at Birmingham School of Medicine, Birmingham, Alabama, USA.
Nedra F LisoviczDivision of Preventive Medicine.
Eric A ArisManagement and Development for Health, Dar es Salaam, Tanzania.
Safina YumaReproductive Health Cancer Unit, The United Republic of Tanzania, Ministry of Health, Community Development, Gender, Elderly and Children, Dar es Salaam, Tanzania.
Julius D MwaiselageDivision for Cancer Prevention and Research, Ocean Road Cancer Institute, Dar es Salaam, Tanzania.
Pauline E JollySchool of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA.
University of Alabama at Birmingham · USManagement and Development for Health · TZMinistry of Health, Community Development, Gender, Elderly and Children · TZOcean Road Cancer Institute · TZ

Funding

Cancer Prevention & Control Training ProgramR25CA047888 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DEMARK-WAHNEFRIED, WENDY, MENESES, KAREN M · 1988 to 2016
$11.2M
UAB Public Health/Biomedical Research Training ProgramT37MD001448 · NIMHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI JOLLY, PAULINE EVADNE · 2005 to 2024
$4.8M
UAB Cancer Prevention and Control Training Program (T32)T32CA047888 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Ritu Aneja, Ellen Mary Lavoie Smith · 2018 to 2026
$3.2M
NCI NIH HHS R25 CA047888NCI NIH HHS T32 CA047888NIMHD NIH HHS T37 MD001448
6 · The paper itself

Abstract

backgroundThis study was conducted to identify barriers and facilitators to cervical cancer screening, diagnosis, follow-up care, and treatment among human immunodeficiency virus (HIV)-infected women and clinicians and to explore the acceptability of patient navigators in Tanzania. MATERIALS AND

methodsIn 2012, we conducted four focus groups, two with HIV-positive women and two with clinicians who perform cervical cancer screening, diagnosis, follow-up care, and treatment. Transcriptions were analyzed using thematic analysis.

resultsFindings from the patient focus groups indicate the prevalence of fear and stigma surrounding cervical cancer as well as a lack of information and access to screening and treatment. The clinician focus groups identified numerous barriers to screening, diagnosis, follow-up care, and treatment. Participants in both types of groups agreed that a patient navigation program would be an effective way to help women navigate across the cancer continuum of care including screening, diagnosis, follow-up care, and treatment.

conclusionGiven the fear, stigma, misinformation, and lack of resources surrounding cervical cancer, it is not surprising that patient navigation would be welcomed by patients and providers. IMPLICATIONS FOR PRACTICE: This article identifies specific barriers to cervical cancer screening and treatment from the perspectives of both clinicians and patients in Tanzania and describes the acceptability of the concept of patient navigation.

Indexed as

AdultAftercareEarly Detection of CancerFemaleFocus GroupsHealth PersonnelHIV SeropositivityHumansPatient NavigationTanzaniaUterine Cervical NeoplasmsYoung AdultCervical cancerFocus groupsHuman immunodeficiency virusPatient navigationScreeningSocial stigmaTanzania

Identifiers

PMID29934410
PMCPMC6324638
OpenAlexW2809504037

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.