Evidence map›Paper›PMID 33906670›Full record

ArticleBMC women's health2021

Model strategies to address barriers to cervical cancer treatment and palliative care among women in Zimbabwe: a public health approach.

Oscar Tapera, Greta Dreyer, Anna Mary Nyakabau, Webster Kadzatsa, Babill Stray-Pedersen, Stephen James Heinrich Hendricks

Open access · goldAbstract read
In one paragraph

Article in BMC women's health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

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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

6 authors at 4 institutions in 3 countries.

Oscar TaperaSchool of Health Systems and Public Health, University of Pretoria, Pretoria, South Africa. oscar.tapera@gmail.com.ORCID 0000-0001-5916-4745
Greta DreyerGynaecologic Oncology, Department of Obstetrics and Gynaecology, University of Pretoria, Pretoria, South Africa.
Anna Mary NyakabauRadiotherapy Centre, Parirenyatwa Group of Hospitals, Harare, Zimbabwe.
Webster KadzatsaRadiotherapy Centre, Parirenyatwa Group of Hospitals, Harare, Zimbabwe.
Babill Stray-PedersenInstitute of Clinical Medicine, University in Oslo, Oslo, Norway.
Stephen James Heinrich HendricksFaculty of Health Sciences, Oral Health Hospital, Sefako Makgatho Health Sciences University, Pretoria, South Africa.
Parirenyatwa Hospital · ZWUniversity of Pretoria · ZAOslo University Hospital · NOUniversity of Fort Hare · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCervical cancer treatment and care remains limited in Zimbabwe despite the growing burden of the disease among women. This study was aimed at investigating strategies to address barriers in accessing treatment and care by women with cervical cancer in Harare, Zimbabwe.

methodsA qualitative inquiry was conducted to generate evidence for this study. Eighty-four (84) participants were purposively selected for interviews and participation in focus group discussions. The participants were selected from cervical cancer patients, caregivers of cervical cancer patients, health workers involved in the care of cervical cancer patients as well as relevant policy makers in the Ministry of Health and Child Care. Participants were selected in such as a way as to ensure different of characteristics to obtain diverse perspectives about the issues under study. Discussion and interview guides were used as data collection tools and discussions/interviews were audio-recorded, transcribed and translated into English. Inductive thematic analysis was conducted using Dedoose software.

resultsSalient sub-themes that emerged in the study at the individual patient level were: provision of free or subsidized services, provision of transport to treating health facilities and provision of accommodation to patients undergoing treatment. At the societal level, the sub-themes were: strengthening of health education in communities and training of health workers and community engagement. Salient sub-themes from the national health system level were: establishment of more screening and treatment health facilities, increasing the capacities of existing facilities, decentralization of some services, building of multidisciplinary teams of health workers, development and rolling out of standardized guidelines and reformation of Acquired Immunodeficiency Virus (AIDS) levy into a fund that would finance priority disease areas.

conclusionThis study revealed some noteworthy strategies to improve access to cervical cancer treatment and care in low-income settings. Improved domestic investments in health systems and reforming health policies underpinned on strong political are recommended.

Indexed as

Palliative CareUterine Cervical NeoplasmsChildFemaleFocus GroupsHealth Services AccessibilityHumansPublic HealthQualitative ResearchZimbabweBarriers to accessCervical cancerHealth policiesPalliative careQualitative inquiryStrategiesThematic analysisTreatmentZimbabwe

Identifiers

PMID33906670
PMCPMC8077905
OpenAlexW3158928050

What OpenQuestion holds

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LicenceCC BY
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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.