Evidence map›Paper›PMID 34140340›Full record

ArticleBMJ open2021

Barriers to cervical cancer prevention in rural Cameroon: a qualitative study on healthcare providers' perspective.

Amandine Noemie Roux, Bruno Kenfack, Alexandre Ndjalla, Jessica Sormani, Ania Wisniak, Karoline Tatrai, Pierre Vassilakos, Patrick Petignat, Nicole Schmidt

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.3field-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

15 citing papers in PubMed, 26 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

9 authors at 2 institutions in 3 countries.

Amandine Noemie RouxGynecology Division, Department of Gynecology and Obstetrics, Geneva University Hospitals, Geneva, Switzerland amandine.roux.bores@gmail.com.ORCID 0000-0002-2632-8720
Bruno KenfackMother and Child Unit, Dschang District Hospital, Dschang, Cameroon.
Alexandre NdjallaMother and Child Unit, Dschang District Hospital, Dschang, Cameroon.
Jessica SormaniGynecology Division, Department of Gynecology and Obstetrics, Geneva University Hospitals, Geneva, Switzerland.
Ania WisniakGynecology Division, Department of Gynecology and Obstetrics, Geneva University Hospitals, Geneva, Switzerland.
Karoline TatraiGynecology Division, Department of Gynecology and Obstetrics, Geneva University Hospitals, Geneva, Switzerland.
Pierre VassilakosGynecology Division, Department of Gynecology and Obstetrics, Geneva University Hospitals, Geneva, Switzerland.
Patrick PetignatGynecology Division, Department of Gynecology and Obstetrics, Geneva University Hospitals, Geneva, Switzerland.
Nicole SchmidtGynecology Division, Department of Gynecology and Obstetrics, Geneva University Hospitals, Geneva, Switzerland.
University Hospital of Geneva · CHUniversité de Dschang · CM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCervical cancer in Cameroon ranks as the second most frequent cancer among women and the leading cause of cancer-related deaths, mainly due to the lack of prevention. Our principal objective was to explore potential barriers to an human papillomavirus (HPV)-based cervical cancer screening from a healthcare provider (HCP) perspective in a low-income context. Second, we aimed to explore the acceptability of a single-visit approach using HPV self-sampling. SETTINGS: The study took place in the District hospital of Dschang, Cameroon.

participantsFocus groups (FGs) involved HCPs working in the area of Dschang and Mbouda. PRIMARY AND SECONDARY OUTCOME MEASURES: All FGs were audiorecorded, transcribed and coded independently by two researchers using the ATLAS.ti software. A qualitative methodology was used to capture insights related to the way people perceive their surroundings. Discussion topics focused on perceived barriers, suggestions to improve cervical cancer screening uptake, and acceptability.

resultsA total of 16 HCPs were interviewed between July and August 2019. The identified barriers were (1) lack of basic knowledge on cervical cancer among most women and men and (2) lack of awareness of the role and existence of a screening programme to prevent it. Screening for cervical cancer prevention using HPV self-sampling was considered as an acceptable approach for patients according to HCPs. Traditional chiefs were identified as key entry points to raise awareness because they were perceived as essential to reach not only women, but also their male partners.

conclusionsAwareness campaigns about cervical cancer, its prevention and the availability of the screening programmes are crucial. Furthermore, involving male partners, as well as key community leaders or institutions was identified as a key strategy to encourage participation in the cervical cancer screening programme.

trial registrationEthical Cantonal Board of Geneva, Switzerland (CCER, N°2017-0110 and CER-amendment n°2) and Cameroonian National Ethics Committee for Human Health Research (N°2018/07/1083/CE/CNERSH/SP).

Indexed as

Papillomavirus InfectionsUterine Cervical NeoplasmsCameroonEarly Detection of CancerFemaleHealth Knowledge, Attitudes, PracticeHealth PersonnelHumansMaleMass ScreeningPatient Acceptance of Health CareQualitative ResearchSwitzerlandcommunity gynaecologygynaecological oncologypreventive medicineprimary carepublic health

Identifiers

PMID34140340
PMCPMC8212185
OpenAlexW3169241159

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.