Evidence map›Paper›PMID 39272088›Full record

ArticleBMC women's health2024

Barriers and facilitators of retention in care after cervical cancer screening: patients' and healthcare providers' perspectives.

Judith Owokuhaisa, Eleanor Turyakira, Frank Ssedyabane, Deusdedit Tusubira, Rogers Kajabwangu, Pius Musinguzi, Martin Galiwango, Thomas C Randall, Nathan Kakongi, Cesar M Castro and 2 more

Abstract read
In one paragraph

Article in BMC women's health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

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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

12 authors.

Judith OwokuhaisaDepartment of Community Health, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Eleanor TuryakiraDepartment of Community Health, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda. eturyakira@must.ac.ug.
Frank SsedyabaneDepartment of Medical Laboratory Science, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Deusdedit TusubiraDepartment of Biochemistry, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Rogers KajabwanguDepartment of Obstetrics & Gynecology, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Pius MusinguziDepartment of Nursing, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Martin GaliwangoDepartment of Electrical and Electronics Engineering, Faculty of Applied Sciences and Technology, Mbarara University of Science of Science and Technology, Mbarara, Uganda.
Thomas C RandallDepartment of Global Health and Social Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Nathan KakongiDepartment of Biochemistry, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Cesar M CastroCenter for Systems Biology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 02114, USA.
Esther C AtukundaFaculty of Medicine, Department of Pharmacy, Mbarara University of Science and Technology, Mbarara, Uganda.
Samuel MalingDepartment of Psychiatry, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.

Funding

Integration of a patient-centered mobile health intervention (Support-Moms) into routine antenatal care to improve maternal health in UgandaR01HD111692 · NICHD · MBARARA UNIVERSITY/SCIENCE/ TECHNOLOGY · PI Esther Cathyln Atukunda · 2023 to 2026
$1.9M
NICHD NIH HHS R01 HD111692
6 · The paper itself

Abstract

backgroundCervical cancer continues to threaten women's health, especially in low-resource settings. Regular follow-up after screening and treatment is an effective strategy for monitoring treatment outcomes. Consequently, understanding the factors contributing to patient non-attendance of scheduled follow-up visits is vital to providing high-quality care, reducing morbidity and mortality, and unnecessary healthcare costs in low-resource settings.

methodsA descriptive qualitative study was done among healthcare providers and patients who attended the cervical cancer screening clinic at Mbarara Regional Referral Hospital in southwestern Uganda. In-depth interviews were conducted using a semi-structured interview guide. Interviews were audio-recorded, transcribed verbatim, and thematically analysed in line with the social-ecological model to identify barriers and facilitators.

resultsWe conducted 23 in-depth interviews with 5 healthcare providers and 18 patients. Health system barriers included long waiting time at the facility, long turnaround time for laboratory results, congestion and lack of privacy affecting counselling, and healthcare provider training gaps. The most important interpersonal barrier among married women was lacking support from male partners. Individual-level barriers were lack of money for transport, fear of painful procedures, emotional distress, and illiteracy. Inadequate and inaccurate information was a cross-cutting barrier across the individual, interpersonal, and community levels of the socio-ecological model. The facilitators were social support, positive self-perception, and patient counselling.

conclusionsOur study revealed barriers to retention in care after cervical cancer screening, including lack of partner support, financial and educational constraints, and inadequate information. It also found facilitators that included social support, positive self-perception, and effective counselling.

Indexed as

Early Detection of CancerQualitative ResearchUterine Cervical NeoplasmsAdultAttitude of Health PersonnelFemaleHealth PersonnelHealth Services AccessibilityHumansMaleMiddle AgedPatient Acceptance of Health CareRetention in CareSocial SupportUgandaBarriersCancerCervixFacilitatorsLoss to follow-upRetention in careScreening

Identifiers

PMID39272088
PMCPMC11401415

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.