Evidence map›Paper›PMID 39819910›Full record

ArticleBMJ open2025

Barriers to early diagnosis and treatment of cervical cancer in Addis Ababa, Ethiopia: qualitative study.

Nebiyu Dereje, Adamu Addissie, Alemayehu Worku, Mathewos Assefa, Alem Gebremariam, Eva Johanna Kantelhardt, Ahmedin Jemal

Abstract read
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

7 authors.

Nebiyu DerejeSchool of Public Health, Wachemo University, Hossana, Ethiopia neba.jahovy@gmail.com.ORCID http://orcid.org/0000-0001-5406-4171
Adamu AddissieGlobal Health Working Group, Martin-Luther-University, Halle-Wittenberg Halle, Germany.
Alemayehu WorkuDepartment of Epidemiology and Biostatistics, Addis Ababa University College of Health Sciences, Addis Ababa, Ethiopia.
Mathewos AssefaDepartment of Oncology, Addis Ababa University School of Medicine, Addis Ababa, Ethiopia.
Alem GebremariamGlobal Health Working Group, Martin-Luther-University, Halle-Wittenberg Halle, Germany.ORCID http://orcid.org/0000-0003-2173-6685
Eva Johanna KantelhardtGlobal Health Working Group, Martin-Luther-University, Halle-Wittenberg Halle, Germany.ORCID http://orcid.org/0000-0001-7935-719X
Ahmedin JemalSurveillance and Health Services Research, American Cancer Society, Atlanta, Georgia, USA.

Funding

Wellcome Trust
6 · The paper itself

Abstract

objectiveCervical cancer remains the most diagnosed and deadly cancer among women in low and middle income countries, including Ethiopia, although it can be controlled if detected and treated early. However, research on contextual barriers to early diagnosis and treatment of cervical cancer is limited in Ethiopia. This study aimed to describe the lived experience of the patients and to explore the barriers to early diagnosis and treatment of cervical cancer.

designWe conducted a phenomenological qualitative study, which was part of a larger mixed-methods study.

settingTikur Anbesa Specialised Comprehensive Hospital, Addis Ababa, Ethiopia.

participants24 purposively selected patients with diagnostic delay and 16 patients with treatment delay were interviewed using an in-depth interview guide (IDI).

resultsTwo broad themes and seven sub-themes to explain the barriers to early diagnosis and treatment of cervical cancer emerged. These themes and sub-themes include patient related barriers (inadequate knowledge, visits to traditional healers and practice of religious rituals as a solution for illness, poor adherence to the treatments and fear of side effects, and financial hardships) and provider related barriers (limited access to diagnostic and treatment infrastructure, inadequate training of healthcare providers and poor quality of care).

conclusionsThe findings of the study underscore the need to reinforce awareness among patients and the community, scale up the screening, diagnostic and treatment infrastructure, and advocate for quality of care in the healthcare facilities in Ethiopia to promote early diagnosis and treatment of cervical cancer.

Indexed as

Early Detection of CancerHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityPatient Acceptance of Health CareUterine Cervical NeoplasmsAdultAgedDelayed DiagnosisEthiopiaFemaleHumansInterviews as TopicMiddle AgedQualitative ResearchYoung AdultGynaecological oncologyHealth Services AccessibilityPUBLIC HEALTHUterine Cervical Neoplasms

Identifiers

PMID39819910
PMCPMC11751850

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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.