Evidence map›Paper›PMID 40518973›Full record

ArticlePrimary health care research & development2025

Challenges to women's cancer control in Morocco: a qualitative study of lay advisors and civil society perspectives.

Amy Luo, Maha Naamaoui, Amr Soliman, Majdouline Obtel, Wafaa Kaikani, Hafida Charaka, Chakib Nejjari, Mohamed Khalis

Abstract read
In one paragraph

Article in Primary health care research & development, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

8 authors.

Amy LuoDepartment of Global Health and Population, Harvard School of Public Health, Boston, MA, USA.ORCID 0000-0002-4466-375X
Maha NaamaouiFaculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.ORCID 0009-0009-4609-3103
Amr SolimanCommunity Health and Social Medicine Department, CUNY School of Medicine, The City College of New York, New York, NY, USA.ORCID 0000-0003-2284-360X
Majdouline ObtelLaboratory of Biostatistics, Clinical, and Epidemiological Research, Faculty of Medicine and Pharmacy, Department of Public Health, Mohamed V University in Rabat, Rabat, Morocco.
Wafaa KaikaniDepartment of Oncology, Faculty of Medicine, Mohammed VI University of Health Sciences (UM6SS), Casablanca, Morocco.ORCID 0000-0003-3317-0826
Hafida CharakaHigher Institute of Nursing Professions and Health Techniques, Ministry of Health and Social Protection, Rabat, Morocco.
Chakib NejjariEuromed Research Center, Euromed University of Fez, Fez, Morocco.ORCID 0000-0001-9610-8507
Mohamed KhalisHigher Institute of Nursing Professions and Health Techniques, Ministry of Health and Social Protection, Rabat, Morocco.

Funding

Research Center in Minority Institutions (RCMI) at City CollegeU54MD017979 · NIMHD · CITY COLLEGE OF NEW YORK · PI M. Felice Marina GHILARDI · 2024 to 2026
$15.9M
NIMHD NIH HHS U54 MD017979
6 · The paper itself

Abstract

aimThis study explores the perspectives of cancer lay health providers and civil society on the barriers and facilitators to cancer detection and treatment among women.

backgroundIn 2010, the Moroccan Ministry of Health implemented a national plan for cancer care and control. Activities focused on strengthening multisectoral collaboration in cancer care and control, including promoting early detection in primary care. Despite progress in reducing women's cancer mortality, socio-cultural challenges impede further gains. Elucidating the perspectives of the community-based and civil society allied in cancer control is critical to addressing cancer disparities.

methodsData were collected through in-depth interviews with cancer lay health advisors (

findingsBarriers and facilitators to early diagnosis and treatment were identified at levels of the individual, family, community/societal, and the health system. Barriers to early detection include taboo and stigma, fear of death, and gender norms and roles. Financial and geographic barriers, lack of psychosocial support, and poor health system/provider communication were major deterrents related to treatment. Results suggest intervention targets to reduce late-stage presentation for women, including enhancing educational efforts and augmenting community outreach linkages to primary care.

Indexed as

Community Health WorkersNeoplasmsAdultEarly Detection of CancerFemaleHealth Services AccessibilityHumansInterviews as TopicMiddle AgedMoroccoPatient Acceptance of Health CareQualitative ResearchWomen's Healthcancercommunity healthhealth systemslay health providersMorocco

Identifiers

PMID40518973
PMCPMC12175096

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.