SynthesisBMC public health2025
Barriers and facilitators to cervical cancer screening in the Eastern Mediterranean Region: a systematic review.
Synthesis in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Barriers and facilitators of adherence to cervical cancer screening follow-up among women living with HIV in South Ethiopia: a qualitative study.BMC primary care · 2026Article
- Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundCervical cancer is the sixth most common cancer among women in Eastern Mediterranean Region. Although screening is recommended as the early detection policy to enable timely intervention, women across the region face diverse factors that either facilitate or hinder their participation in screening programmes. We aimed to systematically identify facilitators and barriers to cervical cancer screening (CCS) uptake among women in EMR countries.
methodsThis systematic review was conducted in 2024 (Prospero code = CRD42023443818). Literature search was performed using the PICO framework through Web of Sciences, Scopus, Science Direct, Embase and WHO Index Medicus for the Eastern Mediterranean Region (IMEMR) databases. PRISMA algorithm was followed for literature screening independently by two researchers. Extracted data were categorised based on Andersen and Newman Framework of Health Services Utilization.
resultsOut of 234 studies identified, 66 met the inclusion criteria. Iran and Jordan contributed the highest number of included articles. Predisposing factors at the individual and health system-related were categorised into demographics, social structure and beliefs. Enabling individual items were classified at personal/family and community levels, whereas health system-related factors were grouped into health policy, financing and organizational domains. Need factors were designated solely as individual determinants and accordingly grouped into perceived and evaluated CCS facilitators or barriers.
conclusionsCervical cancer screening uptake in EMR countries is influenced by a complex interplay of individual, social, and health system-related factors. These were categorised into predisposing, enabling and need-based determinants require multi-level strategies to be addressed. Despite the existing supportive regional policies, persistent barriers such as lack of awareness, stigma, financial constraints, and limited access to services continue to pose significant challenges. These findings offer a foundation for future policy adaptation and programme development in countries of the EMR.
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Registered trials
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.