Evidence map›Paper›PMID 41404565›Full record

ArticleFrontiers in public health2025

Barriers and facilitators of integrating cervical cancer screening into routine HIV care and acceptability of self-sampling for HPV DNA testing among people with HIV: an exploratory study in southern Ghana.

Evelyn Yayra Bonney, Emmanuel Frimpong Gyekye, Jonathan Klutse, Dzidzor Aku Attoh, Yeena Abla Tay, Nicholas Ekow Thomford, Mary Amoakoh-Coleman, Kwadwo Ansah Koram, George Boateng Kyei, Collins Stephen Ahorlu

Abstract read
In one paragraph

Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

10 authors.

Evelyn Yayra BonneyDepartment of Virology, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Accra, Ghana.
Emmanuel Frimpong GyekyeDepartment of Epidemiology, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Accra, Ghana.
Jonathan KlutseDepartment of Virology, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Accra, Ghana.
Dzidzor Aku AttohDepartment of Virology, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Accra, Ghana.
Yeena Abla TayDepartment of Virology, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Accra, Ghana.
Nicholas Ekow ThomfordUniversity of Cape Coast School of Medical Sciences, Cape Coast, Ghana.
Mary Amoakoh-ColemanDepartment of Epidemiology, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Accra, Ghana.
Kwadwo Ansah KoramDepartment of Epidemiology, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Accra, Ghana.
George Boateng KyeiDepartment of Virology, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Accra, Ghana.
Collins Stephen AhorluDepartment of Epidemiology, Noguchi Memorial Institute for Medical Research, College of Health Sciences, University of Ghana, Accra, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cervical cancer poses a substantial global health challenge, disproportionately affecting low- and middle-income nations. Women living with HIV are disproportionately affected compared to the general population. Our study explored the acceptance and preferences of participants regarding cervical cancer screening procedures during their HIV clinic visits. Methods: Using the Consolidated Framework for Implementation Research (CFIR) to inform questions, we conducted semi-structured in-depth qualitative interviews with 85 people with HIV (PWH), across six southern Ghana sites, to identify factors that could promote or impede the integration of cervical cancer screening into HIV care in Ghana. We also explored the acceptability of self-sampling versus provider-sampling among respondents. Thematic analysis was performed on the data using the MAXQDA software. Results: Most participants demonstrated a strong willingness to participate in cervical cancer screening, were motivated by the desire to know their health status, protect themselves, benefit from early detection and access timely treatment. We identified potential for early detection and treatment, improved health outcomes, increased health awareness, better management of multiple health conditions, and empowerment through health knowledge as facilitators. Participants articulated a multifaceted approach to screening integration, conceptualizing leadership as a collaborative effort involving multiple stakeholders, including healthcare providers, government agencies, non-governmental organizations, HIV program coordinators, and researchers. Our finding suggests that women living with HIV (WLWH) were comfortable with trained nurses administering thermal ablation for cervical cancer, even if they had no prior knowledge of the procedure. Acceptability of cervical cancer screening integration into routine care could be high when barriers were addressed.

Indexed as

Early Detection of CancerHIV InfectionsPapillomavirus InfectionsPatient Acceptance of Health CareUterine Cervical NeoplasmsAdultFemaleGhanaHumansInterviews as TopicMass ScreeningMiddle AgedQualitative Researchaccesscervical cancerGhanaHIVprovider-samplingscreeningself-samplingWLWH

Identifiers

PMID41404565
PMCPMC12702897

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.