Evidence map›Paper›PMID 42120980›Full record

ArticleBMC women's health2026

Women's experiences toward cervical cancer care at the initiation of care: a qualitative study closing the gap policy and implementation in Indonesia.

Tuti Pahria, Hartiah Haroen, Hana Rizmadewi Agustina, Citra Windani Mambang Sari, Windy Natasya, Gatot Nyarumenteng Adhipurnawan Winarno, Sidik Maulana, Jerico Franciscus Pardosi

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Article in BMC women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Tuti PahriaDepartment of Medical-Surgical Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Indonesia. tuti.pahria@unpad.ac.id.
Hartiah HaroenDepartment of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Indonesia.
Hana Rizmadewi AgustinaDepartment of Fundamental Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Indonesia.
Citra Windani Mambang SariDepartment of Community Health Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Indonesia.
Windy NatasyaPalliative Care Unit, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia.
Gatot Nyarumenteng Adhipurnawan WinarnoDepartment of Obstetrics and Gynecology, Faculty of Medicine, Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia.
Sidik MaulanaDoctoral of Nursing Program, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Indonesia.
Jerico Franciscus PardosiSchool of Public Health and Social Work, Queensland University of Technology, Brisbane, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCervical cancer remains a major public health concern in Indonesia despite ongoing national efforts toward elimination. While policy initiatives have expanded screening and treatment services, limited evidence exists regarding women's lived experiences during the early stage of cervical cancer care. Understanding women's perspectives is essential to strengthening a national care strategy.

objectiveTo explore women's experiences during the early stage of cervical cancer care in Indonesia, from symptom recognition and abnormal screening results to diagnosis and initiation of treatment.

methodsA qualitative descriptive study was conducted in a national tertiary referral center in West Java, Indonesia. Eighteen women diagnosed with cervical cancer were recruited using purposive sampling to capture diverse clinical and experiential backgrounds. Data were collected through in-depth, semi-structured interviews between August and October 2025. Interviews were transcribed verbatim and analyzed using Braun and Clarke's thematic analysis framework. Trustworthiness was ensured through member checking, audit trails, and collaborative theme validation.

resultsThree themes emerged: (1) women's experiences in accessing care services, (2) difficulties and coping mechanisms, and (3) unmet informational and psychosocial needs. Participants described normalization of early symptoms, misinterpretation at primary care level, fragmented referrals, and inconsistent staging information, contributing to diagnostic uncertainty and emotional distress. Although national health financing covered treatment costs, indirect financial burdens persisted. Women actively sought simplified explanations through digital platforms to compensate for communication gaps. Many entered treatment with limited preparation and inadequate counseling regarding side effects.

conclusionInitiation of care represents a critical bottleneck within Indonesia's cervical cancer elimination efforts. Strengthening early clinical recognition by healthcare providers, referral continuity, structured counseling, early palliative care integration, and digital navigation systems is essential to bridge the policy-implementation gap and support achievement of the WHO cervical cancer elimination target of treating 90% of women diagnosed with cervical disease.

Indexed as

Health Services AccessibilityPatient Acceptance of Health CareUterine Cervical NeoplasmsAdaptation, PsychologicalAdultEarly Detection of CancerFemaleHumansIndonesiaInterviews as TopicMiddle AgedQualitative ResearchCancer careCervical cancer; experienceEarly stageNeedSDGs-3

Identifiers

PMID42120980
PMCPMC13343666

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LicenceCC BY
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