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Barriers and facilitators to cervical cancer screening in Nepal: A qualitative study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH), International Maternal and Reproductive Health and Migration. Norwegian Univ Sci & Technol, NTNU, Dept Publ Hlth & Nursing, NO-7491 Trondheim, Norway;St Olavs Hosp, Dept Obstet & Gynecol, NO-7030 Trondheim, Norway.ORCID iD: 0000-0002-8311-4956
Norwegian Univ Sci & Technol, NTNU, Dept Publ Hlth & Nursing, NO-7491 Trondheim, Norway;Kathmandu Univ, Sch Med Sci, Dept Nursing, Dhulikhel, Nepal.
Kathmandu Univ, Sch Med Sci, Dhulikhel Hosp, Dept Obstet & Gynaecol, Dhulikhel, Nepal.
2019 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 20, p. 20-26Article in journal (Refereed) Published
Abstract [en]

Objectives: Despite being preventable, cervical cancer remains the most common cancer among women in Nepal, a country where there is no nationwide screening programme. Hence, the objective was to investigate and better understand Nepali women's perceptions on barriers to participation in cervical cancer screening and what might facilitate their participation. Methods: A qualitative study design with focus group discussions was employed and women were purposively invited. The interviews were tape-recorded, transcribed verbatim, and analysed using manifest content analysis. Findings: Women had misconceptions about the screening and low levels of knowledge. Sociocultural barriers, service providers' behaviour, geographical challenges, and limited finances were all perceived as obstacles to attending screening centres. Facilitating factors, such as participation in awareness programmes and support from family and women's groups, may convince women to attend screening clinics. Conclusions: The findings contribute information on Nepalese women's perceptions of cervical cancer screening. They may serve to support the Government of Nepal's promotion of cervical cancer screening and treatment as a right for all Nepali women, whenever necessary.

Place, publisher, year, edition, pages
ELSEVIER IRELAND LTD , 2019. Vol. 20, p. 20-26
Keywords [en]
Cervical cancer, Screening, Women's perception, Nepal
National Category
Public Health, Global Health, Social Medicine and Epidemiology Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:uu:diva-387927DOI: 10.1016/j.srhc.2019.02.001ISI: 000470192400005PubMedID: 31084813OAI: oai:DiVA.org:uu-387927DiVA, id: diva2:1331251
Available from: 2019-06-26 Created: 2019-06-26 Last updated: 2019-06-26Bibliographically approved

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