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. 2019 Apr 1:11:229-239.
doi: 10.2147/IJWH.S196112. eCollection 2019.

Barriers and facilitators of follow-up among women with precancerous lesions of the cervix in Cameroon: a qualitative pilot study

Simon Manga  1   2 , Edith Kiyang  1 , Rosanna F DeMarco  2
Affiliations

Barriers and facilitators of follow-up among women with precancerous lesions of the cervix in Cameroon: a qualitative pilot study

Simon Manga et al. Int J Womens Health. .

Abstract

Purpose: This pilot study explores the barriers to adherence to follow-up among women with cervical precancer in urban Cameroon. While follow-up of women with a positive screening of cervical precancer is the most important aspect of cervical cancer secondary prevention, women with cervical precancer do not adhere frequently to recommended follow-up schedule in Cameroon. The aim of the study was to explore and describe the barriers and facilitators to follow-up for cervical precancer among women infected and uninfected with HIV in Cameroon.

Participants and methods: A qualitative research design was used to answer the research questions. Participants included eight HIV-infected and -uninfected women diagnosed with cervical precancer and 19 nurses. Data were collected by in-depth individual patient interviews and focus groups with nurses. An interview guide with open-ended questions, using the social ecological model as a framework, included questions that addressed the complexities of the lives of individuals and professionals within a relational context. The interviews were audio-taped and transcribed verbatim in English language. Thematic analysis of data was completed with no epistemological or theoretical perspective underpinning the analyses.

Results: Four major themes emerged from the study. They were clinic, personal, and social barriers, and strategies to improve follow-up.

Conclusion: The use of reminder phone calls and fee reduction, coupled with peer counseling and navigation of women who have been diagnosed with cervical precancer, could be effective ways of improving adherence to follow-up. Further research is needed to explore the same phenomenon among women in rural areas, especially those who were initially attended to in mobile clinics.

Keywords: HIV-infected women; HIV-uninfected women; cervical precancer; follow-up.

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Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Schematic representation of the three categories of barriers to follow-up and the strategies in overcoming the barriers.
See this image and copyright information in PMC

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References

    1. Coker AL, Eggleston KS, Meyer TE, Luchok K, Das IP. What predicts adherence to follow-up recommendations for abnormal Pap tests among older women? Gynecol Oncol. 2007;105(1):74–80. doi: 10.1016/j.ygyno.2006.10.046. - DOI - PubMed
    1. Peterson NB, Han J, Freund KM. Inadequate follow-up for abnormal Pap smears in an urban population. J Natl Med Assoc. 2003;95(9):825–832. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2594474&tool=p.... - PMC - PubMed
    1. Anorlu RI. Cervical cancer: the sub-Saharan African perspective. Reprod Health Matters. 2008;16(32):41–49. doi: 10.1016/S0968-8080(08)32415-X. - DOI - PubMed
    1. Comprehensive WHO. cervical cancer control. [Accessed February 20, 2016]. Available from: http://www.who.int/reproductivehealth/publications/cancers/cervical-canc... www.who.int.
    1. DelMistro A, Matteucci M, Insacco EA, et al. Long-term clinical outcome after treatment for high-grade cervical lesions: a retrospective monoinstitutional cohort study. Biomed Res Int. 2015;2015:984528. doi: 10.1155/2015/984528. - DOI - PMC - PubMed

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