What can research evidence tell us about barriers for cervical cancer services uptake by women living with HIV/AIDS and its mitigation strategies? Rapid Evidence Review
DOI:
https://doi.org/10.20372/ejphn.v6i1.363Abstract
Key findings
Systematic reviews from developing countries identified two broad barriers to cervical cancer services uptake, namely, demand-side barriers and supply-side barriers.
The demand-side barriers includes lack of awareness, illiteracy, challenges related with geographic access, permission required from family or lacking social support, and inability to pay, embarrassment, and fear of the screening procedure or outcome.
The supply-side barriers includes health workforce shortages or absenteeism of service providers, lack of outreach services, lack of supplies or infrastructure needed for screening and follow up.
Effective strategies or interventions to mitigate the barriers that hinder cervical cancer services uptake included mostly of cervical cancer services integration with HIV/AIDS programs and interventions such as: call–recall program, health education, mobile screening, and interaction with healthcare providers, access to healthcare system, invitation, and making use of mobile technologies (telephone support)
How this Rapid Evidence Review was prepared?The methods used to prepare in this rapid evidence review were adapted from the SURE Rapid Response Service.
In this review, we have searched for relevant evidence related to barriers for cervical cancer services uptake by women living with HIV/AIDS and their mitigation strategies.
The evidence in this summary comes from systematic reviews and guidelines.
It was prepared based on structured searches of the literature and selected evidence-based healthcare databases (SUPPORT Summaries, PDQ-Evidence, Epistemonikos, Health systems evidence, Medline, Cochrane Library, and JBI database for systematic reviews).
What is Rapid evidence Review?Rapid evidence review addresses the needs of policymakers and program managers for research evidence that has been appraised and contextualized to a specific context in a matter of hours or days. This rapid evidence review goes beyond research evidence and integrates multiple types and levels of evidence
Where did this Rapid Evidence Review come from?This document was created in response to the request from TB/HIV Reseach Directorate of EPHI to synthesize the best available evidence related to barriers for cervical cancer services uptake by women living with HIV/AIDS and their mitigation strategies. It was prepared by the Knowledge Translation Directorate and TB/HIV Research Directorate, Ethiopian Public Health Institute.
Included:Key findingsfrom high quality research
Not included:Recommendations and detailed descriptions
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References
Agide FD, Garmaroudi G, Sadeghi R, Shakibazadeh E, Yaseri M, Koricha ZB, et al. (2018). A systematic review of the effectiveness of health education interventions to increase cervical cancer screening uptake. European Journal of Public Health,28(6):1156–1162.
Asonganyi E, Vaghasia M, Rodrigues C, Phadtare A, Ford A, Pietrobon R, et al. (2013). Factors Affecting Compliance with Clinical Practice Guidelines for Pap Smear Screening among Healthcare Providers in Africa : Systematic Review and Meta- Summary of 2045 Individuals. PLoSE One,8(9):1–10.
Black E, Hyslop F & Richmond R (2019). Barriers and facilitators to uptake of cervical cancer screening among women in Uganda : a systematic review. BMC Women’s Health, Pp. 1–12.
Broutet L, Dangou J-M, Fadhil I, Lazdane G, Luciani S, Mathur A, et al. (2013). WHO guidelines for screening and treatment of precancerous lesions for cervical cancer prevention. Pp 60.
Bruni L, Albero G, Serrano B, Mena M, Collado JJ, Gómez D, et al. (2021). Human Papillomavirus and Related Diseases Report.ICO/IARC Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirus and Related Diseases in the World. Summary Report. Pp.314.
Chirenje FZM (2005). HIV and cancer of the cervix. Best Practice & Research. Clinical Obstetrics & Gynaecology, 19(2):269–276. doi: 10.1016/j.bpobgyn.2004.10.002.
Chorley AJ, Marlow LAV, Forster AS, Haddrell JB & Waller J (2017). Experiences of cervical screening and barriers to participation in the context of an organised programme : a systematic review and thematic synthesis. Psychycooncology, 26(2):161– 172. doi: 10.1002/pon.4126.
Clifford GM, Polesel J, Rickenbach M, Maso LD, Keiser O, Kofler A, et al. (2005). Cancer risk in the Swiss HIV Cohort Study: associations with immunodeficiency, smoking, and highly active antiretroviral therapy.Journal of the National Cancer Institute. United States, 97(6):425–432. doi: 10.1093/jnci/dji072.
Everett T, Bryant A, Griffin MF, Martin-Hirsch PP, Forbes CA & Jepson RG (2011). Interventions targeted at women to encourage the uptake of cervical screening (Review). The Cochrane database of Systematic Reviews, 5:CD002834.
Glick SB, Clarke AR, Blanchard A &Whitaker AK (2012). Cervical Cancer Screening , Diagnosis and Treatment Interventions for Racial and Ethnic Minorities : A Systematic Review. Journal of General Internal Medicine, 27(8):1016-32. doi: 10.1007/s11606-012-2052-2.
GLOBOCAN (2018). Global Cancer Observatory. Cancer data for cancer action. Research powered by Cancer registries. Global Cancer Observatory (GCO) (@GLOBOCAN_GCO) / Twitter
Greenwald R, El-Zein M, Bouten S, Ensha H, Vazquez FL & France EF (2017). Mobile Screening Units for the Early Detection of Cancer : A Systematic Review. Cancer Epidemiology Biomarkers and Prevention, 26(12):1679-1694.
ICO/IARC Information Centre (2018). Human Papillomavirus Related Cancers. Fact Sheet. Pp 3. Johnson LG, Armstrong A, Joyce CM, Teitelman AM & Buttenheim AM (2018). Implementation strategies to improve cervical cancer prevention in sub-Saharan Africa : a systematic review.
Implementation Science, 13(28):1–18.
Rahman R, Clark MD, Collins Z, Traore F, Dioukhane EM, Thiam H, et al. (2019). Cervical cancer screening decentralized policy adaptation : an African rural-context-specific systematic literature review. Global Health Action, 12(1):1–14.
Sigfrid L, Murphy G, Haldane V, Chuah FLH, Ong SE, Cervero-Liceras F, et al. (2017). Integrating cervical cancer with HIV healthcare services: A systematic review. PLOS Global Public Health, Pp. 1–26.
WHO (2018a). HPV & Cervical Cancer. Available at: https://www.who.int/news-room/fact- sheets/detail/human-papillomavirus-(hpv)-and- cervical-cancer.
WHO (2018b). Immunization, Vaccines and Biologicals. Available at: https://www.who.int.
Zhang D, Advani S, Waller J, Cupertino A-P, Hurtado- de-Mendoza A, Chicaiza A,, et al. (2020). Mobile Technologies and Cervical Cancer Screening in Low- and Middle-Income Countries : A Systematic Review abstract. JCO Global Oncology, Pp. 617–627.
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