期刊
JOURNAL OF COMMUNITY HEALTH
卷 40, 期 4, 页码 756-761出版社
SPRINGER
DOI: 10.1007/s10900-015-9996-1
关键词
Cervical cancer screening; Provider attitudes; Sub-Saharan Africa; Service barriers; Patient barriers
资金
- Doris Duke Charitable Foundation
- National Institutes of Health [KL2 RR024130-04]
Although cervical cancer is highly preventable through screening, it remains the number one cause of cancer-related death in Kenyan women due to lack of funding and infrastructure for prevention programs. In 2012, Family AIDS Care and Education Services in partnership with the Kenya Ministry of Health began offering free screening at eleven rural health facilities. We sought to explore why screening coverage remains low at some sites. We examined the barriers to screening through a survey of 106 healthcare staff. The most frequently cited barriers to service delivery included staffing shortages, lack of trained staff, insufficient space, and supply issues. The patient barriers commonly perceived by the staff included inadequate knowledge, wait time, discomfort with male providers, and fear of pain with the speculum exam. Despite multilateral efforts to implement cervical cancer screening, staff face significant challenges to service provision and increased education is needed for both providers and patients.
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