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Integration of HIV and cervical cancer screening perceptions and preferences of communities in Uganda

Kumakech, Edward; Andersson, Soren; Wabinga, Henry and Berggren, Vanja LU (2015) In BMC Women's Health 15.
Abstract
Background: Despite the fact that HIV-positive women carry an increased risk of developing cervical cancer (CC) in comparison with HIV-negative women, HIV and CC screening programs in many developing countries have remained unintegrated. The objective of this study is to explore perceptions and preferences of community members in Uganda, including women, men, and village health teams, regarding the integration of HIV and CC screening services in a single-visit approach. Methods: This qualitative study was conducted in three districts in Uganda. Data were collected through focus group discussions with women and village health teams, and individual interviews with men. Respondents were purposely selected from among those linked to three CC... (More)
Background: Despite the fact that HIV-positive women carry an increased risk of developing cervical cancer (CC) in comparison with HIV-negative women, HIV and CC screening programs in many developing countries have remained unintegrated. The objective of this study is to explore perceptions and preferences of community members in Uganda, including women, men, and village health teams, regarding the integration of HIV and CC screening services in a single-visit approach. Methods: This qualitative study was conducted in three districts in Uganda. Data were collected through focus group discussions with women and village health teams, and individual interviews with men. Respondents were purposely selected from among those linked to three CC clinics in the three districts. The content analysis method was used to analyze the data. Results: Three themes emerged from the data, namely appreciating the benefits of integration, worrying about the challenges of integration, and preferences for integration. The women endorsed the benefits. However, there were worries that integration would prolong the waiting time at the health facility and induce tiredness in both the healthcare providers and the women. There were also fears of being found positive for both HIV and CC and the consequences such as stress, self-isolation, and social conflicts. Participants, particularly the women, considered the challenges of screening integration to be manageable by, for example, taking a day off work to visit the hospital, delegating house chores to other family members, or taking a packed lunch on visiting the hospital. Conclusions: The community members in Uganda perceive the benefits of HIV and CC screening integration to outweigh the challenges, and expect that the challenges can be minimized or managed by the women. Therefore, when considering HIV and CC screening integration, it is important to not only recognize the benefits but also take into consideration the perceived challenges and preferences of community members. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
HIV, Cervical cancer, Integration, Perceptions, Uganda, Screening
in
BMC Women's Health
volume
15
publisher
BioMed Central
external identifiers
  • wos:000350950300001
  • scopus:84925124216
ISSN
1472-6874
DOI
10.1186/s12905-015-0183-4
language
English
LU publication?
yes
id
f8b65de6-fdb9-4369-807f-c458f729283d (old id 5294046)
date added to LUP
2015-05-04 08:34:04
date last changed
2017-07-23 04:28:41
@article{f8b65de6-fdb9-4369-807f-c458f729283d,
  abstract     = {Background: Despite the fact that HIV-positive women carry an increased risk of developing cervical cancer (CC) in comparison with HIV-negative women, HIV and CC screening programs in many developing countries have remained unintegrated. The objective of this study is to explore perceptions and preferences of community members in Uganda, including women, men, and village health teams, regarding the integration of HIV and CC screening services in a single-visit approach. Methods: This qualitative study was conducted in three districts in Uganda. Data were collected through focus group discussions with women and village health teams, and individual interviews with men. Respondents were purposely selected from among those linked to three CC clinics in the three districts. The content analysis method was used to analyze the data. Results: Three themes emerged from the data, namely appreciating the benefits of integration, worrying about the challenges of integration, and preferences for integration. The women endorsed the benefits. However, there were worries that integration would prolong the waiting time at the health facility and induce tiredness in both the healthcare providers and the women. There were also fears of being found positive for both HIV and CC and the consequences such as stress, self-isolation, and social conflicts. Participants, particularly the women, considered the challenges of screening integration to be manageable by, for example, taking a day off work to visit the hospital, delegating house chores to other family members, or taking a packed lunch on visiting the hospital. Conclusions: The community members in Uganda perceive the benefits of HIV and CC screening integration to outweigh the challenges, and expect that the challenges can be minimized or managed by the women. Therefore, when considering HIV and CC screening integration, it is important to not only recognize the benefits but also take into consideration the perceived challenges and preferences of community members.},
  articleno    = {23},
  author       = {Kumakech, Edward and Andersson, Soren and Wabinga, Henry and Berggren, Vanja},
  issn         = {1472-6874},
  keyword      = {HIV,Cervical cancer,Integration,Perceptions,Uganda,Screening},
  language     = {eng},
  publisher    = {BioMed Central},
  series       = {BMC Women's Health},
  title        = {Integration of HIV and cervical cancer screening perceptions and preferences of communities in Uganda},
  url          = {http://dx.doi.org/10.1186/s12905-015-0183-4},
  volume       = {15},
  year         = {2015},
}