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Integration of HIV and cervical cancer screening perceptions of healthcare providers and policy makers in Uganda
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Department of Pathology, Makerere University, College of Health Sciences, Kampala, Uganda.
Örebro University Hospital. Department of Laboratory Medicine.ORCID iD: 0000-0002-4522-3078
Department of Pathology, Makerere University, College of Health Sciences, Kampala, Uganda.
Division of Health Sciences, Lund University, Lund, Sweden.
2014 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 14, 810Article in journal (Refereed) Published
Abstract [en]

Background: HIV-positive women have an increased risk of developing cervical cancer (CC) compared to the HIV-negative women. Despite this, HIV and CC screening programs in many developing countries have remained disintegrated. Therefore, the objective of the study was to explore perceptions of healthcare providers (HCP) and policy makers (PM) about integration of HIV and CC screening services in Uganda.

Methods: This was a qualitative study conducted among 16 participants comprising of 12 healthcare providers and 4 policy makers in Uganda. Data were collected through individual interviews. Participants were purposively selected from different level of health facilities with clinics for HIV and CC screening services. Content analysis method was used to analyze the data.

Results: Three themes emerged from the data, namely appreciating benefits of integration, worrying about the limited health system capacity and potential consequences of integration and feeling optimistic about integration under improved health system conditions. The benefits embraced the women - particularly the HIV-positive women- but also men, healthcare providers and the health system or the government. There were worries that HIV stigma and shortage of healthcare workers would affect the effective delivery of the integrated program.

Conclusion: Integration of HIV and CC screening can offer manifold benefits to all stakeholders in the health system, more so to the women. However, its feasibility in developing countries such as Uganda will most likely be hampered by weak and inefficient health systems. Therefore, when considering HIV and CC screening integration, it is important not to only recognize the benefits but also take into account resources requirements for addressing the existing weaknesses and inefficiencies in the health systems such as limited infrastructure, insufficient drugs and supplies, inadequate and poorly motivated healthcare workers.

Place, publisher, year, edition, pages
BioMed Central, 2014. Vol. 14, 810
Keyword [en]
HIV, Cervical cancer, Screening, Integration, Uganda
National Category
Environmental Health and Occupational Health
Identifiers
URN: urn:nbn:se:oru:diva-37680DOI: 10.1186/1471-2458-14-810ISI: 000341734500001PubMedID: 25099996Scopus ID: 2-s2.0-84907043465OAI: oai:DiVA.org:oru-37680DiVA: diva2:754839
Note

Funding Agency:

Sida/SAREC

Available from: 2014-10-13 Created: 2014-10-13 Last updated: 2017-10-18Bibliographically approved
In thesis
1. Human immunodeficiency virus (HIV), human papillomavirus (HPV) and cervical cancer prevention in Uganda: prevalence, risk factors, benefits and challenges of post-exposure profylaxis, screening integration and vaccination
Open this publication in new window or tab >>Human immunodeficiency virus (HIV), human papillomavirus (HPV) and cervical cancer prevention in Uganda: prevalence, risk factors, benefits and challenges of post-exposure profylaxis, screening integration and vaccination
2015 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Örebro: Örebro university, 2015. 154 p.
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 125
Keyword
HIV, HPV, Cervical cancer, Prevention, Post-exposure prophylaxis, screening integration, vaccination, Uganda
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Obstetrics and Gynaecology
Identifiers
urn:nbn:se:oru:diva-44517 (URN)978-91-7529-084-3 (ISBN)
Public defence
2015-06-09, Universitetssjukhuset, hörsal C3, Södra Grev Rosengatan, Örebro, 09:00 (English)
Opponent
Supervisors
Available from: 2015-05-04 Created: 2015-05-04 Last updated: 2017-10-17Bibliographically approved

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CiteExportLink to record
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Citation style
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