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Integration of HIV and cervical cancer screening perceptions and preferences of communities in Uganda
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Department of Pathology, Makerere University College of Health Sciences, Kampala, Uganda .ORCID iD: 0000-0003-0830-1249
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Department of Laboratory Medicine, Örebro University Hospital, Örebro, Sweden.ORCID iD: 0000-0002-4522-3078
Department of Pathology, Makerere University College of Health Sciences, Kampala, Uganda .
Department of Health Sciences, Lund University, Lund, Sweden.
2015 (English)In: BMC Women's Health, ISSN 1472-6874, E-ISSN 1472-6874, Vol. 15, no 1, article id 23Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
London, United Kingdom: BioMed Central, 2015. Vol. 15, no 1, article id 23
Keywords [en]
Cervical cancer, HIV, Integration, Perceptions, Screening, Uganda
National Category
Obstetrics, Gynecology and Reproductive Medicine
Research subject
Obstetrics and Gynaecology
Identifiers
URN: urn:nbn:se:oru:diva-44236DOI: 10.1186/s12905-015-0183-4ISI: 000350950300001PubMedID: 25783655Scopus ID: 2-s2.0-84925124216OAI: oai:DiVA.org:oru-44236DiVA, id: diva2:805010
Funder
Sida - Swedish International Development Cooperation AgencyAvailable from: 2015-04-14 Created: 2015-04-14 Last updated: 2018-06-29Bibliographically 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. p. 154
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 125
Keywords
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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Kumakech, EdwardAndersson, Sören

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