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

Kumakech E, Andersson S, Wabinga H, Berggren V - BMC Womens Health (2015)

Bottom Line: The women endorsed the benefits.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.

View Article: PubMed Central - PubMed

Affiliation: School of Health and Medical Sciences, Örebro University, 701 82, Örebro, Sweden, edward.kumakech@oru.se.

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.

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Related in: MedlinePlus

Themes and subthemes.
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Fig1: Themes and subthemes.

Mentions: Data (from the audio recording) were first transcribed verbatim and then analyzed using the content analysis method [27], which allowed for exploration and synthesis of codes, themes, and categories. Figure 1 shows the code list together with the corresponding themes and categories that emerged from the data.Figure 1


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

Kumakech E, Andersson S, Wabinga H, Berggren V - BMC Womens Health (2015)

Themes and subthemes.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4359479&req=5

Fig1: Themes and subthemes.
Mentions: Data (from the audio recording) were first transcribed verbatim and then analyzed using the content analysis method [27], which allowed for exploration and synthesis of codes, themes, and categories. Figure 1 shows the code list together with the corresponding themes and categories that emerged from the data.Figure 1

Bottom Line: The women endorsed the benefits.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.

View Article: PubMed Central - PubMed

Affiliation: School of Health and Medical Sciences, Örebro University, 701 82, Örebro, Sweden, edward.kumakech@oru.se.

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.

Show MeSH
Related in: MedlinePlus