TY - JOUR
T1 - A scoping review
T2 - Facilitators and barriers of cervical cancer screening and early diagnosis of breast cancer in Sub-Saharan African health settings
AU - Pierz, Amanda J.
AU - Randall, Thomas C.
AU - Castle, Philip E.
AU - Adedimeji, Adebola
AU - Ingabire, Charles
AU - Kubwimana, Gallican
AU - Uwinkindi, Francois
AU - Hagenimana, Marc
AU - Businge, Lydia
AU - Musabyimana, Francoise
AU - Munyaneza, Athanase
AU - Murenzi, Gad
N1 - Publisher Copyright:
© 2020 The Authors
PY - 2020/8
Y1 - 2020/8
N2 - To address gaps in access to cervical cancer screening and early diagnosis of breast cancer services in Sub-Saharan African (SSA), this scoping review was conducted to explore facilitators and barriers that exist on the patient-, provider-, and system-level. An extensive literature search was conducted in accordance with scoping review methodology and the Cochrane guidelines. Our search criteria were limited to original research studies conducted in community or clinical settings in SSA within the last 10 years (2010–2020). Themes found from this review included patient knowledge and provider education, access to screening services, trust, health-related behaviors, attitudes, values, and practices, community and social values, health infrastructure, resource allocation, and political will. Identified barriers included lack of knowledge about cervical and breast cancer among patients, gaps in education and training among providers, and lack of resources and health infrastructure at the facility level and within the overall health system. Facilitators included perceived risk of cancer, support and encouragement of the provider, and utilization of novel approaches in low-resource settings by health systems. To better address individual-, provider-, and health system and facility-based facilitators and barriers to care, there is a need for political and financial investment and further research on the health service delivery in specific national health systems, especially in the context of the global campaign to eliminate cervical cancer as a public health problem.
AB - To address gaps in access to cervical cancer screening and early diagnosis of breast cancer services in Sub-Saharan African (SSA), this scoping review was conducted to explore facilitators and barriers that exist on the patient-, provider-, and system-level. An extensive literature search was conducted in accordance with scoping review methodology and the Cochrane guidelines. Our search criteria were limited to original research studies conducted in community or clinical settings in SSA within the last 10 years (2010–2020). Themes found from this review included patient knowledge and provider education, access to screening services, trust, health-related behaviors, attitudes, values, and practices, community and social values, health infrastructure, resource allocation, and political will. Identified barriers included lack of knowledge about cervical and breast cancer among patients, gaps in education and training among providers, and lack of resources and health infrastructure at the facility level and within the overall health system. Facilitators included perceived risk of cancer, support and encouragement of the provider, and utilization of novel approaches in low-resource settings by health systems. To better address individual-, provider-, and health system and facility-based facilitators and barriers to care, there is a need for political and financial investment and further research on the health service delivery in specific national health systems, especially in the context of the global campaign to eliminate cervical cancer as a public health problem.
KW - Barriers
KW - Breast cancer
KW - Cancer prevention
KW - Cervical cancer
KW - Facilitators
KW - Sub-Saharan Africa
UR - http://www.scopus.com/inward/record.url?scp=85086875025&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85086875025&partnerID=8YFLogxK
U2 - 10.1016/j.gore.2020.100605
DO - 10.1016/j.gore.2020.100605
M3 - Review article
AN - SCOPUS:85086875025
SN - 2211-338X
VL - 33
JO - Gynecologic Oncology Reports
JF - Gynecologic Oncology Reports
M1 - 100605
ER -