A scoping review: Facilitators and barriers of cervical cancer screening and early diagnosis of breast cancer in Sub-Saharan African health settings

Amanda J. Pierz, Thomas C. Randall, Philip E. Castle, Adebola Adedimeji, Charles Ingabire, Gallican Kubwimana, Francois Uwinkindi, Marc Hagenimana, Lydia Businge, Francoise Musabyimana, Athanase Munyaneza, Gad Murenzi

Research output: Contribution to journalReview article

Abstract

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.

Original languageEnglish (US)
Article number100605
JournalGynecologic Oncology Reports
Volume33
DOIs
StatePublished - Aug 2020

Keywords

  • Barriers
  • Breast cancer
  • Cancer prevention
  • Cervical cancer
  • Facilitators
  • Sub-Saharan Africa

ASJC Scopus subject areas

  • Oncology
  • Obstetrics and Gynecology

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    Pierz, A. J., Randall, T. C., Castle, P. E., Adedimeji, A., Ingabire, C., Kubwimana, G., Uwinkindi, F., Hagenimana, M., Businge, L., Musabyimana, F., Munyaneza, A., & Murenzi, G. (2020). A scoping review: Facilitators and barriers of cervical cancer screening and early diagnosis of breast cancer in Sub-Saharan African health settings. Gynecologic Oncology Reports, 33, [100605]. https://doi.org/10.1016/j.gore.2020.100605