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An analysis of key stakeholders’ attitudes and beliefs about barriers and facilitating factors in the development of a cervical cancer prevention program in South Africa

Shelley A. Francis, Kendall A. Leser, Emma E. Esmont, Fareeda M. Griffith

Abstract

Cervical cancer is the leading cause of cancer related deaths among women.  Each year there are approximately 250,000 deaths; most of which occurred in Sub-Saharan Africa, South Asia, and Latin America. The purpose of this report is to examine key stakeholders experience and knowledge of HPV and cervical cancer, examine their experiences with the current cervical cancer screening and treatment policy, and identify barriers and facilitating factors to vaccine implementation and uptake. Fifteen indepth interviews were conducted with key stakeholders in Cape Town and Johannesburg, South Africa. The interviews revealed several key findings including: 1) knowledge about HPV and cervical cancer varied across participants, 2) knowledge about cervical cancer was also mixed while knowledge about the relationship between HPV and cervical cancer was low among participants.  Our findings indicate that key stakeholders are concerned about women’s health and wellbeing.  In addition, they believe that the government, families, and the media need to play a prominent role in prevention efforts.  (Afr J Reprod Health 2013; 17[1]: 158-168).

Résumé

Le cancer du col est la principale cause de décès liés au cancer chez les femmes. Chaque année, il y a environ 250.000 décès, la plupart se produisant en Afrique sub-saharienne, en Asie du Sud et en Amérique latine.  Le but de ce rapport est d'examiner l'expérience des partis prenants clés et la connaissance sur le cancer du col utérin et le VPH, d’examiner leurs expériences avec le dépistage du cancer du col de l'utérus et des politiques actuelles du traitement et d'identifier les obstacles et les facteurs qui facilitent la mise en œuvre du vaccin et son acceptation. Quinze entrevues en profondeur ont été menées auprès  des intervenants clés au Cap et à Johannesburg, en Afrique du Sud. Les entrevues ont révélé plusieurs résultats clés, notamment: 1) les connaissances sur le VPH et le cancer du col de l'utérus varie selon les participantes, 2) les connaissances sur le cancer du col de l'utérus ont également été variables tandis que la connaissance sur la relation entre le VPH et le cancer du col de l'utérus était faible chez les participantes. Nos résultats indiquent que les principaux partis prenants sont préoccupés de la santé et du bien-être des femmes.  En outre, ils estiment que le gouvernement, les familles et les médias doivent jouer un rôle de premier plan dans les efforts de prévention (Afr J Reprod Health 2013; 17[1]: 158-168).

Keywords: cervical cancer prevention, women’s health, South Africa

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References

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