Expanding cervical cancer screening and treatment in tanzania: Stakeholders’ perceptions of structural influences on scale-up

Renicha McCree, Mary Rose Giattas, Vikrant V. Sahasrabuddhe, Pauline E. Jolly, Michelle Martin, Stuart Lawrence Usdan, Connie Kohler, Nedra Lisovicz

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Tanzania has the highest burden of cervical cancer in East Africa. This study aims to identify perceived barriers and facilitators that influence scale-up of regional and population-level cervical cancer screening and treatment programs in Tanzania. Convenience sampling was used to select participants for this qualitative study among 35 key informants. Twenty-eight stakeholders from public-sector health facilities, academia, government, and nongovernmental organizations completed in-depth interviews, and a seven-member municipal health management team participated in a focus group discussion. The investigation identified themes related to theinfrastructure of health services for cervical cancer prevention, service delivery, political will, and sociocultural influences on screening and treatment. Decentralizing service delivery, improving access to screening and treatment, increasing the number of trained health workers, and garnering political will were perceived as key facilitators for enhancing and initiating screening and treatment services. In conclusion, participants perceived that system-level structural factors should be addressed to expand regional and population-level service delivery of screening and treatment.

Original languageEnglish (US)
Pages (from-to)621-626
Number of pages6
JournalOncologist
Volume20
Issue number6
DOIs
StatePublished - Jan 1 2015

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Tanzania
Early Detection of Cancer
Uterine Cervical Neoplasms
Eastern Africa
Public Sector
Health Facilities
Health
Focus Groups
Population
Health Services
Public Health
Organizations
Interviews

All Science Journal Classification (ASJC) codes

  • Oncology
  • Cancer Research

Cite this

Expanding cervical cancer screening and treatment in tanzania : Stakeholders’ perceptions of structural influences on scale-up. / McCree, Renicha; Giattas, Mary Rose; Sahasrabuddhe, Vikrant V.; Jolly, Pauline E.; Martin, Michelle; Usdan, Stuart Lawrence; Kohler, Connie; Lisovicz, Nedra.

In: Oncologist, Vol. 20, No. 6, 01.01.2015, p. 621-626.

Research output: Contribution to journalArticle

McCree, R, Giattas, MR, Sahasrabuddhe, VV, Jolly, PE, Martin, M, Usdan, SL, Kohler, C & Lisovicz, N 2015, 'Expanding cervical cancer screening and treatment in tanzania: Stakeholders’ perceptions of structural influences on scale-up', Oncologist, vol. 20, no. 6, pp. 621-626. https://doi.org/10.1634/theoncologist.2013-0305
McCree, Renicha ; Giattas, Mary Rose ; Sahasrabuddhe, Vikrant V. ; Jolly, Pauline E. ; Martin, Michelle ; Usdan, Stuart Lawrence ; Kohler, Connie ; Lisovicz, Nedra. / Expanding cervical cancer screening and treatment in tanzania : Stakeholders’ perceptions of structural influences on scale-up. In: Oncologist. 2015 ; Vol. 20, No. 6. pp. 621-626.
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