Asking physicians how best to implement cervical cancer prevention services in India: A qualitative study from Mysore
Cervical cancer is the second most common cancer among Indian women. Screening is an effective prevention strategy, but achieving high screening rates depend upon identifying barriers at multiple levels of healthcare delivery. There is limited research on understanding the perspectives of providers...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2022-01-01
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| Series: | PLOS Global Public Health |
| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021426/?tool=EBI |
| _version_ | 1797696259484549120 |
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| author | Prajakta Adsul Sasha Herbst de Cortina Rashmi Pramathesh Poornima Jayakrishna Vijaya Srinivas Suzanne Tanya Nethan Kavitha Dhanasekaran Roopa Hariprasad Purnima Madhivanan |
| author_facet | Prajakta Adsul Sasha Herbst de Cortina Rashmi Pramathesh Poornima Jayakrishna Vijaya Srinivas Suzanne Tanya Nethan Kavitha Dhanasekaran Roopa Hariprasad Purnima Madhivanan |
| author_sort | Prajakta Adsul |
| collection | DOAJ |
| description | Cervical cancer is the second most common cancer among Indian women. Screening is an effective prevention strategy, but achieving high screening rates depend upon identifying barriers at multiple levels of healthcare delivery. There is limited research on understanding the perspectives of providers who deliver cancer prevention services. The objective of this study was to explore physician perspectives on cervical cancer prevention, barriers to effective implementation, and strategies to overcome these barriers in India. Guided by the “Multilevel influences on the Cancer Care Continuum” theoretical framework, we conducted semi-structured interviews with physicians in Mysore, India. From November 2015- January 2016, we interviewed 15 (50.0%) primary care physicians, seven (23.3%) obstetrician/gynecologists, six (20.0%) oncologists, and two (6.7%) pathologists. We analyzed interview transcripts in Dedoose using a grounded theory approach. Approximately two-thirds (n = 19, 63.3%) of the participants worked in the public sector. Only seven (23.3%) physicians provided cervical cancer screening, none of them primary care physicians. Physicians discussed the need for community-level, culturally-tailored education to improve health literacy and reduce stigma surrounding cancer and gynecologic health. They described limited organizational capacity in the public sector to provide cancer prevention services, and emphasized the need for further training before they could perform cervical cancer screening. Physicians recommend an integrated strategy for cervical cancer prevention at multiple levels of uptake and delivery with specific efforts focused on culturally-tailored stigma-reducing education, community-level approaches utilizing India’s community health workers, and providing physician training and continuing education in cancer prevention. |
| first_indexed | 2024-03-12T03:23:50Z |
| format | Article |
| id | doaj.art-2a0045b7fb254ee08a6c11d64759aef9 |
| institution | Directory Open Access Journal |
| issn | 2767-3375 |
| language | English |
| last_indexed | 2024-03-12T03:23:50Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLOS Global Public Health |
| spelling | doaj.art-2a0045b7fb254ee08a6c11d64759aef92023-09-03T13:44:11ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752022-01-0126Asking physicians how best to implement cervical cancer prevention services in India: A qualitative study from MysorePrajakta AdsulSasha Herbst de CortinaRashmi PramatheshPoornima JayakrishnaVijaya SrinivasSuzanne Tanya NethanKavitha DhanasekaranRoopa HariprasadPurnima MadhivananCervical cancer is the second most common cancer among Indian women. Screening is an effective prevention strategy, but achieving high screening rates depend upon identifying barriers at multiple levels of healthcare delivery. There is limited research on understanding the perspectives of providers who deliver cancer prevention services. The objective of this study was to explore physician perspectives on cervical cancer prevention, barriers to effective implementation, and strategies to overcome these barriers in India. Guided by the “Multilevel influences on the Cancer Care Continuum” theoretical framework, we conducted semi-structured interviews with physicians in Mysore, India. From November 2015- January 2016, we interviewed 15 (50.0%) primary care physicians, seven (23.3%) obstetrician/gynecologists, six (20.0%) oncologists, and two (6.7%) pathologists. We analyzed interview transcripts in Dedoose using a grounded theory approach. Approximately two-thirds (n = 19, 63.3%) of the participants worked in the public sector. Only seven (23.3%) physicians provided cervical cancer screening, none of them primary care physicians. Physicians discussed the need for community-level, culturally-tailored education to improve health literacy and reduce stigma surrounding cancer and gynecologic health. They described limited organizational capacity in the public sector to provide cancer prevention services, and emphasized the need for further training before they could perform cervical cancer screening. Physicians recommend an integrated strategy for cervical cancer prevention at multiple levels of uptake and delivery with specific efforts focused on culturally-tailored stigma-reducing education, community-level approaches utilizing India’s community health workers, and providing physician training and continuing education in cancer prevention.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021426/?tool=EBI |
| spellingShingle | Prajakta Adsul Sasha Herbst de Cortina Rashmi Pramathesh Poornima Jayakrishna Vijaya Srinivas Suzanne Tanya Nethan Kavitha Dhanasekaran Roopa Hariprasad Purnima Madhivanan Asking physicians how best to implement cervical cancer prevention services in India: A qualitative study from Mysore PLOS Global Public Health |
| title | Asking physicians how best to implement cervical cancer prevention services in India: A qualitative study from Mysore |
| title_full | Asking physicians how best to implement cervical cancer prevention services in India: A qualitative study from Mysore |
| title_fullStr | Asking physicians how best to implement cervical cancer prevention services in India: A qualitative study from Mysore |
| title_full_unstemmed | Asking physicians how best to implement cervical cancer prevention services in India: A qualitative study from Mysore |
| title_short | Asking physicians how best to implement cervical cancer prevention services in India: A qualitative study from Mysore |
| title_sort | asking physicians how best to implement cervical cancer prevention services in india a qualitative study from mysore |
| url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021426/?tool=EBI |
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