Beliefs, perceptions and health-seeking behaviours in relation to cervical cancer: a qualitative study among women in Uganda following completion of an HPV vaccination campaign

Background: Cervical cancer remains a leading cause of morbidity and mortality in Uganda. Despite earlier information campaigns to introduce human papilloma virus (HPV) vaccination, which also targeted cervical cancer, misinterpretation and misunderstanding of the subject remain high. Women in Ugand...

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Main Authors: Olivia Topister Hasahya, Vanja Berggren, Douglas Sematimba, Rose Chalo Nabirye, Edward Kumakech
Format: Article
Language:English
Published: Taylor & Francis Group 2016-02-01
Series:Global Health Action
Subjects:
Online Access:http://www.globalhealthaction.net/index.php/gha/article/view/29336/pdf_235
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author Olivia Topister Hasahya
Vanja Berggren
Douglas Sematimba
Rose Chalo Nabirye
Edward Kumakech
author_facet Olivia Topister Hasahya
Vanja Berggren
Douglas Sematimba
Rose Chalo Nabirye
Edward Kumakech
author_sort Olivia Topister Hasahya
collection DOAJ
description Background: Cervical cancer remains a leading cause of morbidity and mortality in Uganda. Despite earlier information campaigns to introduce human papilloma virus (HPV) vaccination, which also targeted cervical cancer, misinterpretation and misunderstanding of the subject remain high. Women in Uganda present with cervical cancer at an advanced stage due to poor health-seeking behaviours, with an associated high mortality rate. This project explored beliefs, attitudes, perceptions, and health-seeking behaviours in relation to cervical cancer among women in Uganda after an HPV vaccination project had been rolled out. Design: A qualitative study design was used, with six focus group discussions (FGDs) that included 36 women, aged 25–49 years, with no previous history of cervical cancer symptoms or diagnosis. The women were interviewed in February and March 2013. The transcribed data was analysed using content analysis. Results: Three themes emerged: feeling unprotected and unsafe, misbelief and wondering about cervical cancer, and fear of the testing procedure. Participating women had heard of cervical cancer but preferred to wait to access cervical cancer screening until symptom debut. Conclusions: There are still barriers to cervical cancer screening among women in Uganda, where there is a need for culture-specific, sensitive information and interventions to address the issues of improving the cervical cancer screening uptake among these women. Societal context needs to be taken into account when implementing community-based health education.
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spelling doaj.art-ec797c3c11bb458f801ec8cb1ae99b1d2022-12-22T02:56:46ZengTaylor & Francis GroupGlobal Health Action1654-98802016-02-01901910.3402/gha.v9.2933629336Beliefs, perceptions and health-seeking behaviours in relation to cervical cancer: a qualitative study among women in Uganda following completion of an HPV vaccination campaignOlivia Topister Hasahya0Vanja Berggren1Douglas Sematimba2Rose Chalo Nabirye3Edward Kumakech4 Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden Department of Public Health Sciences, Karolinska Institute, Stockholm, Sweden Makerere University College of Health Sciences, Kampala, Uganda Makerere University College of Health Sciences, Kampala, UgandaBackground: Cervical cancer remains a leading cause of morbidity and mortality in Uganda. Despite earlier information campaigns to introduce human papilloma virus (HPV) vaccination, which also targeted cervical cancer, misinterpretation and misunderstanding of the subject remain high. Women in Uganda present with cervical cancer at an advanced stage due to poor health-seeking behaviours, with an associated high mortality rate. This project explored beliefs, attitudes, perceptions, and health-seeking behaviours in relation to cervical cancer among women in Uganda after an HPV vaccination project had been rolled out. Design: A qualitative study design was used, with six focus group discussions (FGDs) that included 36 women, aged 25–49 years, with no previous history of cervical cancer symptoms or diagnosis. The women were interviewed in February and March 2013. The transcribed data was analysed using content analysis. Results: Three themes emerged: feeling unprotected and unsafe, misbelief and wondering about cervical cancer, and fear of the testing procedure. Participating women had heard of cervical cancer but preferred to wait to access cervical cancer screening until symptom debut. Conclusions: There are still barriers to cervical cancer screening among women in Uganda, where there is a need for culture-specific, sensitive information and interventions to address the issues of improving the cervical cancer screening uptake among these women. Societal context needs to be taken into account when implementing community-based health education.http://www.globalhealthaction.net/index.php/gha/article/view/29336/pdf_235beliefsperceptionshealth-seeking behaviourshealth belief modelcervical cancer screening
spellingShingle Olivia Topister Hasahya
Vanja Berggren
Douglas Sematimba
Rose Chalo Nabirye
Edward Kumakech
Beliefs, perceptions and health-seeking behaviours in relation to cervical cancer: a qualitative study among women in Uganda following completion of an HPV vaccination campaign
Global Health Action
beliefs
perceptions
health-seeking behaviours
health belief model
cervical cancer screening
title Beliefs, perceptions and health-seeking behaviours in relation to cervical cancer: a qualitative study among women in Uganda following completion of an HPV vaccination campaign
title_full Beliefs, perceptions and health-seeking behaviours in relation to cervical cancer: a qualitative study among women in Uganda following completion of an HPV vaccination campaign
title_fullStr Beliefs, perceptions and health-seeking behaviours in relation to cervical cancer: a qualitative study among women in Uganda following completion of an HPV vaccination campaign
title_full_unstemmed Beliefs, perceptions and health-seeking behaviours in relation to cervical cancer: a qualitative study among women in Uganda following completion of an HPV vaccination campaign
title_short Beliefs, perceptions and health-seeking behaviours in relation to cervical cancer: a qualitative study among women in Uganda following completion of an HPV vaccination campaign
title_sort beliefs perceptions and health seeking behaviours in relation to cervical cancer a qualitative study among women in uganda following completion of an hpv vaccination campaign
topic beliefs
perceptions
health-seeking behaviours
health belief model
cervical cancer screening
url http://www.globalhealthaction.net/index.php/gha/article/view/29336/pdf_235
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