Public health action · 2026
Leveraging sexually transmitted infection clinics for cervical cancer screening: evidence from India.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Yadav P, Alwani A A, Harries A D, Deshmukh P R, Tripathy J P, Kuravatti N B, Dani A, Pawar A, Vijayageetha M, Gavali K, Seshachalam A
Аннотация
SETTING: Four government-run sexually transmitted infection/reproductive tract infection (STI/RTI) clinics at secondary and tertiary care hospitals in Nagpur district, Maharashtra, India.
OBJECTIVE: To assess readiness and provider knowledge for Papanicolaou (Pap) smear-based cervical cancer screening (CCS), and to explore willingness, enablers, and barriers to CCS and integrating CCS into STI/RTI clinics.
DESIGN: This was a convergent parallel mixed-methods study. Facility readiness and provider knowledge were assessed quantitatively. In-depth interviews explored implementation perspectives among purposively selected women clients, providers, and programme managers.
RESULTS: Three out of four clinics met readiness standards, but only one clinic scored well in provider knowledge. Of 28 female clients, 27 (96%) were willing for CCS after counselling. Key enablers for clients to undergo CCS were respectful communication, and female-friendly and affordable services. Barriers included fear, embarrassment, low awareness, and poor family support. Providers (n = 9) highlighted well-equipped facilities, female staff availability, and permission from authorities to be key enablers for integration. They identified high workload and lack of training, staff, and programme-level support as constraints. The two programme managers perceived integration to be of less value.
CONCLUSION: STI/RTI clinics could serve as a complementary platform for opportunistic CCS among high-risk women, provided human resources, training, awareness generation, and programme-level engagement are strengthened.
OBJECTIVE: To assess readiness and provider knowledge for Papanicolaou (Pap) smear-based cervical cancer screening (CCS), and to explore willingness, enablers, and barriers to CCS and integrating CCS into STI/RTI clinics.
DESIGN: This was a convergent parallel mixed-methods study. Facility readiness and provider knowledge were assessed quantitatively. In-depth interviews explored implementation perspectives among purposively selected women clients, providers, and programme managers.
RESULTS: Three out of four clinics met readiness standards, but only one clinic scored well in provider knowledge. Of 28 female clients, 27 (96%) were willing for CCS after counselling. Key enablers for clients to undergo CCS were respectful communication, and female-friendly and affordable services. Barriers included fear, embarrassment, low awareness, and poor family support. Providers (n = 9) highlighted well-equipped facilities, female staff availability, and permission from authorities to be key enablers for integration. They identified high workload and lack of training, staff, and programme-level support as constraints. The two programme managers perceived integration to be of less value.
CONCLUSION: STI/RTI clinics could serve as a complementary platform for opportunistic CCS among high-risk women, provided human resources, training, awareness generation, and programme-level engagement are strengthened.