Overview of the Study
Mexico has seen low rates of follow-up care among women with abnormal cervical cancer screenings. A recent study aimed to identify the barriers and facilitators affecting adherence to follow-up care among women with human papillomavirus (HPV) infections and premalignant cervical lesions.
Study Details
Conducted from February to April 2019, the study used a mixed-methods approach. It included women receiving follow-up care for high-risk HPV (HR-HPV) and premalignant lesions, along with healthcare workers from the Women’s Healthcare Center (CAPASAM) in Mexico.
Data Collection
Quantitative data were gathered from the Women’s Cancer Information System and through a questionnaire designed to assess factors influencing follow-up adherence. Health personnel also completed a compliance checklist regarding care regulations. Descriptive statistics were used to analyze the quantitative data.
Qualitative data were obtained through semi-structured interviews with both groups, followed by a content analysis based on identified categories. The Hazard Analysis and Critical Control Point System was used to confirm risks in the care process. Proposals to improve the Early Detection Program for Cervical Cancer were gathered from a nominal group of CAPASAM health personnel.
Barriers to Follow-Up
The study identified several barriers that prevent women from completing follow-up care, including:
Low Income: Many CAPASAM users struggle financially.
Family Roles: Women often prioritize family responsibilities, which limits their time for medical appointments.
Long Wait Times: Delays in testing and receiving results discourage follow-up.
Location Issues: Some facilities are located far from users’ homes.
Poor Communication: Information about service hours is often inadequate.
Insufficient Training: Health personnel may lack training in how to assist patients effectively.
Lack of Counseling: Systematic counseling is often missing.
Other factors contributing to hesitation include feelings of shame, fear of positive results, and a general lack of knowledge about cervical cancer and screening. Additionally, patriarchal attitudes from partners and reduced access to the now-discontinued PROSPERA government program further deter follow-up.
Facilitators for Follow-Up
Despite the barriers, some facilitators can encourage follow-up care:
Respectful Treatment: Positive interactions with CAPASAM staff.
No-Cost Services: Free services help alleviate financial burdens.
Health Campaigns: Educational campaigns raise awareness.
Positive Attitudes: Supportive attitudes from users promote adherence.
Conclusion
The study revealed that barriers to follow-up care outweigh facilitators, emphasizing the need for better strategies to enhance the Early Detection Program. Future efforts should address the wide range of influencing factors and include perspectives from all stakeholders involved.
Related topics:
- Why Is It That Every Time I Eat Steak I Get Diarrhea?
- 10 Common Dietary Triggers for Migraines
- How to Get Rid of a Cheese Headache
