Examining women's perspectives regarding colposcopy in the cervical cancer screening program in rural Nigeria.

Background: Cervical cancer remains a leading cause of morbidity and mortality among women in sub-Saharan Africa, with Nigeria bearing a significant burden. Despite the availability of screening programs, uptake remains low, particularly in rural areas. Understanding women's perspectives on colposco...

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Publicado en:Canadian Oncology Nursing Journal Vol. 36; no. 3; pp. 262 - 272
Autores principales: Amadi, Azubuike Ikemeafula, Lawal, Muili, Khan, Hafiz T. A., Japhet, Sharry Leah, Ekong, Edidong Nsikan, Isemede, Ernest Erenven
Formato: research tables/charts Journal Article
Publicado: Pappin Communications 2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2026
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      pub: Pappin Communications
      place: Pembroke, Ontario
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        atl: Examining women's perspectives regarding colposcopy in the cervical cancer screening program in rural Nigeria.
      aug:
        au:
          Amadi, Azubuike Ikemeafula
          Lawal, Muili
          Khan, Hafiz T. A.
          Japhet, Sharry Leah
          Ekong, Edidong Nsikan
          Isemede, Ernest Erenven
        affil: College of Nursing, Midwifery and Health, University of West London, UK
      sug:
        subj:
          Cervix Neoplasms Diagnosis
          Colposcopy Methods
          Cancer Screening Methods
          Health Knowledge Evaluation
          Women Psychosocial Factors
          Rural Areas
          Patient Attitudes Evaluation
          Nigeria
          Human
          Female
          Adult
          Middle Age
          Descriptive Statistics
          Thematic Analysis
          Semi-Structured Interview
          Qualitative Studies
          Purposive Sample
          Audiorecording
          Data Analysis Software
          Health Promotion
          Health Policy
          Health Services Accessibility
          Health Beliefs
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
      ab: Background: Cervical cancer remains a leading cause of morbidity and mortality among women in sub-Saharan Africa, with Nigeria bearing a significant burden. Despite the availability of screening programs, uptake remains low, particularly in rural areas. Understanding women's perspectives on colposcopy as part of cervical cancer screening is crucial for program improvement. Objective: To examine women's experiences, perceptions, and attitudes toward colposcopy cervical cancer screening programs in rural Nigeria, including knowledge of cervical cancer, screening procedure, and factors influencing screening uptake. Methods: In-depth interviews were conducted with 41 women aged 25-49 years in rural Nigeria. Participants included both HIVpositive and HIV-negative women who had either undergone cervical cancer screening or had not accessed services. Thematic analysis was employed to analyze interview transcripts. Results: Four major themes emerged: (1) Limited knowledge and awareness about cervical cancer and screening procedures; (2) Mixed experiences with screening processes, including inadequate pre-procedure education; (3) Multiple barriers to screening uptake including fear, stigma, transportation costs, and service delivery challenges; and (4) Recommendations for program improvement focusing on community awareness and service accessibility. Conclusion: Women's perspectives reveal significant knowledge gaps, service delivery challenges, and structural barriers that impede optimal cervical cancer screening uptake. Comprehensive awareness campaigns, improved service delivery including better patient education about screening procedures, and community-based approaches are essential for enhancing program effectiveness in rural Nigeria.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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