An analysis of key stakeholders＊ attitudes and beliefs about barriers and facilitating factors in the development of a cervical cancer prevention program in South Africa

作者：SA Francis; KA Leser; EE Esmont; FM Griffith

来源：African Journal of Reproductive Health, 2013.

Cervical cancer is the leading cause of cancer related deaths among women. Each year there are approximately 250,000 deaths; most of which occurred in Sub-Saharan Africa, South Asia, and Latin America. The purpose of this report is to examine key stakeholders experience and knowledge of HPV and cervical cancer, examine their experiences with the current cervical cancer screening and treatment policy, and identify barriers and facilitating factors to vaccine implementation and uptake. Fifteen indepth interviews were conducted with key stakeholders in Cape Town and Johannesburg, South Africa. The interviews revealed several key findings including: 1) knowledge about HPV and cervical cancer varied across participants, 2) knowledge about cervical cancer was also mixed while knowledge about the relationship between HPV and cervical cancer was low among participants. Our findings indicate that key stakeholders are concerned about women＊s health and wellbeing. In addition, they believe that the government, families, and the media need to play a prominent role in prevention efforts. R谷sum谷 Le cancer du col est la principale cause de d谷c豕s li谷s au cancer chez les femmes. Chaque ann谷e, il y a environ 250.000 d谷c豕s, la plupart se produisant en Afrique sub-saharienne, en Asie du Sud et en Am谷rique latine. Le but de ce rapport est d%26apos;examiner l%26apos;exp谷rience des partis prenants cl谷s et la connaissance sur le cancer du col ut谷rin et le VPH, d＊examiner leurs exp谷riences avec le d谷pistage du cancer du col de l%26apos;ut谷rus et des politiques actuelles du traitement et d%26apos;identifier les obstacles et les facteurs qui facilitent la mise en oeuvre du vaccin et son acceptation. Quinze entrevues en profondeur ont 谷t谷 men谷es aupr豕s des intervenants cl谷s au Cap et 角 Johannesburg, en Afrique du Sud. Les entrevues ont r谷v谷l谷 plusieurs r谷sultats cl谷s, notamment: 1) les connaissances sur le VPH et le cancer du col de l%26apos;ut谷rus varie selon les participantes, 2) les connaissances sur le cancer du col de l%26apos;ut谷rus ont 谷galement 谷t谷 variables tandis que la connaissance sur la relation entre le VPH et le cancer du col de l%26apos;ut谷rus 谷tait faible chez les participantes. Nos r谷sultats indiquent que les principaux partis prenants sont pr谷occup谷s de la sant谷 et du bien-那tre des femmes. En outre, ils estiment que le gouvernement, les familles et les m谷dias doivent jouer un r le de premier plan dans les efforts de pr谷vention.

• 出版日期2013