Finding Barriers and Designing Solutions to Promote Women s Cancer Screening in South Africa
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 348
- 试验地点
- 1
- 主要终点
- Phase 1: Barriers to cancer screening and engagement
研究概览
简要总结
The primary aim of the study explore drivers of cervical cancer screening and barriers contributing to low screening coverage among women in South Africa. Secondary aims are determining preferences for cervical cancer prevention services using a discrete choice experiment and developing a multi-level package of interventions that will address barriers to cervical cancer screening and improve engagement in care among women.
详细描述
Cervical cancer is a leading cause of cancer death among South African women. Despite a comprehensive national cancer control policy, cervical screening coverage is low and attrition during on-ward referrals for diagnostic confirmation and treatment remains common.
This study uses a sequential mixed-methods design:
Phase 1) A qualitative exploratory phase using focus groups and in-depth interviews with women, men, other stakeholders will inform our design and interpretation of quantitative findings from a multi-cohort DCE.
Phase 2) Women will be recruited to participate in the DCE and determine their preferences for cancer screening services.
Phase 3) Design Thinking to co-create an intervention package for cervical cancer screening and enhanced linkage between screening, diagnosis, and treatment will be created.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- 未提供
排除标准
- •Focus Groups with HIV-positive Women
- •Women younger than 18 years
- •Unwilling or unable to provide written informed consent
- •Focus Groups with HIV-negative Women
- •Women younger than 18 years
- •Unwilling or unable to provide written informed consent
- •Focus Groups with Men
- •Male partners younger than 18 years
- •Participants unwilling or unable to provide written informed consent
- •In-depth Interviews with Key Stakeholders
- •Providers who do not work in the public health system
- •Individuals younger than 18 years
- •Participants unwilling or unable to provide written informed consent
结局指标
主要结局
Phase 1: Barriers to cancer screening and engagement
时间窗: Single visit
Barriers and enablers will be explored through focus groups and in-depth interviews with women, men, and other stakeholders.
次要结局
- Phase 2: Woman preferences for cancer screening services(Single visit)
- Phase 3: Acceptability and feasibility of multi-level package of interventions addressing barriers to cancer screening.(Single visit)