Barriers to cervical cancer screening uptake among rural women in South West Nigeria: A qualitative study

Abstract

Background. Diverse barriers influence cervical cancer screening uptake among rural women. The study explored barriers related to the uptake of cervical cancer screening among rural men and women in 14 communities of Ado-Odo Ota, Ogun State, Nigeria.

Objective. To inform the development of a cervical cancer screening model for use by rural women.

Methods. A qualitative exploratory research design was used. Qualitative information was collected from purposively sampled 28 individuals (13 rural men and 15 rural women) using focus group discussions and in-depth interviews. Data were analysed thematically.

Results. Five categorical barrier themes were identified including hospital-related, economic, geographical, educational and psychosocial barriers.

Conclusion. To address the identified barriers, the involvement of spouses and religious and cultural leaders in the planning and implementation of cervical cancer screening intervention is recommended. Cervical cancer screening services should be integrated into the services of primary healthcare centres. The government should consider providing subsidised or free screening programmes for rural women.