Intervention Strategy to Promote Utilization of Cervical Cancer Screening Services at Vhembe District, South Africa

Abstract

Cervical cancer may be preventable when screening services which detect cancerous cells at an early stage are utilized. Utilization of cervical cancer screening services, taking of Pap smear in particular, is effective if done systematically, that is, yearly or every ten years depending on whether the individual is at risk or not. Failure to utilize cervical cancer screening services predisposes women to cervical cancer because if one is affected, the disease will progress without one being aware. Studies have been carried out in this area, but not much has been done on strategies to promote the utilization of cervical cancer screening services. Purpose The purpose of this study was to develop an intervention strategy to promote utilization of cervical cancer screening services in Vhembe District, Limpopo Province, South Africa. Objective The specific objectives were to explore and describe the provision of cervical cancer screening services by Primary Health Care Nurses (PHCNs); assess the awareness of women on the utilization of cervical cancer screening services; develop an intervention strategy to promote utilization of cervical cancer screening services and to validate an intervention strategy to promote utilization of cervical cancer screening services at Vhembe District in Limpopo Province, South Africa. Methodology The research was conducted in three phases. In Phase I, qualitative and quantitative approaches were used. The qualitative approach was used to explore experiences of nurses concerning the provision of cervical cancer screening services and the quantitative approach applied for assessment of the awareness of women on the utilization of cervical screening services. The population in the qualitative approach were PHCNs providing cervical cancer services and, in the quantitative approach, were women aged 20-59. Nonprobability purposive sampling was used to sample 15 PHCNs and 500 women. Ethical considerations, that is, the rights of all the stakeholders were honoured. Data was collected from PHCNs through semi-structured interviews using an interview guide and from women through questionnaires. Reliability and validity of the research was ensured. Qualitative data was analyzed through open-coding and quantitative data through descriptive statistics (frequencies and percentages). ABSTRACT vi Results In Phase II, an intervention strategy to promote utilization of cervical cancer screening services in Vhembe District, Limpopo Province, South Africa was developed. The Strengths, Weaknesses, Opportunities and Threats (SWOT) analysis was used to analyze the validity. Political, economic, socio-cultural, technological, environmental factors and laws within the opportunities and threats landscape of cervical cancer screening services in Vhembe District were analyzed. The Build, Overcome, Explore and Minimize (BOEM) paradigm was used to developed the intervention strategy. In Phase III, the qualitative and quantitative approach was used to validate the developed intervention strategies. A purposive sampling was used to sample fifteen PHCNs and 4 four managers. Conclusions Intervention strategies with action plans were developed. Recommendations Recommendations related to implementation of strategies to promote utilization of cervical cancer screening services were compiled.