Low-Cost Interventions to Improve Cervical Cancer Screening: An Integrative Review

PROBLEM IDENTIFICATION: Cervical cancer (CC) is a major public health problem in low- and middle-income countries. Although screening can reduce CC incidence, screening programs are difficult to implement in resource-limited countries, making innovative interventions necessary. LITERATURE SEARCH: Pu...

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Bibliographic Details
Published in:	Oncology nursing forum Vol. 50; no. 1; pp. 59 - 78
Main Authors:	Rezende, Giselle A.S, Rezende, Mariana T, Carneiro, Claudia M
Format:	Journal Article
Language:	English
Published:	Pittsburgh Oncology Nursing Society 01-01-2023
Subjects:	Breast cancer Cancer Cervical cancer Diagnosis Human papillomavirus Low income groups Medical screening Public health Tumors Womens health Brazil
Online Access:	Get full text
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Summary:	PROBLEM IDENTIFICATION: Cervical cancer (CC) is a major public health problem in low- and middle-income countries. Although screening can reduce CC incidence, screening programs are difficult to implement in resource-limited countries, making innovative interventions necessary. LITERATURE SEARCH: PubMed[R], MEDLINE[R], CINAHL[R], LILACS, and SciELO databases were searched for studies published within the past five years that explored interventions to improve CC screening. DATA EVALUATION: Of the 486 articles identified, 35 were included in the review. The evidence was summarized, analyzed, and organized by theme. SYNTHESIS: Several low-cost interventions improved aspects of CC screening, most of which were associated with a significant increase in adherence and uptake. Other interventions led to better baseline knowledge and involvement among patients and healthcare providers and a higher proportion of patients receiving treatment. Screening programs can use single or multiple approaches and match them to the local conditions and available resources. IMPLICATIONS FOR PRACTICE: By understanding the various interventions that can mitigate CC incidence, healthcare providers can select the best approach to reach women eligible for CC screening.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-3 content type line 23 ObjectType-Review-1
ISSN:	0190-535X 1538-0688
DOI:	10.1188/23.ONF.59-78