Challenges in delivery and performance of a cervical cancer prevention program in the Kurdistan Region of the Iraq health system

Objective To investigate health‐system challenges responsible for the poor performance of a cervical cancer prevention program in the Kurdistan Region of Iraq. Method A qualitative study was conducted among a purposive sample of healthcare providers and female volunteers in Erbil, Kurdistan Region o...

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Veröffentlicht in:International journal of gynecology and obstetrics 2019-01, Vol.144 (1), p.80-84
Hauptverfasser: Rasul, Vian H., Moghdam, Zahra B., Karim, Muaf A., Cheraghi, Mohhammad A.
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container_end_page 84
container_issue 1
container_start_page 80
container_title International journal of gynecology and obstetrics
container_volume 144
creator Rasul, Vian H.
Moghdam, Zahra B.
Karim, Muaf A.
Cheraghi, Mohhammad A.
description Objective To investigate health‐system challenges responsible for the poor performance of a cervical cancer prevention program in the Kurdistan Region of Iraq. Method A qualitative study was conducted among a purposive sample of healthcare providers and female volunteers in Erbil, Kurdistan Region of Iraq, between December 10, 2014, and July 23, 2016. Data were collected from participants using in‐depth semi‐structured interviews. The interviews were then transcribed and analyzed with an inductive content analysis approach. Results In total, 23 individuals completed the interviews. The participants included 8 (35%) female volunteers; 5 (22%) nurses; 4 (17%) managers; 3 (13%) doctors; and 3 (13%) gynecologists. The health‐system challenges were classified into three main categories: existence of an official reminder system, public information delivery programs, and infrastructures of facilities, which included three subcategories—cervical cancer screening center, material resources, and human resources. Conclusions The Kurdistan Region of Iraq health system faced several challenges in delivering a cervical cancer prevention program. These challenges must be addressed to improve the coverage of cervical cancer screening, diagnosis, and treatment. The Kurdistan Region of Iraq health system faces several challenges that must be addressed to ensure improved coverage of cervical cancer screening, diagnosis, and treatment.
doi_str_mv 10.1002/ijgo.12684
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Method A qualitative study was conducted among a purposive sample of healthcare providers and female volunteers in Erbil, Kurdistan Region of Iraq, between December 10, 2014, and July 23, 2016. Data were collected from participants using in‐depth semi‐structured interviews. The interviews were then transcribed and analyzed with an inductive content analysis approach. Results In total, 23 individuals completed the interviews. The participants included 8 (35%) female volunteers; 5 (22%) nurses; 4 (17%) managers; 3 (13%) doctors; and 3 (13%) gynecologists. The health‐system challenges were classified into three main categories: existence of an official reminder system, public information delivery programs, and infrastructures of facilities, which included three subcategories—cervical cancer screening center, material resources, and human resources. Conclusions The Kurdistan Region of Iraq health system faced several challenges in delivering a cervical cancer prevention program. These challenges must be addressed to improve the coverage of cervical cancer screening, diagnosis, and treatment. The Kurdistan Region of Iraq health system faces several challenges that must be addressed to ensure improved coverage of cervical cancer screening, diagnosis, and treatment.</description><identifier>ISSN: 0020-7292</identifier><identifier>EISSN: 1879-3479</identifier><identifier>DOI: 10.1002/ijgo.12684</identifier><identifier>PMID: 30240532</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Attitude of Health Personnel ; Cervical cancer prevention ; Early Detection of Cancer - methods ; Female ; Health Equity - statistics &amp; numerical data ; Health Services Accessibility ; Health system gaps ; Humans ; Inductive content analysis ; Iraq ; Kurdish women ; Kurdistan Region of Iraq ; Middle Aged ; Qualitative Research ; Uterine Cervical Neoplasms - diagnosis ; Uterine Cervical Neoplasms - prevention &amp; control</subject><ispartof>International journal of gynecology and obstetrics, 2019-01, Vol.144 (1), p.80-84</ispartof><rights>2018 International Federation of Gynecology and Obstetrics</rights><rights>2018 International Federation of Gynecology and Obstetrics.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3654-421f58d999ff96bcdb34d72f6758d4358765ad84a621dfa99c60d456f5e91cbb3</citedby><cites>FETCH-LOGICAL-c3654-421f58d999ff96bcdb34d72f6758d4358765ad84a621dfa99c60d456f5e91cbb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fijgo.12684$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fijgo.12684$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30240532$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rasul, Vian H.</creatorcontrib><creatorcontrib>Moghdam, Zahra B.</creatorcontrib><creatorcontrib>Karim, Muaf A.</creatorcontrib><creatorcontrib>Cheraghi, Mohhammad A.</creatorcontrib><title>Challenges in delivery and performance of a cervical cancer prevention program in the Kurdistan Region of the Iraq health system</title><title>International journal of gynecology and obstetrics</title><addtitle>Int J Gynaecol Obstet</addtitle><description>Objective To investigate health‐system challenges responsible for the poor performance of a cervical cancer prevention program in the Kurdistan Region of Iraq. Method A qualitative study was conducted among a purposive sample of healthcare providers and female volunteers in Erbil, Kurdistan Region of Iraq, between December 10, 2014, and July 23, 2016. Data were collected from participants using in‐depth semi‐structured interviews. The interviews were then transcribed and analyzed with an inductive content analysis approach. Results In total, 23 individuals completed the interviews. The participants included 8 (35%) female volunteers; 5 (22%) nurses; 4 (17%) managers; 3 (13%) doctors; and 3 (13%) gynecologists. The health‐system challenges were classified into three main categories: existence of an official reminder system, public information delivery programs, and infrastructures of facilities, which included three subcategories—cervical cancer screening center, material resources, and human resources. Conclusions The Kurdistan Region of Iraq health system faced several challenges in delivering a cervical cancer prevention program. These challenges must be addressed to improve the coverage of cervical cancer screening, diagnosis, and treatment. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Attitude of Health Personnel
Cervical cancer prevention
Early Detection of Cancer - methods
Female
Health Equity - statistics & numerical data
Health Services Accessibility
Health system gaps
Humans
Inductive content analysis
Iraq
Kurdish women
Kurdistan Region of Iraq
Middle Aged
Qualitative Research
Uterine Cervical Neoplasms - diagnosis
Uterine Cervical Neoplasms - prevention & control
title Challenges in delivery and performance of a cervical cancer prevention program in the Kurdistan Region of the Iraq health system
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