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 |
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container_title | International journal of gynecology and obstetrics |
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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 |
format | Article |
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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.</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 & 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</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.
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><subject>Adult</subject><subject>Attitude of Health Personnel</subject><subject>Cervical cancer prevention</subject><subject>Early Detection of Cancer - methods</subject><subject>Female</subject><subject>Health Equity - statistics & numerical data</subject><subject>Health Services Accessibility</subject><subject>Health system gaps</subject><subject>Humans</subject><subject>Inductive content analysis</subject><subject>Iraq</subject><subject>Kurdish women</subject><subject>Kurdistan Region of Iraq</subject><subject>Middle Aged</subject><subject>Qualitative Research</subject><subject>Uterine Cervical Neoplasms - diagnosis</subject><subject>Uterine Cervical Neoplasms - prevention & control</subject><issn>0020-7292</issn><issn>1879-3479</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtOAyEUhonRaL1sfADD0piMAsNcWJpGa9XExOh6wsChxTAzFaY1XfomPotPJmPVpWwg__n4cvIjdEzJOSWEXdiXWXdOWV7yLTSiZSGSlBdiG43ikCQFE2wP7YfwQgihBaW7aC8ljJMsZSP0Pp5L56CdQcC2xRqcXYFfY9lqvABvOt_IVgHuDJZYgV9ZJR1WQ-bxwsMK2t52bXx2My-bwdHPAd8tvbahly1-hNkwj_-HfOrlK56DdP388yOsQw_NIdox0gU4-rkP0PP11dP4Jrl_mEzHl_eJSvOMJ5xRk5VaCGGMyGul65Trgpm8iClPs7LIM6lLLnNGtZFCqJxonuUmA0FVXacH6HTjjau-LiH0VWODAudkC90yVIzGw4uM04iebVDluxA8mGrhbSP9uqKkGiqvhsqr78ojfPLjXdYN6D_0t-MI0A3wZh2s_1FV09vJw0b6BQTtjlo</recordid><startdate>201901</startdate><enddate>201901</enddate><creator>Rasul, Vian H.</creator><creator>Moghdam, Zahra B.</creator><creator>Karim, Muaf A.</creator><creator>Cheraghi, Mohhammad A.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201901</creationdate><title>Challenges in delivery and performance of a cervical cancer prevention program in the Kurdistan Region of the Iraq health system</title><author>Rasul, Vian H. ; Moghdam, Zahra B. ; Karim, Muaf A. ; Cheraghi, Mohhammad A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3654-421f58d999ff96bcdb34d72f6758d4358765ad84a621dfa99c60d456f5e91cbb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Attitude of Health Personnel</topic><topic>Cervical cancer prevention</topic><topic>Early Detection of Cancer - methods</topic><topic>Female</topic><topic>Health Equity - statistics & numerical data</topic><topic>Health Services Accessibility</topic><topic>Health system gaps</topic><topic>Humans</topic><topic>Inductive content analysis</topic><topic>Iraq</topic><topic>Kurdish women</topic><topic>Kurdistan Region of Iraq</topic><topic>Middle Aged</topic><topic>Qualitative Research</topic><topic>Uterine Cervical Neoplasms - diagnosis</topic><topic>Uterine Cervical Neoplasms - prevention & control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rasul, Vian H.</creatorcontrib><creatorcontrib>Moghdam, Zahra B.</creatorcontrib><creatorcontrib>Karim, Muaf A.</creatorcontrib><creatorcontrib>Cheraghi, Mohhammad A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rasul, Vian H.</au><au>Moghdam, Zahra B.</au><au>Karim, Muaf A.</au><au>Cheraghi, Mohhammad A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Challenges in delivery and performance of a cervical cancer prevention program in the Kurdistan Region of the Iraq health system</atitle><jtitle>International journal of gynecology and obstetrics</jtitle><addtitle>Int J Gynaecol Obstet</addtitle><date>2019-01</date><risdate>2019</risdate><volume>144</volume><issue>1</issue><spage>80</spage><epage>84</epage><pages>80-84</pages><issn>0020-7292</issn><eissn>1879-3479</eissn><abstract>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.</abstract><cop>United States</cop><pmid>30240532</pmid><doi>10.1002/ijgo.12684</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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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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