Edorium Journal of

Public Health

 
     
Original Article
 
Factors affecting accessibility of cervical cancer screening services for women with physical and sensory disabilities in Lusaka District, Zambia
Mazuba Hachipola1, Oliver Mweemba2, Sitali, Doreen3
1Bed (sp), Student, Public Health, University of Zambia, Lusaka, Zambia
2PhD, MPhil Lecturer, Public Health, University of Zambia, Lusaka, Zambia
3MPH, Bsc, Lecturer, Public Health, University of Zambia, Lusaka, Zambia

Article ID: 100010P16MH2017
doi:10.5348/P16-2017-10-OA-2

Address correspondence to:
Mazuba Hachipola
University of Zambia, School of Medicine
Department of Public Health, Ridgeway campus
Lusaka, Zambia

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How to cite this article
Hachipola M, Mweemba O, Sitali D. Factors affecting accessibility of cervical cancer screening services for women with physical and sensory disabilities in Lusaka District, Zambia. Edorium J Public Health 2017;4:10–19.


ABSTRACT

Aims: The study sought to examine service related factors which influence cervical cancer screening among women with physical and sensory disabilities.
Methods: The study used a qualitative case study design using in depth interviews, field observations and document study to collect data. A purposive sample of primary respondents included 12 women with physical and sensory disabilities aged between 18 years old and 49 years old, these were recruited based on type and severity of disability. Six key informants were recruited from organizations working with people with disabilities and cervical cancer screening service providers. Key informants from disability organizations identified eligible primary participants. Thematic analysis was done using Nvivo 10 software.
Results: Women with disabilities identified various factors which affect accessibility of cervical cancer screening services, namely; structural design of the health facility, inappropriate screening equipment, inadequate access to information, education and communication (IEC) materials, confidentiality of service, and limited skills of service providers.
Conclusion: Women with physical and sensory disabilities encounter various barriers in accessing cervical cancer screening. This may lead to delayed detection and increased complications on clients who are found with an advanced stage of cervical cancer. Health service providers require skills in working with women with disabilities. Although legislature exists through the Persons with Disability Act of Zambia to promote accessible health services, it has not been fully enacted, therefore, there ought to be rigorous enforcement of existing legislature which promotes accessible health services.



Keywords: Accessibility, Cervical cancer, Disability, Screening


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Author Contributions
Mazuba Hachipola – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Oliver Mweemba – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Doreen Sitali – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Mazuba Hachipola et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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