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Salud Pública de México

Print version ISSN 0036-3634

Abstract

BINGHAM, Allison et al. Factors affecting utilization of cervical cancer prevention services in low-resource settings. Salud pública Méx [online]. 2003, vol.45, suppl.3, pp.408-416. ISSN 0036-3634.

Strategies for introducing or strengthening cervical cancer prevention programs must focus on ensuring that appropriate, cost-effective services are available and that women who most need the services will, in fact, use them. This article summarizes the experiences of research projects in Bolivia, Peru, Kenya, South Africa, and Mexico. Factors that affect participation rates in cervical cancer prevention programs are categorized in three sections. The first section describes factors that arise from prevailing sociocultural norms that influence women's views on reproductive health, well being, and notions of illness. The second section discusses factors related to the clinical requirements and the type of service delivery system in which a woman is being asked to participate. The third section discusses factors related to quality of care. Examples of strategies that programs are using to encourage women's participation in cervical cancer prevention services are provided.

Keywords : cervix neoplasms [prevention and control]; patient participation; quality of health care.

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