How can cervical screening meet the needs of vulnerable women? A qualitative comparative study with stakeholder perspectives from seven European countries
Objective This study explored and compared stakeholder perspectives on enhancements to cervical cancer screening for vulnerable women across seven European countries.Design In a series of Collaborative User Boards, stakeholders were invited to collaborate on identifying facilitators to improve cervi...
Saved in:
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2025-01-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/1/e090631.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1825208930302689280 |
|---|---|
| author | Partha Basu Martin McKee Adriana Băban Marc Bardou Ana Fernandes Margarida Teixeira Rebecca Moore Nuno Lunet David Ritchie Romeu Mendes Eric Lucas Paolo Giorgi Rossi Rosa Legood Berit Andersen Diana Taut Keitly Mensah João Firmino-Machado Mariana Amorim Mette Tranberg Laura Bonvicini Anneli Uusküla Pia Kirkegaard Paola Mantellini Ines Baia Liu Sun Lise Rochaix Camilla Fiorina Luca Ghirotto Anna Tisler Firmino Machado Rikke Buus Bøje Raquel Rico Berrocal Noemi Auzzi Kerli Reintamm Yulia Panayotova Tatyana Kotzeva Anna Foss Rachel Greenley Letizia Bartolini Giusy Iorio Cláudia Gouvinhas Florian Nicula Alexandra Tolnai Vanessa Moore Isabel Mosquera Metcalfe Violette Delisle Irina Todorova Helena Ros Comesana Meritxel Mallafré-Larrosa Ginevra Papi Nicoleta-Monica Pașca Christiane Dascher-Nadel Olivra Djuric |
| author_facet | Partha Basu Martin McKee Adriana Băban Marc Bardou Ana Fernandes Margarida Teixeira Rebecca Moore Nuno Lunet David Ritchie Romeu Mendes Eric Lucas Paolo Giorgi Rossi Rosa Legood Berit Andersen Diana Taut Keitly Mensah João Firmino-Machado Mariana Amorim Mette Tranberg Laura Bonvicini Anneli Uusküla Pia Kirkegaard Paola Mantellini Ines Baia Liu Sun Lise Rochaix Camilla Fiorina Luca Ghirotto Anna Tisler Firmino Machado Rikke Buus Bøje Raquel Rico Berrocal Noemi Auzzi Kerli Reintamm Yulia Panayotova Tatyana Kotzeva Anna Foss Rachel Greenley Letizia Bartolini Giusy Iorio Cláudia Gouvinhas Florian Nicula Alexandra Tolnai Vanessa Moore Isabel Mosquera Metcalfe Violette Delisle Irina Todorova Helena Ros Comesana Meritxel Mallafré-Larrosa Ginevra Papi Nicoleta-Monica Pașca Christiane Dascher-Nadel Olivra Djuric |
| collection | DOAJ |
| description | Objective This study explored and compared stakeholder perspectives on enhancements to cervical cancer screening for vulnerable women across seven European countries.Design In a series of Collaborative User Boards, stakeholders were invited to collaborate on identifying facilitators to improve cervical cancer screening.Setting This study was part of the CBIG-SCREEN project which is funded by the European Union and targets disparities in cervical cancer screening for vulnerable women (www.cbig-screen.eu). Data collection took place in Bulgaria, Denmark, Estonia, France, Italy, Portugal and Romania.Participants Represented stakeholders at various levels, including user representatives (vulnerable women), healthcare professionals, social workers, programme managers and decision makers.Methods 14 meetings lasting 2 hours each were held in these seven countries between October 2021 and June 2022. The meetings were audio or video recorded, transcribed and translated into English for qualitative framework analysis.Results We engaged 120 participants in the Collaborative User Boards. Proposed solutions targeted both provider and system levels. In all countries, fostering trusting relationships between vulnerable women and social or healthcare professionals, coupled with community outreach for awareness and access to testing was a consistent recommendation. Participants in Estonia, Denmark, France, Italy, Portugal and Romania advocated for tailoring healthcare services to meet the unique needs of vulnerable populations through a holistic approach. In Bulgaria and Romania, participants advocated for the need to secure free access, from screening to follow-up, and emphasised the need for organised screening with target population screening registries.Conclusion The study offers insights into stakeholders' recommendations for enhancing cervical cancer screening services for vulnerable women across seven European countries. Despite variations in the implementation level of population-based screening programmes, the imperative to optimise outreach and proximity work to improve cervical cancer screening resonated across all countries. |
| format | Article |
| id | doaj-art-41fa84aad96a4cf7bcadc156bc6a8692 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-41fa84aad96a4cf7bcadc156bc6a86922025-02-06T16:40:15ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2024-090631How can cervical screening meet the needs of vulnerable women? A qualitative comparative study with stakeholder perspectives from seven European countries Partha Basu0Martin McKee1Adriana BăbanMarc Bardou2Ana FernandesMargarida Teixeira3Rebecca MooreNuno Lunet4David RitchieRomeu MendesEric LucasPaolo Giorgi RossiRosa LegoodBerit Andersen5Diana Taut6Keitly Mensah7João Firmino-Machado8Mariana Amorim9Mette TranbergLaura Bonvicini10Anneli Uusküla11Pia Kirkegaard12Paola MantelliniInes Baia13Liu SunLise RochaixCamilla FiorinaLuca GhirottoAnna Tisler14Firmino MachadoRikke Buus Bøje15Raquel Rico Berrocal16Noemi Auzzi17Kerli Reintamm18Yulia Panayotova19Tatyana Kotzeva20Anna FossRachel GreenleyLetizia BartoliniGiusy Iorio21Cláudia GouvinhasFlorian NiculaAlexandra TolnaiVanessa MooreIsabel Mosquera MetcalfeViolette DelisleIrina Todorova22Helena Ros ComesanaMeritxel Mallafré-LarrosaGinevra PapiNicoleta-Monica Pașca23Christiane Dascher-NadelOlivra DjuricInternational Agency for Research on Cancer, Lyon, FranceLondon School of Hygiene and Tropical Medicine, London UKCIC-P INSERM 1432, Centre Hospitalier Universitaire de Dijon, Dijon, FranceEPIUnit, Instituto de Saúde Pública da Universidade do Porto, Porto, PortugalEPIUnit, Instituto de Saúde Pública da Universidade do Porto, Porto, PortugalUniversity Research Clinic for Cancer Screening, Randers Regional Hospital, Randers, DenmarkPsychology, Universitatea Babes-Bolyai Facultatea de Psihologie si Stiinte ale Educatiei, Cluj-Napoca, RomaniaEarly Detection, Prevention & Infections Branch, International Agency for Research on Cancer/World Health Organization, Lyon, FranceEPIUnit, Instituto de Saúde Pública da Universidade do Porto, Porto, PortugalEPIUnit, Instituto de Saúde Pública da Universidade do Porto, Porto, PortugalServizio Epidemiologia, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, ItalyInstitute of Family Medicine and Public Health, University of Tartu, Tartu, Tartumaa, EstoniaUniversity Research Clinic for Cancer Screening, Randers Regional Hospital, Randers, DenmarkEPIUnit, Instituto de Saúde Pública da Universidade do Porto, Porto, PortugalInstitute of Family Medicine and Public Health, University of Tartu, Tartu, Tartumaa, EstoniaUniversity Research Clinic for Cancer Screening, Randers Regional Hospital, Randers, DenmarkCentre d’études des mouvements sociaux, EHESS, BAGNOLET, FranceInstituto per lo Studio, la Prevenzione e la Rete Oncologica, Osservatorio Nazionale Screening, Florence, ItalyInstitute of Family Medicine and Public Health, University of Tartu, Tartu, Tartumaa, EstoniaHealth Psychology Research Center, Sofia, BulgariaHealth Psychology Research Center, Sofia, BulgariaQualitative Research and Citizen Science Unit, Azienda USL-IRCCS di Reggio Emilia, Reggio Emilia, ItalyHealth Psychology Research Center, Sofia, BulgariaPsychology, Universitatea Babes-Bolyai Facultatea de Psihologie si Stiinte ale Educatiei, Cluj-Napoca, RomaniaObjective This study explored and compared stakeholder perspectives on enhancements to cervical cancer screening for vulnerable women across seven European countries.Design In a series of Collaborative User Boards, stakeholders were invited to collaborate on identifying facilitators to improve cervical cancer screening.Setting This study was part of the CBIG-SCREEN project which is funded by the European Union and targets disparities in cervical cancer screening for vulnerable women (www.cbig-screen.eu). Data collection took place in Bulgaria, Denmark, Estonia, France, Italy, Portugal and Romania.Participants Represented stakeholders at various levels, including user representatives (vulnerable women), healthcare professionals, social workers, programme managers and decision makers.Methods 14 meetings lasting 2 hours each were held in these seven countries between October 2021 and June 2022. The meetings were audio or video recorded, transcribed and translated into English for qualitative framework analysis.Results We engaged 120 participants in the Collaborative User Boards. Proposed solutions targeted both provider and system levels. In all countries, fostering trusting relationships between vulnerable women and social or healthcare professionals, coupled with community outreach for awareness and access to testing was a consistent recommendation. Participants in Estonia, Denmark, France, Italy, Portugal and Romania advocated for tailoring healthcare services to meet the unique needs of vulnerable populations through a holistic approach. In Bulgaria and Romania, participants advocated for the need to secure free access, from screening to follow-up, and emphasised the need for organised screening with target population screening registries.Conclusion The study offers insights into stakeholders' recommendations for enhancing cervical cancer screening services for vulnerable women across seven European countries. Despite variations in the implementation level of population-based screening programmes, the imperative to optimise outreach and proximity work to improve cervical cancer screening resonated across all countries.https://bmjopen.bmj.com/content/15/1/e090631.full |
| spellingShingle | Partha Basu Martin McKee Adriana Băban Marc Bardou Ana Fernandes Margarida Teixeira Rebecca Moore Nuno Lunet David Ritchie Romeu Mendes Eric Lucas Paolo Giorgi Rossi Rosa Legood Berit Andersen Diana Taut Keitly Mensah João Firmino-Machado Mariana Amorim Mette Tranberg Laura Bonvicini Anneli Uusküla Pia Kirkegaard Paola Mantellini Ines Baia Liu Sun Lise Rochaix Camilla Fiorina Luca Ghirotto Anna Tisler Firmino Machado Rikke Buus Bøje Raquel Rico Berrocal Noemi Auzzi Kerli Reintamm Yulia Panayotova Tatyana Kotzeva Anna Foss Rachel Greenley Letizia Bartolini Giusy Iorio Cláudia Gouvinhas Florian Nicula Alexandra Tolnai Vanessa Moore Isabel Mosquera Metcalfe Violette Delisle Irina Todorova Helena Ros Comesana Meritxel Mallafré-Larrosa Ginevra Papi Nicoleta-Monica Pașca Christiane Dascher-Nadel Olivra Djuric How can cervical screening meet the needs of vulnerable women? A qualitative comparative study with stakeholder perspectives from seven European countries BMJ Open |
| title | How can cervical screening meet the needs of vulnerable women? A qualitative comparative study with stakeholder perspectives from seven European countries |
| title_full | How can cervical screening meet the needs of vulnerable women? A qualitative comparative study with stakeholder perspectives from seven European countries |
| title_fullStr | How can cervical screening meet the needs of vulnerable women? A qualitative comparative study with stakeholder perspectives from seven European countries |
| title_full_unstemmed | How can cervical screening meet the needs of vulnerable women? A qualitative comparative study with stakeholder perspectives from seven European countries |
| title_short | How can cervical screening meet the needs of vulnerable women? A qualitative comparative study with stakeholder perspectives from seven European countries |
| title_sort | how can cervical screening meet the needs of vulnerable women a qualitative comparative study with stakeholder perspectives from seven european countries |
| url | https://bmjopen.bmj.com/content/15/1/e090631.full |
| work_keys_str_mv | AT howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT parthabasu howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT martinmckee howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT adrianababan howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT marcbardou howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT anafernandes howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT margaridateixeira howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT rebeccamoore howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT nunolunet howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT davidritchie howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT romeumendes howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT ericlucas howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT paologiorgirossi howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT rosalegood howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT beritandersen howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT dianataut howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT keitlymensah howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT joaofirminomachado howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT marianaamorim howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT mettetranberg howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT laurabonvicini howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT anneliuuskula howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT piakirkegaard howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT paolamantellini howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT inesbaia howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT liusun howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT liserochaix howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT camillafiorina howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT lucaghirotto howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT annatisler howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT firminomachado howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT rikkebuusbøje howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT raquelricoberrocal howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT noemiauzzi howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT kerlireintamm howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT yuliapanayotova howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT tatyanakotzeva howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT annafoss howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT rachelgreenley howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT letiziabartolini howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT giusyiorio howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT claudiagouvinhas howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT floriannicula howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT alexandratolnai howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT vanessamoore howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT isabelmosquerametcalfe howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT violettedelisle howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT irinatodorova howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT helenaroscomesana howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT meritxelmallafrelarrosa howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT ginevrapapi howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT nicoletamonicapasca howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT christianedaschernadel howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries AT olivradjuric howcancervicalscreeningmeettheneedsofvulnerablewomenaqualitativecomparativestudywithstakeholderperspectivesfromseveneuropeancountries |