Client perspectives and satisfaction with integrating facility and community-based HPV self-sampling for cervical cancer screening with family planning: a mixed method study
Invasive Cervical cancer is a largely preventable disease through screening, but access to cervical cancer screening (CCS) remains a challenge in Malawi. Integration of CCS with family planning (FP) services through Human papillomavirus (HPV) self-sampling may increase screening coverage. We aimed t...
Saved in:
| Published in | BMC public health Vol. 25; no. 1; pp. 1718 - 14 |
|---|---|
| Main Authors | , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
BioMed Central Ltd
09.05.2025
BioMed Central BMC |
| Subjects | |
| Online Access | Get full text |
Cover
Loading…
| Abstract | Invasive Cervical cancer is a largely preventable disease through screening, but access to cervical cancer screening (CCS) remains a challenge in Malawi. Integration of CCS with family planning (FP) services through Human papillomavirus (HPV) self-sampling may increase screening coverage. We aimed to evaluate women's perceptions, motivations, and satisfaction with integration of HPV self-sampling with family planning in Malawi.
In this mixed-methods study, we purposively sampled and interviewed 29 women who underwent HPV self-sampling for CCS through one of two different CCS-FP integration models in Malawi. We also completed 766 Client Exit Surveys with CCS patients from both models. Model 1 involved only clinic-based HPV self-sampling, while Model 2 included both clinic-based and community-based HPV self-sampling supported by community health workers. In-depth interviews (IDIs) were conducted using a semi-structured guide, audio-recorded, transcribed, and translated into English for analysis. Qualitative data were analyzed using NVivo 12.0 software and thematic analysis, and quantitative data were analyzed using statistical software.
Women screened in both models reported reduced transport costs for screening. Those clinic-based valued the convenience of accessing both CCS and FP services in a single visit while those screened in the community appreciated accessing services within their communities. Many found HPV self-sampling easy to use and ensured privacy, especially in the community model where samples were mainly collected within their homes, rather than public toilets or clinic consultation rooms. Women were motivated to undergo CCS due to the perceived risks of cervical cancer, particularly among those living with HIV, the availability of services within the community, and the experience of gynecological symptoms. IDI women expressed satisfaction with being able to make decisions without consulting their spouses, and none reported experiencing social harm following the disclosure of HPV results. The client exit survey data showed that 92.5% of women in both models were very satisfied with the procedure.
Our findings highlight that women were satisfied with HPV self-sampling, valuing its convenience, privacy, and cost-effectiveness, which enhanced their willingness to undergo CCS. These findings suggest that integrating CCS self-sampling into FP services could potentially improve CCS uptake in Malawi. |
|---|---|
| AbstractList | Background Invasive Cervical cancer is a largely preventable disease through screening, but access to cervical cancer screening (CCS) remains a challenge in Malawi. Integration of CCS with family planning (FP) services through Human papillomavirus (HPV) self-sampling may increase screening coverage. We aimed to evaluate women's perceptions, motivations, and satisfaction with integration of HPV self-sampling with family planning in Malawi. Methods In this mixed-methods study, we purposively sampled and interviewed 29 women who underwent HPV self-sampling for CCS through one of two different CCS-FP integration models in Malawi. We also completed 766 Client Exit Surveys with CCS patients from both models. Model 1 involved only clinic-based HPV self-sampling, while Model 2 included both clinic-based and community-based HPV self-sampling supported by community health workers. In-depth interviews (IDIs) were conducted using a semi-structured guide, audio-recorded, transcribed, and translated into English for analysis. Qualitative data were analyzed using NVivo 12.0 software and thematic analysis, and quantitative data were analyzed using statistical software. Results Women screened in both models reported reduced transport costs for screening. Those clinic-based valued the convenience of accessing both CCS and FP services in a single visit while those screened in the community appreciated accessing services within their communities. Many found HPV self-sampling easy to use and ensured privacy, especially in the community model where samples were mainly collected within their homes, rather than public toilets or clinic consultation rooms. Women were motivated to undergo CCS due to the perceived risks of cervical cancer, particularly among those living with HIV, the availability of services within the community, and the experience of gynecological symptoms. IDI women expressed satisfaction with being able to make decisions without consulting their spouses, and none reported experiencing social harm following the disclosure of HPV results. The client exit survey data showed that 92.5% of women in both models were very satisfied with the procedure. Conclusion Our findings highlight that women were satisfied with HPV self-sampling, valuing its convenience, privacy, and cost-effectiveness, which enhanced their willingness to undergo CCS. These findings suggest that integrating CCS self-sampling into FP services could potentially improve CCS uptake in Malawi. Keywords: Cervical cancer screening, Family Planning, HPV self-sampling, Thermo ablations Invasive Cervical cancer is a largely preventable disease through screening, but access to cervical cancer screening (CCS) remains a challenge in Malawi. Integration of CCS with family planning (FP) services through Human papillomavirus (HPV) self-sampling may increase screening coverage. We aimed to evaluate women's perceptions, motivations, and satisfaction with integration of HPV self-sampling with family planning in Malawi. In this mixed-methods study, we purposively sampled and interviewed 29 women who underwent HPV self-sampling for CCS through one of two different CCS-FP integration models in Malawi. We also completed 766 Client Exit Surveys with CCS patients from both models. Model 1 involved only clinic-based HPV self-sampling, while Model 2 included both clinic-based and community-based HPV self-sampling supported by community health workers. In-depth interviews (IDIs) were conducted using a semi-structured guide, audio-recorded, transcribed, and translated into English for analysis. Qualitative data were analyzed using NVivo 12.0 software and thematic analysis, and quantitative data were analyzed using statistical software. Women screened in both models reported reduced transport costs for screening. Those clinic-based valued the convenience of accessing both CCS and FP services in a single visit while those screened in the community appreciated accessing services within their communities. Many found HPV self-sampling easy to use and ensured privacy, especially in the community model where samples were mainly collected within their homes, rather than public toilets or clinic consultation rooms. Women were motivated to undergo CCS due to the perceived risks of cervical cancer, particularly among those living with HIV, the availability of services within the community, and the experience of gynecological symptoms. IDI women expressed satisfaction with being able to make decisions without consulting their spouses, and none reported experiencing social harm following the disclosure of HPV results. The client exit survey data showed that 92.5% of women in both models were very satisfied with the procedure. Our findings highlight that women were satisfied with HPV self-sampling, valuing its convenience, privacy, and cost-effectiveness, which enhanced their willingness to undergo CCS. These findings suggest that integrating CCS self-sampling into FP services could potentially improve CCS uptake in Malawi. Invasive Cervical cancer is a largely preventable disease through screening, but access to cervical cancer screening (CCS) remains a challenge in Malawi. Integration of CCS with family planning (FP) services through Human papillomavirus (HPV) self-sampling may increase screening coverage. We aimed to evaluate women's perceptions, motivations, and satisfaction with integration of HPV self-sampling with family planning in Malawi.BACKGROUNDInvasive Cervical cancer is a largely preventable disease through screening, but access to cervical cancer screening (CCS) remains a challenge in Malawi. Integration of CCS with family planning (FP) services through Human papillomavirus (HPV) self-sampling may increase screening coverage. We aimed to evaluate women's perceptions, motivations, and satisfaction with integration of HPV self-sampling with family planning in Malawi.In this mixed-methods study, we purposively sampled and interviewed 29 women who underwent HPV self-sampling for CCS through one of two different CCS-FP integration models in Malawi. We also completed 766 Client Exit Surveys with CCS patients from both models. Model 1 involved only clinic-based HPV self-sampling, while Model 2 included both clinic-based and community-based HPV self-sampling supported by community health workers. In-depth interviews (IDIs) were conducted using a semi-structured guide, audio-recorded, transcribed, and translated into English for analysis. Qualitative data were analyzed using NVivo 12.0 software and thematic analysis, and quantitative data were analyzed using statistical software.METHODSIn this mixed-methods study, we purposively sampled and interviewed 29 women who underwent HPV self-sampling for CCS through one of two different CCS-FP integration models in Malawi. We also completed 766 Client Exit Surveys with CCS patients from both models. Model 1 involved only clinic-based HPV self-sampling, while Model 2 included both clinic-based and community-based HPV self-sampling supported by community health workers. In-depth interviews (IDIs) were conducted using a semi-structured guide, audio-recorded, transcribed, and translated into English for analysis. Qualitative data were analyzed using NVivo 12.0 software and thematic analysis, and quantitative data were analyzed using statistical software.Women screened in both models reported reduced transport costs for screening. Those clinic-based valued the convenience of accessing both CCS and FP services in a single visit while those screened in the community appreciated accessing services within their communities. Many found HPV self-sampling easy to use and ensured privacy, especially in the community model where samples were mainly collected within their homes, rather than public toilets or clinic consultation rooms. Women were motivated to undergo CCS due to the perceived risks of cervical cancer, particularly among those living with HIV, the availability of services within the community, and the experience of gynecological symptoms. IDI women expressed satisfaction with being able to make decisions without consulting their spouses, and none reported experiencing social harm following the disclosure of HPV results. The client exit survey data showed that 92.5% of women in both models were very satisfied with the procedure.RESULTSWomen screened in both models reported reduced transport costs for screening. Those clinic-based valued the convenience of accessing both CCS and FP services in a single visit while those screened in the community appreciated accessing services within their communities. Many found HPV self-sampling easy to use and ensured privacy, especially in the community model where samples were mainly collected within their homes, rather than public toilets or clinic consultation rooms. Women were motivated to undergo CCS due to the perceived risks of cervical cancer, particularly among those living with HIV, the availability of services within the community, and the experience of gynecological symptoms. IDI women expressed satisfaction with being able to make decisions without consulting their spouses, and none reported experiencing social harm following the disclosure of HPV results. The client exit survey data showed that 92.5% of women in both models were very satisfied with the procedure.Our findings highlight that women were satisfied with HPV self-sampling, valuing its convenience, privacy, and cost-effectiveness, which enhanced their willingness to undergo CCS. These findings suggest that integrating CCS self-sampling into FP services could potentially improve CCS uptake in Malawi.CONCLUSIONOur findings highlight that women were satisfied with HPV self-sampling, valuing its convenience, privacy, and cost-effectiveness, which enhanced their willingness to undergo CCS. These findings suggest that integrating CCS self-sampling into FP services could potentially improve CCS uptake in Malawi. Abstract Background Invasive Cervical cancer is a largely preventable disease through screening, but access to cervical cancer screening (CCS) remains a challenge in Malawi. Integration of CCS with family planning (FP) services through Human papillomavirus (HPV) self-sampling may increase screening coverage. We aimed to evaluate women’s perceptions, motivations, and satisfaction with integration of HPV self-sampling with family planning in Malawi. Methods In this mixed-methods study, we purposively sampled and interviewed 29 women who underwent HPV self-sampling for CCS through one of two different CCS-FP integration models in Malawi. We also completed 766 Client Exit Surveys with CCS patients from both models. Model 1 involved only clinic-based HPV self-sampling, while Model 2 included both clinic-based and community-based HPV self-sampling supported by community health workers. In-depth interviews (IDIs) were conducted using a semi-structured guide, audio-recorded, transcribed, and translated into English for analysis. Qualitative data were analyzed using NVivo 12.0 software and thematic analysis, and quantitative data were analyzed using statistical software. Results Women screened in both models reported reduced transport costs for screening. Those clinic-based valued the convenience of accessing both CCS and FP services in a single visit while those screened in the community appreciated accessing services within their communities. Many found HPV self-sampling easy to use and ensured privacy, especially in the community model where samples were mainly collected within their homes, rather than public toilets or clinic consultation rooms. Women were motivated to undergo CCS due to the perceived risks of cervical cancer, particularly among those living with HIV, the availability of services within the community, and the experience of gynecological symptoms. IDI women expressed satisfaction with being able to make decisions without consulting their spouses, and none reported experiencing social harm following the disclosure of HPV results. The client exit survey data showed that 92.5% of women in both models were very satisfied with the procedure. Conclusion Our findings highlight that women were satisfied with HPV self-sampling, valuing its convenience, privacy, and cost-effectiveness, which enhanced their willingness to undergo CCS. These findings suggest that integrating CCS self-sampling into FP services could potentially improve CCS uptake in Malawi. BackgroundInvasive Cervical cancer is a largely preventable disease through screening, but access to cervical cancer screening (CCS) remains a challenge in Malawi. Integration of CCS with family planning (FP) services through Human papillomavirus (HPV) self-sampling may increase screening coverage. We aimed to evaluate women’s perceptions, motivations, and satisfaction with integration of HPV self-sampling with family planning in Malawi.MethodsIn this mixed-methods study, we purposively sampled and interviewed 29 women who underwent HPV self-sampling for CCS through one of two different CCS-FP integration models in Malawi. We also completed 766 Client Exit Surveys with CCS patients from both models. Model 1 involved only clinic-based HPV self-sampling, while Model 2 included both clinic-based and community-based HPV self-sampling supported by community health workers. In-depth interviews (IDIs) were conducted using a semi-structured guide, audio-recorded, transcribed, and translated into English for analysis. Qualitative data were analyzed using NVivo 12.0 software and thematic analysis, and quantitative data were analyzed using statistical software.ResultsWomen screened in both models reported reduced transport costs for screening. Those clinic-based valued the convenience of accessing both CCS and FP services in a single visit while those screened in the community appreciated accessing services within their communities. Many found HPV self-sampling easy to use and ensured privacy, especially in the community model where samples were mainly collected within their homes, rather than public toilets or clinic consultation rooms. Women were motivated to undergo CCS due to the perceived risks of cervical cancer, particularly among those living with HIV, the availability of services within the community, and the experience of gynecological symptoms. IDI women expressed satisfaction with being able to make decisions without consulting their spouses, and none reported experiencing social harm following the disclosure of HPV results. The client exit survey data showed that 92.5% of women in both models were very satisfied with the procedure.ConclusionOur findings highlight that women were satisfied with HPV self-sampling, valuing its convenience, privacy, and cost-effectiveness, which enhanced their willingness to undergo CCS. These findings suggest that integrating CCS self-sampling into FP services could potentially improve CCS uptake in Malawi. Invasive Cervical cancer is a largely preventable disease through screening, but access to cervical cancer screening (CCS) remains a challenge in Malawi. Integration of CCS with family planning (FP) services through Human papillomavirus (HPV) self-sampling may increase screening coverage. We aimed to evaluate women's perceptions, motivations, and satisfaction with integration of HPV self-sampling with family planning in Malawi. In this mixed-methods study, we purposively sampled and interviewed 29 women who underwent HPV self-sampling for CCS through one of two different CCS-FP integration models in Malawi. We also completed 766 Client Exit Surveys with CCS patients from both models. Model 1 involved only clinic-based HPV self-sampling, while Model 2 included both clinic-based and community-based HPV self-sampling supported by community health workers. In-depth interviews (IDIs) were conducted using a semi-structured guide, audio-recorded, transcribed, and translated into English for analysis. Qualitative data were analyzed using NVivo 12.0 software and thematic analysis, and quantitative data were analyzed using statistical software. Women screened in both models reported reduced transport costs for screening. Those clinic-based valued the convenience of accessing both CCS and FP services in a single visit while those screened in the community appreciated accessing services within their communities. Many found HPV self-sampling easy to use and ensured privacy, especially in the community model where samples were mainly collected within their homes, rather than public toilets or clinic consultation rooms. Women were motivated to undergo CCS due to the perceived risks of cervical cancer, particularly among those living with HIV, the availability of services within the community, and the experience of gynecological symptoms. IDI women expressed satisfaction with being able to make decisions without consulting their spouses, and none reported experiencing social harm following the disclosure of HPV results. The client exit survey data showed that 92.5% of women in both models were very satisfied with the procedure. Our findings highlight that women were satisfied with HPV self-sampling, valuing its convenience, privacy, and cost-effectiveness, which enhanced their willingness to undergo CCS. These findings suggest that integrating CCS self-sampling into FP services could potentially improve CCS uptake in Malawi. |
| ArticleNumber | 1718 |
| Audience | Academic |
| Author | Chimwaza, Wanangwa McGue, Shannon Mwapasa, Victor Smith, Jennifer S. Chipeta, Effie Ghambi, Kachengwa Lee, Fan Kaira, Princess Mhango, Patani Tsidya, Mercy Heitner, Jesse Chinula, Lameck Bula, Agatha K. Tang, Jennifer H. |
| Author_xml | – sequence: 1 givenname: Agatha K. surname: Bula fullname: Bula, Agatha K. – sequence: 2 givenname: Patani surname: Mhango fullname: Mhango, Patani – sequence: 3 givenname: Mercy surname: Tsidya fullname: Tsidya, Mercy – sequence: 4 givenname: Wanangwa surname: Chimwaza fullname: Chimwaza, Wanangwa – sequence: 5 givenname: Princess surname: Kaira fullname: Kaira, Princess – sequence: 6 givenname: Kachengwa surname: Ghambi fullname: Ghambi, Kachengwa – sequence: 7 givenname: Jesse surname: Heitner fullname: Heitner, Jesse – sequence: 8 givenname: Fan surname: Lee fullname: Lee, Fan – sequence: 9 givenname: Shannon surname: McGue fullname: McGue, Shannon – sequence: 10 givenname: Lameck surname: Chinula fullname: Chinula, Lameck – sequence: 11 givenname: Victor surname: Mwapasa fullname: Mwapasa, Victor – sequence: 12 givenname: Jennifer H. surname: Tang fullname: Tang, Jennifer H. – sequence: 13 givenname: Jennifer S. surname: Smith fullname: Smith, Jennifer S. – sequence: 14 givenname: Effie surname: Chipeta fullname: Chipeta, Effie |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40346533$$D View this record in MEDLINE/PubMed |
| BookMark | eNptksuOFCEUhitmjHPRF3BhSNy4qZFLFQXuJh11JplEF-qW0HDooVMFLVAz0w_lO0p3j-MlhgWH_3z8cJL_tDkKMUDTvCT4nBDB32ZChZAtpn1L6cBJe_ekOSHdQFra9eLoj_q4Oc15jTEZRE-fNccdZh3vGTtpfixGD6GgDaS8AVP8LWSkg0VZF5-drkoM6M6XG-RDgVWqclih2vCjL9s9auI0zaGe2qXOYNHl528ow-jarKfNuMdjQgbSrTd6REaHWqNsEkDYdffuTk9-3KLNqMNOfIc0mvx9dZug3MT6nzLb7fPmqdNjhhcP-1nz9cP7L4vL9vrTx6vFxXVrOk5KK-t8Bst-cJ1zQDjHtDMwcGHxchj4kjrpnOxtrynusGPc9IJSISUwTe2A2VlzdfC1Ua_VJvlJp62K2qu9ENNK6VS8GUGBJIxZa2QvoGMYC2cdWNkNjjgtuahebw5emxS_z5CLmnw2MNZBIc5ZMVp_h_GAh4q-_gddxzmFOmmlCO85HkT3m1rp-r4PLpakzc5UXQgmCeFU7qjz_1B1WZi8qUFyvup_XXj18Pi8nMA-Tv0rKxWgB8CkmHMC94gQrHaBVIdAqhpItQ-kumM_Adzl08M |
| Cites_doi | 10.1177/1525822X05279903 10.3390/vaccines6030061 10.1002/ijc.30101 10.3332/ecancer.2019.975 10.1002/ijgo.13112 10.1016/S2214-109X(22)00501-0 10.1016/S1470-2045(18)30836-2 10.3390/cancers15102797 10.1016/j.socscimed.2004.08.050 10.1186/s12905-018-0586-0 10.1371/journal.pone.0262590 10.1186/s12905-022-01944-2 10.3322/caac.21660 10.1186/s12885-020-07610-w 10.1186/s12905-017-0448-1 10.1177/1745506520914804 10.1016/S1470-2045(08)70175-X 10.1089/152460902753668466 10.1002/ijc.32260 10.1097/00002820-199410000-00004 10.1089/jwh.2019.8258 10.1136/sextrans-2020-054816 10.1186/s12885-021-08109-8 10.1186/1471-2458-14-596 10.1186/s12889-016-3530-y 10.3892/ol.2022.13233 10.1056/NEJMsr2030640 10.1111/tmi.12549 10.1371/journal.pmed.0050132 10.1136/bmj.p2978 10.1080/1355785052000323001 10.1186/s12905-023-02265-8 10.1136/bmjopen-2022-067948 10.1016/j.jcv.2021.105017 10.1371/journal.pgph.0000156 10.1007/BF03405681 10.1136/bmjgh-2018-001351 |
| ContentType | Journal Article |
| Copyright | 2025. The Author(s). COPYRIGHT 2025 BioMed Central Ltd. 2025. This work is licensed under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
| Copyright_xml | – notice: 2025. The Author(s). – notice: COPYRIGHT 2025 BioMed Central Ltd. – notice: 2025. This work is licensed under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. |
| DBID | AAYXX CITATION CGR CUY CVF ECM EIF NPM 3V. 7T2 7X7 7XB 88E 8C1 8FE 8FG 8FI 8FJ 8FK ABJCF ABUWG AEUYN AFKRA AN0 ATCPS AZQEC BENPR BGLVJ BHPHI C1K CCPQU DWQXO FYUFA GHDGH GNUQQ HCIFZ K9. L6V M0S M1P M7S PATMY PHGZM PHGZT PIMPY PJZUB PKEHL PPXIY PQEST PQGLB PQQKQ PQUKI PRINS PTHSS PYCSY 7X8 DOA |
| DOI | 10.1186/s12889-025-22761-w |
| DatabaseName | CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed ProQuest Central (Corporate) Health and Safety Science Abstracts (Full archive) Health & Medical Collection ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) Public Health Database ProQuest SciTech Collection ProQuest Technology Collection Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) Materials Science & Engineering Collection ProQuest Central (Alumni) ProQuest One Sustainability ProQuest Central UK/Ireland British Nursing Database Agricultural & Environmental Science Collection ProQuest Central Essentials ProQuest Central Technology Collection Natural Science Collection Environmental Sciences and Pollution Management ProQuest One ProQuest Central Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student SciTech Premium Collection ProQuest Health & Medical Complete (Alumni) ProQuest Engineering Collection Health & Medical Collection (Alumni) Medical Database Engineering Database Environmental Science Database ProQuest Central Premium ProQuest One Academic (New) Publicly Available Content Database ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) ProQuest One Health & Nursing ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Applied & Life Sciences ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China Engineering Collection Environmental Science Collection MEDLINE - Academic DOAJ Directory of Open Access Journals |
| DatabaseTitle | CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) Publicly Available Content Database ProQuest Central Student Technology Collection ProQuest One Academic Middle East (New) ProQuest Central Essentials ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) SciTech Premium Collection ProQuest One Community College ProQuest One Health & Nursing ProQuest Central China Environmental Sciences and Pollution Management ProQuest Central ProQuest One Applied & Life Sciences ProQuest One Sustainability ProQuest Health & Medical Research Collection ProQuest Engineering Collection Health Research Premium Collection Health and Medicine Complete (Alumni Edition) Natural Science Collection ProQuest Central Korea Health & Medical Research Collection Agricultural & Environmental Science Collection Health & Safety Science Abstracts ProQuest Central (New) ProQuest Medical Library (Alumni) Engineering Collection Engineering Database ProQuest Public Health ProQuest One Academic Eastern Edition British Nursing Index with Full Text ProQuest Hospital Collection ProQuest Technology Collection Health Research Premium Collection (Alumni) ProQuest SciTech Collection ProQuest Hospital Collection (Alumni) Environmental Science Collection ProQuest Health & Medical Complete ProQuest Medical Library ProQuest One Academic UKI Edition Materials Science & Engineering Collection Environmental Science Database ProQuest One Academic ProQuest One Academic (New) ProQuest Central (Alumni) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic Publicly Available Content Database MEDLINE |
| Database_xml | – sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database – sequence: 4 dbid: 8FG name: ProQuest Technology Collection url: https://search.proquest.com/technologycollection1 sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Public Health |
| EISSN | 1471-2458 |
| EndPage | 14 |
| ExternalDocumentID | oai_doaj_org_article_e9133ddc958e43008fdfed947f1fa968 A839116294 40346533 10_1186_s12889_025_22761_w |
| Genre | Journal Article |
| GeographicLocations | Malawi |
| GeographicLocations_xml | – name: Malawi |
| GrantInformation_xml | – fundername: United States Agency for International Development, through the National Academies of Science, Engineering and Medicine grantid: 2000010394 |
| GroupedDBID | --- 0R~ 23N 2WC 2XV 44B 53G 5VS 6J9 6PF 7X7 7XC 88E 8C1 8FE 8FG 8FH 8FI 8FJ A8Z AAFWJ AAJSJ AASML AAWTL AAYXX ABDBF ABJCF ABUWG ACGFO ACGFS ACIHN ACIWK ACPRK ACUHS ADBBV ADUKV AEAQA AENEX AEUYN AFKRA AFPKN AFRAH AHBYD AHMBA AHYZX ALIPV ALMA_UNASSIGNED_HOLDINGS AMKLP AMTXH AN0 AOIJS ATCPS BAPOH BAWUL BCNDV BENPR BFQNJ BGLVJ BHPHI BMC BNQBC BPHCQ BVXVI C6C CCPQU CITATION CS3 DIK DU5 E3Z EAD EAP EAS EBD EBLON EBS EMB EMK EMOBN ESX F5P FYUFA GROUPED_DOAJ GX1 HCIFZ HMCUK HYE IAO IHR INH INR ITC KQ8 L6V M1P M7S M~E O5R O5S OK1 OVT P2P PATMY PHGZM PHGZT PIMPY PQQKQ PROAC PSQYO PTHSS PYCSY RBZ RNS ROL RPM RSV SMD SOJ SV3 TR2 TUS U2A UKHRP W2D WOQ WOW XSB CGR CUY CVF ECM EIF NPM PJZUB PPXIY PQGLB PMFND 3V. 7T2 7XB 8FK AZQEC C1K DWQXO GNUQQ K9. M48 PKEHL PQEST PQUKI PRINS 7X8 PUEGO |
| ID | FETCH-LOGICAL-c461t-9403c0957f4ffe166024ce768d0b776b2f9ff95d5a2040f36c5822899e3a2d703 |
| IEDL.DBID | 8FG |
| ISSN | 1471-2458 |
| IngestDate | Wed Aug 27 01:28:18 EDT 2025 Fri Jul 11 18:05:57 EDT 2025 Fri Jul 25 09:28:15 EDT 2025 Tue Jun 17 22:00:05 EDT 2025 Tue Jun 10 20:54:15 EDT 2025 Mon Jul 21 05:47:49 EDT 2025 Tue Jul 01 04:43:00 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 1 |
| Keywords | Cervical cancer screening Family Planning Thermo ablations HPV self-sampling |
| Language | English |
| License | 2025. The Author(s). |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c461t-9403c0957f4ffe166024ce768d0b776b2f9ff95d5a2040f36c5822899e3a2d703 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 |
| OpenAccessLink | https://www.proquest.com/docview/3216560784?pq-origsite=%requestingapplication% |
| PMID | 40346533 |
| PQID | 3216560784 |
| PQPubID | 44782 |
| PageCount | 14 |
| ParticipantIDs | doaj_primary_oai_doaj_org_article_e9133ddc958e43008fdfed947f1fa968 proquest_miscellaneous_3202400707 proquest_journals_3216560784 gale_infotracmisc_A839116294 gale_infotracacademiconefile_A839116294 pubmed_primary_40346533 crossref_primary_10_1186_s12889_025_22761_w |
| ProviderPackageCode | CITATION AAYXX |
| PublicationCentury | 2000 |
| PublicationDate | 2025-05-09 |
| PublicationDateYYYYMMDD | 2025-05-09 |
| PublicationDate_xml | – month: 05 year: 2025 text: 2025-05-09 day: 09 |
| PublicationDecade | 2020 |
| PublicationPlace | England |
| PublicationPlace_xml | – name: England – name: London |
| PublicationTitle | BMC public health |
| PublicationTitleAlternate | BMC Public Health |
| PublicationYear | 2025 |
| Publisher | BioMed Central Ltd BioMed Central BMC |
| Publisher_xml | – name: BioMed Central Ltd – name: BioMed Central – name: BMC |
| References | L Rahangdale (22761_CR8) 2023; 383 HA Cubie (22761_CR22) 2020; 16 22761_CR24 F Lee (22761_CR20) 2021; 21 CS Racey (22761_CR23) 2013; 104 H Sung (22761_CR3) 2021; 71 RG Martínez (22761_CR33) 2005; 61 D Obiri-Yeboah (22761_CR32) 2017; 17 C Pittalis (22761_CR17) 2020; 20 22761_CR9 M Swanson (22761_CR40) 2018; 18 PT Yeh (22761_CR36) 2019; 4 ZA Nodjikouambaye (22761_CR26) 2020; 149 MC Verwijs (22761_CR41) 2022; 98 K Chatzistamatiou (22761_CR25) 2020; 29 AL Bogale (22761_CR28) 2022; 22 E Moses (22761_CR39) 2015; 20 AK Bula (22761_CR21) 2022; 17 22761_CR15 DM Parkin (22761_CR4) 2008; 9 JM McMullin (22761_CR34) 2005; 10 E Rohner (22761_CR6) 2020; 146 22761_CR11 22761_CR12 C Campbell (22761_CR16) 2016; 139 J Joseph (22761_CR27) 2021; 145 D Chipanta (22761_CR14) 2023; 13 KN Tin (22761_CR38) 2023; 23 KP Msyamboza (22761_CR18) 2016; 16 D Singh (22761_CR5) 2023; 11 AM Beddoe (22761_CR19) 2019; 13 P Bansil (22761_CR37) 2014; 14 KT Simms (22761_CR10) 2019; 20 G Guest (22761_CR30) 2006; 18 A Bogdanova (22761_CR1) 2022; 23 S Jirojwong (22761_CR35) 1994; 17 V Bouvard (22761_CR2) 2021; 385 22761_CR29 K Taghavi (22761_CR7) 2022; 2 E Gakidou (22761_CR13) 2008; 5 IG Dzuba (22761_CR31) 2002; 11 |
| References_xml | – volume: 18 start-page: 59 year: 2006 ident: 22761_CR30 publication-title: Field Methods doi: 10.1177/1525822X05279903 – ident: 22761_CR11 doi: 10.3390/vaccines6030061 – volume: 139 start-page: 908 issue: 4 year: 2016 ident: 22761_CR16 publication-title: Int J Cancer doi: 10.1002/ijc.30101 – ident: 22761_CR15 – volume: 13 start-page: 975 year: 2019 ident: 22761_CR19 publication-title: Ecancermedicalscience doi: 10.3332/ecancer.2019.975 – volume: 149 start-page: 123 issue: 2 year: 2020 ident: 22761_CR26 publication-title: Int J Gynaecol Obstet doi: 10.1002/ijgo.13112 – volume: 11 start-page: e197 issue: 2 year: 2023 ident: 22761_CR5 publication-title: Lancet Global Health doi: 10.1016/S2214-109X(22)00501-0 – volume: 20 start-page: 394 issue: 3 year: 2019 ident: 22761_CR10 publication-title: Lancet Oncol doi: 10.1016/S1470-2045(18)30836-2 – ident: 22761_CR24 doi: 10.3390/cancers15102797 – ident: 22761_CR29 – volume: 61 start-page: 797 issue: 4 year: 2005 ident: 22761_CR33 publication-title: Soc Sci Med doi: 10.1016/j.socscimed.2004.08.050 – volume: 18 start-page: 116 issue: 1 year: 2018 ident: 22761_CR40 publication-title: BMC Womens Health doi: 10.1186/s12905-018-0586-0 – volume: 17 start-page: e0262590 issue: 2 year: 2022 ident: 22761_CR21 publication-title: PLoS ONE doi: 10.1371/journal.pone.0262590 – volume: 22 start-page: 360 issue: 1 year: 2022 ident: 22761_CR28 publication-title: BMC Womens Health doi: 10.1186/s12905-022-01944-2 – volume: 71 start-page: 209 issue: 3 year: 2021 ident: 22761_CR3 publication-title: CA Cancer J Clin doi: 10.3322/caac.21660 – volume: 20 start-page: 1101 issue: 1 year: 2020 ident: 22761_CR17 publication-title: BMC Cancer doi: 10.1186/s12885-020-07610-w – volume: 17 start-page: 86 issue: 1 year: 2017 ident: 22761_CR32 publication-title: BMC Womens Health doi: 10.1186/s12905-017-0448-1 – volume: 16 start-page: 174550652091480 year: 2020 ident: 22761_CR22 publication-title: Womens Health (Lond) doi: 10.1177/1745506520914804 – volume: 9 start-page: 683 issue: 7 year: 2008 ident: 22761_CR4 publication-title: Lancet Oncol doi: 10.1016/S1470-2045(08)70175-X – volume: 11 start-page: 265 issue: 3 year: 2002 ident: 22761_CR31 publication-title: J Womens Health Gend Based Med doi: 10.1089/152460902753668466 – volume: 146 start-page: 601 issue: 3 year: 2020 ident: 22761_CR6 publication-title: Int J Cancer doi: 10.1002/ijc.32260 – volume: 17 start-page: 395 issue: 5 year: 1994 ident: 22761_CR35 publication-title: Cancer Nurs doi: 10.1097/00002820-199410000-00004 – volume: 29 start-page: 1447 issue: 11 year: 2020 ident: 22761_CR25 publication-title: J Womens Health (Larchmt) doi: 10.1089/jwh.2019.8258 – volume: 98 start-page: 58 issue: 1 year: 2022 ident: 22761_CR41 publication-title: Sex Transm Infect doi: 10.1136/sextrans-2020-054816 – volume: 21 start-page: 428 issue: 1 year: 2021 ident: 22761_CR20 publication-title: BMC Cancer doi: 10.1186/s12885-021-08109-8 – volume: 14 start-page: 596 year: 2014 ident: 22761_CR37 publication-title: BMC Public Health doi: 10.1186/1471-2458-14-596 – volume: 16 start-page: 806 issue: 1 year: 2016 ident: 22761_CR18 publication-title: BMC Public Health doi: 10.1186/s12889-016-3530-y – volume: 23 start-page: 113 issue: 4 year: 2022 ident: 22761_CR1 publication-title: Oncol Lett doi: 10.3892/ol.2022.13233 – ident: 22761_CR9 – volume: 385 start-page: 1908 issue: 20 year: 2021 ident: 22761_CR2 publication-title: N Engl J Med doi: 10.1056/NEJMsr2030640 – volume: 20 start-page: 1355 issue: 10 year: 2015 ident: 22761_CR39 publication-title: Trop Med Int Health doi: 10.1111/tmi.12549 – volume: 5 start-page: e132 issue: 6 year: 2008 ident: 22761_CR13 publication-title: PLoS Med doi: 10.1371/journal.pmed.0050132 – volume: 383 start-page: 2978 year: 2023 ident: 22761_CR8 publication-title: BMJ doi: 10.1136/bmj.p2978 – volume: 10 start-page: 3 issue: 1 year: 2005 ident: 22761_CR34 publication-title: Ethn Health doi: 10.1080/1355785052000323001 – volume: 23 start-page: 120 issue: 1 year: 2023 ident: 22761_CR38 publication-title: BMC Womens Health doi: 10.1186/s12905-023-02265-8 – volume: 13 start-page: e067948 issue: 6 year: 2023 ident: 22761_CR14 publication-title: BMJ Open doi: 10.1136/bmjopen-2022-067948 – volume: 145 start-page: 105017 year: 2021 ident: 22761_CR27 publication-title: J Clin Virol doi: 10.1016/j.jcv.2021.105017 – volume: 2 start-page: e0000156 issue: 2 year: 2022 ident: 22761_CR7 publication-title: PLOS Glob Public Health doi: 10.1371/journal.pgph.0000156 – ident: 22761_CR12 – volume: 104 start-page: e159 issue: 2 year: 2013 ident: 22761_CR23 publication-title: Can J Public Health doi: 10.1007/BF03405681 – volume: 4 start-page: e001351 issue: 3 year: 2019 ident: 22761_CR36 publication-title: BMJ Glob Health doi: 10.1136/bmjgh-2018-001351 |
| SSID | ssj0017852 |
| Score | 2.4392014 |
| Snippet | Invasive Cervical cancer is a largely preventable disease through screening, but access to cervical cancer screening (CCS) remains a challenge in Malawi.... Background Invasive Cervical cancer is a largely preventable disease through screening, but access to cervical cancer screening (CCS) remains a challenge in... BackgroundInvasive Cervical cancer is a largely preventable disease through screening, but access to cervical cancer screening (CCS) remains a challenge in... Abstract Background Invasive Cervical cancer is a largely preventable disease through screening, but access to cervical cancer screening (CCS) remains a... |
| SourceID | doaj proquest gale pubmed crossref |
| SourceType | Open Website Aggregation Database Index Database |
| StartPage | 1718 |
| SubjectTerms | Adult Analysis Audio data Cancer Cancer screening Care and treatment Cervical cancer Cervical cancer screening Community health care Complications and side effects Consultation Cost effectiveness Customer satisfaction Data analysis Diagnosis Disease prevention Early Detection of Cancer - methods Family Planning Family Planning Services Female Health facilities Health sciences HIV HPV self-sampling Human immunodeficiency virus Human papillomavirus Humans Industrialized nations Integration Interviews as Topic Malawi Medical personnel Medical screening Methods Middle Aged Oncology, Experimental Papillomavirus infections Papillomavirus Infections - diagnosis Patient satisfaction Patient Satisfaction - statistics & numerical data Prevalence studies (Epidemiology) Prevention Privacy Qualitative analysis Qualitative Research Risk factors Sampling Self Care Software Surveys Thermo ablations Toilets Uterine Cervical Neoplasms - diagnosis Womens health Young Adult |
| SummonAdditionalLinks | – databaseName: DOAJ Directory of Open Access Journals dbid: DOA link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lb9QwELZQT0gIAeURKJWRkDggqxu_EnNrK6oVB8SBot4sxw8JqWRXm1SlP4r_yIydLF04cOk1M7Ecz3gezsxnQt7y2muVuoZF37VMqs6zLqUFk62p0yI4rGjEaovPenkuP12oi1tXfWFNWIEHLgt3FA1kUSF4o9ooBXisFFIMRjapTs7o3OYLPm9Opqb_B02r-Nwi0-qjAawwlgZxxTiHxJ1d77ihjNb_r03-K9LMHufsEXk4hYr0uEzxMbkX-yfkQTlno6V9aJ_8Or3Ejka6_tM0OVDXBzrcalugeNpKZ2QIcFYUCFgUe5NZfWkSGW8Y-rRAl1--0SFeJjY4rDdH9tWG-mxVYEIeFWVDwd5ADozUPHo5KaHr6RKkD9TRH99_wmjljmqacWyfkvOzj19Pl2y6goF5qeuRGbkQHqKwJsmUYq01uHQfIUUJi65pdMeTScmooBwHa5CE9goiDsjhonA8gDV5Rvb6VR9fEOqMd14kUxuppNDONTwYEGIUxtfR8Iq8nyVi1wVpw-YMpdW2yM-C_GyWn72uyAkKbcuJKNn5AeiOnXTH_k93KvIORW5xL48bB_MrLQkwYUTFsscQPda15kZW5GCHE_ag3yXPSmMnGzBYwTOyUdMC-c2WjG9iXVsfV1fIgxhzCLlUkedF2bafBEuP4Hfi5V186ityn6P6Y6mmOSB74-YqvoZwauwO8875DUzMH00 priority: 102 providerName: Directory of Open Access Journals |
| Title | Client perspectives and satisfaction with integrating facility and community-based HPV self-sampling for cervical cancer screening with family planning: a mixed method study |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/40346533 https://www.proquest.com/docview/3216560784 https://www.proquest.com/docview/3202400707 https://doaj.org/article/e9133ddc958e43008fdfed947f1fa968 |
| Volume | 25 |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3db9MwELfY9oKEEN9kjMpISDwga7XjODEvaK1WKh6maWKo4sVy_DEhjbRrOo39UfyP3DlpR0HiJQ_1xXVy9n3l7neEvBXcqSLWJQuurpgsasfqGIdMVprHobeY0YjZFidqei4_z4pZH3Br-7TKtUxMgtrPHcbID3ORcGLKSn5cXDHsGoVfV_sWGjtkj4OmwZSuavJp8xWhrAqxLpSp1GELshgThETBhAD3nd1sKaOE2f-vZP7L3kx6Z_KIPOwNRnrUcfgxuReaJ-RBF22jXRHRU_JrfIl1jXRxVzrZUtt42v5RvEAx5krX-BCgsigMYGrsbSJ1XanI6pahZvN0evqVtuEystZi1jmSz5fUJdkCC3K4XZYUpA54wjiaZu_iJXTRt0L6QC398f0nzNZ1qqYJzfYZOZ8cfxlPWd-IgTmp-IppOcwd2GJllDEGrhQodhfAUfHDuixVLaKOURe-sAJkQsyVK8DuAE8u5FZ4kCnPyW4zb8JLQq121uVRcy0LmStrS-F15DHk2vGgRUberzliFh3ehkl-SqVMxz8D_DOJf-YmIyNk2oYSsbLTD_PlhemPngka_HDvnS6qIHOweaKPwWtZwt9araqMvEOWGzzRq6WF9XWFCbBgxMYyR2BDcq6Elhk52KKEk-i2h9ebxvSSoDV3-zYjbzbDeCdmtzVhfo00iDSHwEsZedFtts0jwatHCLx8__-TvyL3BW5sTMXUB2R3tbwOr8FcWtUDslPOSrhWYz5I52NA9kbHJ6dngxSAgOvZ6Ntv82Ubcw |
| linkProvider | ProQuest |
| linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwtV1LbxMxELZKOYCEEG8WChgJxAFZzXq93jUSQqUQUloqDi3qzXj9qCqVJGRThfwo-I3M2NmUgMSt13jieDNv78w3hDzjuZVlaCrmbVMzUTaWNSH0mKhVHnrOYEUjVlvsy8Gh-HhUHq2RX10vDJZVdjYxGmo3snhHvlnwiBNT1eLN-DvDqVH4drUboZHEYtfPZ5Cyta933gF_n3Pef3-wPWCLqQLMCplPmRK9wkJgUQURgs-lBC9lPUTdrtdUlWx4UCGo0pWGg4CHQtoSnCikJb4w3IGCwL6XyGVRgCfHzvT-h-Vbi6ouedeYU8vNFmw_FiTxknFeyZzNVpxfnBHwryf4K76Nfq5_g1xfBKh0K0nUTbLmh7fItXS7R1PT0m3yc_sU-yjp-LxVs6Vm6Gj7R7MExTte2uFRgIuksICluPNIalNrynTO0JM6Ovj8hbb-NLDWYJU7ko8m1EZbBgeyKJ4TClYOMm9cjbun-xk6XoxeekUN_XbyA3ZLk7FpRM-9Qw4vhEV3yfpwNPT3CTXKGlsElStRikIaU3GnQh58oWzuFc_Iy44jepzwPXTMi2qpE_808E9H_ulZRt4i05aUiM0dPxhNjvVC1bVXkPc7Z1VZe1FAjBVc8E6JCn7WKFln5AWyXKMFmU4MnC81QsCBEYtLb0HMmueSK5GRjRVK0Hy7utwJjV5Ynlaf60lGni6X8ZtYTTf0ozOkQWQ7BHrKyL0kbMtHgr8eIfeKB__f_Am5Mjj4tKf3dvZ3H5KrHIUcy0DVBlmfTs78IwjVps3jqB-UfL1ohfwNKCpRew |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Client+perspectives+and+satisfaction+with+integrating+facility+and+community-based+HPV+self-sampling+for+cervical+cancer+screening+with+family+planning%3A+a+mixed+method+study&rft.jtitle=BMC+public+health&rft.au=Bula%2C+Agatha+K&rft.au=Mhango%2C+Patani&rft.au=Tsidya%2C+Mercy&rft.au=Chimwaza%2C+Wanangwa&rft.date=2025-05-09&rft.issn=1471-2458&rft.eissn=1471-2458&rft.volume=25&rft.issue=1&rft.spage=1718&rft_id=info:doi/10.1186%2Fs12889-025-22761-w&rft.externalDBID=NO_FULL_TEXT |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1471-2458&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1471-2458&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1471-2458&client=summon |