BARRIERS TO CERVICAL CANCER SCREENING IN RIAU ISLANDS PROVINCE INDONESIA

Abstract

Background: Cervical cancer is the most common reproductive
health cancer in Riau Islands. In most cases, women report to health
when diseases in its advanced stage. In this study, the service
provider’s perceptions about barriers for women to access cervical
cancer screening in Riau Islands Province was investigated.
Methods: This was a qualitative study using in-depth interviews
and focus group discussion to obtain data with 7 districts
coordinators and 45 service providers of cervical cancer screening in
public health centers in 7 districts in Riau Islands Province. The
study was conducted in June – July 2021. Program data, monthly and
annual report from the Provincial Cancer Control Program were
analyzed to identify the health facilities which were providing
cervical cancer screening. Results: Almost all respondents reported
that the delivery and uptake of cervical cancer screening was
compromised because of factors such as gross shortage of staff and
the lack of supportive supervision. In addition, the lack of awareness
of the disease, feeling embarrassment and anxiety about the
procedure of the screening among community members.
Conclusion: A number of factors that are barriers to cervical cancer
screening. There is a need to continue creating awareness among
community members and also addressing barriers such as shortage of
staff. The service providers must be aware cultural barriers and
should reach out community resources to alleviate these barriers.
Culturally responsive communication, making faith-based groups a
community resource target, social support and networking can
improve screening rates.