259919 An analysis of key stakeholders' attitudes and beliefs about barriers and facilitating factors in the development of a cervical cancer prevention program in South Africa

Tuesday, October 30, 2012

Shelley Francis, DrPH , College of Public Health, Ohio State University, Columbus, OH
Kendall Leser , Division of Health Behavior and Health Promotion, The Ohio State University, Columbus, OH
Emma Esmont , Division of Health Behavior and Health Promotion, The Ohio State University, Columbus, OH
Fareeda Griffith, PhD , Sociology Department, Denison University, Granville, OH
Background: Cervical cancer is the second most common cancer among women worldwide. One in 35 South African women will be diagnosed with cervical cancer. The empirical literature examining key stakeholder's knowledge/awareness of cervical cancer and the Human papillmoavirus [HPV] vaccine in South Africa is limited.

Methods: Key stakeholders' (e.g. government employees, health care workers and social activists) were identified in Cape Town (N=6) and Johannesburg (N=9). Participants described their 1) knowledge/awareness of HPV and cervical cancer, 2) discussed potential barriers and facilitating factors associated with vaccine administration and other cervical cancer prevention strategies, and identified how families, government, and communities could be involved in preventing HPV and cervical cancer.

Results: Knowledge about HPV, the HPV vaccine, cervical cancer, and HPV's association with cervical cancer varied by interview location. About half of participants in each location thought that the government should underwrite the costs for the HPV vaccine. Potential barriers to the vaccine administration include cost, lack of knowledge/awareness about HPV and cervical cancer, stigma, and multiple clinic visits for vaccine administration. Potential facilitating factors include increasing education and awareness about the vaccine, involvement of political figures and the media, and the use of mobile and home-based clinics.

Conclusion: In order to create a successful cervical cancer prevention program, public health practitioners must engage families, communities, the health sector, schools, and the government in order to improve HPV and cervical cancer prevention education and develop strategies to reduce HPV and cervical cancer while improving screening rates and access to the vaccine.

Learning Areas:
Assessment of individual and community needs for health education
Diversity and culture
Protection of the public in relation to communicable diseases including prevention or control
Social and behavioral sciences

Learning Objectives:
Attendees will be able to: 1. Describe the burden of cervical cancer in South Africa. 2. Compare/contrast key stakeholders' HPV and cervical cancer knowledge 3. Identify strategies to improve access to cervical cancer screening and increase awareness about HPV and cervical cancer

Keywords: Cervical Cancer, Prevention

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: NA

Qualified on the content I am responsible for because: I have been the PI on multiple grants focusing on HPV and cervical cancer prevention in South Africa. I have also published multiple articles in this area in peer reviewed journals.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.