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Low-Cost Interventions to Improve Cervical Cancer Screening: An Integrative Review
Giselle A S Rezende1, Mariana T Rezende1, Cláudia M Carneiro1
1Federal University of Ouro Preto.
Problem Identification:
Cervical cancer (CC) is a major public health problem in low- and middle-income countries. Although screening can reduce CC incidence, screening programs are difficult to implement in resource-limited countries, making innovative interventions necessary.
Literature Search:
PubMed®, MEDLINE®, CINAHL®, LILACS, and SciELO databases were searched for studies published within the past five years that explored interventions to improve CC screening.
Data Evaluation:
Of the 486 articles identified, 35 were included in the review. The evidence was summarized, analyzed, and organized by theme.
Synthesis:
Several low-cost interventions improved aspects of CC screening, most of which were associated with a significant increase in adherence and uptake. Other interventions led to better baseline knowledge and involvement among patients and healthcare providers and a higher proportion of patients receiving treatment. Screening programs can use single or multiple approaches and match them to the local conditions and available resources.
Implications For Practice:
By understanding the various interventions that can mitigate CC incidence, healthcare providers can select the best approach to reach women eligible for CC screening.
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