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Principles for Service Delivery: Best Practices for Cervical Screening for Women with Disabilities.

Hannah Kuper1, Fahrin Ramadan Andiwijaya2, Sara Rotenberg1

  • 1International Centre for Evidence in Disability, Department of Population Health, London School of Hygiene & Tropical Medicine, London, UK.

International Journal of Women'S Health
|April 23, 2024
PubMed
Summary

Women with disabilities face significant barriers to cervical cancer screening, resulting in lower uptake. Addressing knowledge, logistics, stigma, and accessibility is crucial for equitable healthcare access and eliminating cervical cancer.

Keywords:
cervical cancerdisabilityscreening

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Area of Science:

  • Public Health
  • Gynecologic Oncology
  • Disability Studies

Background:

  • Cervical cancer screening is a critical public health initiative.
  • Marginalized populations, including women with disabilities, often face barriers to existing screening programs.
  • Limited evidence exists on strategies to improve cervical cancer screening uptake among women with disabilities.

Purpose of the Study:

  • To estimate the disparity in cervical cancer screening uptake for women with disabilities.
  • To identify key barriers to screening access for women with disabilities.
  • To explore solutions and formulate principles for improved service delivery.

Main Methods:

  • Updated a systematic review to assess screening disparities.
  • Conducted a scoping review to analyze barriers, policy inclusion, and solutions.
  • Formulated key principles for enhanced service delivery.

Main Results:

  • Women with disabilities are less likely to be screened for cervical cancer (RR=0.65).
  • Barriers include issues with knowledge, autonomy, logistics, stigma, and fear.
  • Few guidelines address disability; improving access requires focus on autonomy, awareness, affordability, human resources, and facility accessibility.

Conclusions:

  • Cervical cancer screening programs must include women with disabilities.
  • Addressing identified barriers is essential for equitable healthcare.
  • Ensuring access to screening supports the right to health and cervical cancer elimination.