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Barriers to Accessing Cervical Cancer Screening and Treatment in the Amazon Region-A Systematic Review
Marcia Helena Ribeiro de Oliveira1, Sandra Lopes Aparício2, José Antônio Cordero da Silva3
1Faculty of Medicine, University of Porto, 4200-319 Porto, Portugal.
Journal of Clinical Medicine
|February 13, 2026
Summary
Barriers to cervical cancer screening and treatment in the Amazon Basin are mainly organizational, health-system, socioeconomic, cultural, and geographic. Addressing these requires multisectoral strategies to improve access and equity for women.
Area of Science:
- Public Health
- Oncology
- Health Equity
Background:
- Cervical cancer screening and treatment access is unequal in the Amazon Basin.
- Geographic, social, and infrastructural barriers exacerbate disparities.
- Existing evidence on barriers is fragmented.
Purpose of the Study:
- To systematically review barriers to cervical cancer screening and treatment in the Amazon Region.
- To synthesize findings to inform strategies for improved prevention and care equity.
Main Methods:
- Systematic review following PRISMA 2020 guidelines.
- Searches conducted in PubMed/MEDLINE, Web of Science, and SciELO.
- Included studies addressing barriers among women in the Amazon Region; narrative synthesis used.
Main Results:
- Organizational/health-system barriers (scheduling, wait times, staff shortages) were most frequent.
- Socioeconomic factors (age, income, education, costs) and cultural factors (fear, knowledge gaps) were significant.
- Geographic barriers (rural residence, travel) also impacted access.
Conclusions:
- Disparities in cervical cancer screening in the Amazon are linked to organizational, health-system, socioeconomic, cultural, and geographic barriers.
- Equitable, multisectoral interventions are needed to strengthen services and improve access.
- Enhancing health literacy and timely care are crucial for underserved women.
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