Ewa Duda
Understanding Health-Related Motivations for Urban Food Self-Production in the Light of Semantic Fields Analysis
Nutrients
africa one highest burdens cervical cancer world unacceptably high incidence mortality rates could reduced implementing comprehensive approach prevention control includes screening however low lowandmiddleincome countries hence systematic review aims exploring factors prevent women utilising cervical cancer screening services region mixed method systematic review conducted search performed pubmed medline embase cinahl ebscohost scopus databases articles published may 2019 without time language study design limits two reviewers critically appraised included studies independently using standard quality assessment criteria evaluating primary research papers results quantitative mixed methods studies transformed qualitative data synthesised using thematic analysis potential 2 365 studies 24 11 countries met eligibility criteria selected eight qualitative 13 quantitative three used mixedmethod approach primary barriers identified poor access screening services lack awareness knowledge cervical cancer screening sociocultural influences service providers perceived lack skills screening equipment supplies staff shortages major barriers provision screening services barriers cervical cancer screening africa multifaceted require holistic approach address concurrently health system individual interpersonal community structural levels political complimented stakeholder involvement required development implementation strategies ensure acceptability availability accessibility affordability screening minimise barriers accessing service