Please use this identifier to cite or link to this item: https://doi.org/10.3389/fpubh.2022.853453
DC FieldValue
dc.titleHealth care provider's experience and perspective of cervical cancer screening in Singapore: A qualitative study
dc.contributor.authorChua, BWB
dc.contributor.authorNeo, P
dc.contributor.authorMa, VY
dc.contributor.authorLim, LM
dc.contributor.authorNg, JSY
dc.contributor.authorWee, HL
dc.date.accessioned2022-11-15T04:56:44Z
dc.date.available2022-11-15T04:56:44Z
dc.date.issued2022-07-26
dc.identifier.citationChua, BWB, Neo, P, Ma, VY, Lim, LM, Ng, JSY, Wee, HL (2022-07-26). Health care provider's experience and perspective of cervical cancer screening in Singapore: A qualitative study. Frontiers in Public Health 10 : 853453-. ScholarBank@NUS Repository. https://doi.org/10.3389/fpubh.2022.853453
dc.identifier.issn2296-2565
dc.identifier.urihttps://scholarbank.nus.edu.sg/handle/10635/234562
dc.description.abstractBackground: In Singapore, the current cervical cancer screening (CCS) coverage rate of 48% falls below the national target of 70%. Health care providers (HCPs) play a critical role in promoting CCS uptake. However, there is limited understanding of the perspectives of HCPs regarding CCS. Hence, we aimed to understand the challenges encountered by HCPs delivering CCS in different care settings in the Singapore health system. We also aimed to explore perspectives on newer features of CCS such as self-sampling and HPV genotyping. Methods: Physicians, nurses, program administrators and laboratory technicians involved with CCS were invited for a one-on-one semi-structured interview conducted over Zoom between May to August 2021. The interviews were transcribed and analyzed using thematic analysis. Results: Eighteen HCPs from 12 institutions were interviewed. Most participants were women (61.1%) and worked in public health institutions (72.2%). For factors influencing CCS, nine key themes were identified and organized into four categories: (1) patient factors, (2) HCP factors, (3) health system factors and (4) health promotion factors. Key themes commonly highlighted by study participants were related to patients' preferences and acceptance for screening, the processes of delivering CCS, the national priority for cervical cancer and the effectiveness of existing health promotion efforts. Five key themes were identified for CCS innovations. Self-sampling was viewed favorably to increase CCS uptake, while primary HPV screening with HPV partial genotyping had higher sensitivities to detect pre-cancers and cancers compared to cytology. Extended HPV genotyping beyond HPV16/18 could play an important role in CCS with increasing HPV vaccination coverage, as well as in the management of persistent HPV infection. Conclusion: In Singapore, HCPs face multiple challenges for CCS in practice. Insights from this study are directly relevant to, and useful for developing policies around national CCS programs and treatment guidelines.
dc.publisherFrontiers Media SA
dc.sourceElements
dc.subjectHPV extended genotyping
dc.subjectSingapore
dc.subjectcervical cancer screening
dc.subjecthealth care providers
dc.subjectself-sampling
dc.subjectEarly Detection of Cancer
dc.subjectFemale
dc.subjectHealth Personnel
dc.subjectHuman papillomavirus 16
dc.subjectHuman papillomavirus 18
dc.subjectHumans
dc.subjectMale
dc.subjectPapillomavirus Infections
dc.subjectSingapore
dc.subjectUterine Cervical Neoplasms
dc.typeArticle
dc.date.updated2022-11-14T05:02:20Z
dc.contributor.departmentDEAN'S OFFICE (SSH SCH OF PUBLIC HEALTH)
dc.contributor.departmentDEPT OF OBSTETRICS & GYNAECOLOGY
dc.contributor.departmentSAW SWEE HOCK SCHOOL OF PUBLIC HEALTH
dc.description.doi10.3389/fpubh.2022.853453
dc.description.sourcetitleFrontiers in Public Health
dc.description.volume10
dc.description.page853453-
dc.published.statePublished
Appears in Collections:Staff Publications
Elements

Show simple item record
Files in This Item:
File Description SizeFormatAccess SettingsVersion 
Health care providers experience and perspective of cervical cancer screening in Singapore A qualitative study.pdf779.45 kBAdobe PDF

OPEN

PublishedView/Download

Page view(s)

31
checked on Mar 16, 2023

Download(s)

5
checked on Mar 16, 2023

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.