Low-Cost Interventions to Improve Cervical Cancer Screening: An Integrative Review

Giselle A.S. Rezende

Mariana T. Rezende

Cláudia M. Carneiro

cervical cancer, mass screening, interventions, uterine cervical neoplasms
ONF 2022, 50(1), 59-78. DOI: 10.1188/23.ONF.59-78

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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