Abstract:
BACKGROUND:Although cervical cancer is a leading cause of cancer related morbidity and mortality among women in Ethiopia, there is lack of information regarding the perception of the community about the disease. METHODS:Focus group discussions were conducted with men, women, and community leaders in the rural settings of Jimma Zone southwest Ethiopia and in the capital city, Addis Ababa. Data were captured using voice recorders, and field notes were transcribed verbatim from the local languages into English language. Key categories and thematic frameworks were identified using the health belief model as a framework, and presented in narratives using the respondents own words as an illustration. RESULTS:Participants had very low awareness of cervical cancer. However, once the symptoms were explained, participants had a high perception of the severity of the disease. The etiology of cervical cancer was thought to be due to breaching social taboos or undertaking unacceptable behaviors. As a result, the perceived benefits of modern treatment were very low, and various barriers to seeking any type of treatment were identified, including limited awareness and access to appropriate health services. Women with cervical cancer were excluded from society and received poor emotional support. Moreover, the aforementioned factors all caused delays in seeking any health care. Traditional remedies were the most preferred treatment option for early stage of the disease. However, as most cases presented late, treatment options were ineffective, resulting in an iterative pattern of health seeking behavior and alternated between traditional remedies and modern treatment methods. CONCLUSION:Lack of awareness and health seeking behavior for cervical cancer was common due to misconceptions about the cause of the disease. Profound social consequences and exclusion were common. Access to services for diagnosis and treatment were poor for a variety of psycho-social, and health system reasons. Prior to the introduction or scale up of cervical cancer prevention programs, socio-cultural barriers and health service related factors that influence health seeking behavior must be addressed through appropriate community level behavior change communications.
journal_name
Int J Equity Healthjournal_title
International journal for equity in healthauthors
Birhanu Z,Abdissa A,Belachew T,Deribew A,Segni H,Tsu V,Mulholland K,Russell FMdoi
10.1186/1475-9276-11-83subject
Has Abstractpub_date
2012-12-29 00:00:00pages
83issn
1475-9276pii
1475-9276-11-83journal_volume
11pub_type
杂志文章abstract::This editorial provides an overview of a thematic series that brings attention to the persistently deficient and unequal access to sexual and reproductive health services for young women in sub-Saharan Africa. It represents an effort to analyze the multifaceted relationship between laws, policies and access to service...
journal_title:International journal for equity in health
pub_type: 社论
doi:10.1186/s12939-020-1157-1
更新日期:2020-03-17 00:00:00
abstract:BACKGROUND:China has made remarkable progress in scaling up essential services during the last six decades, making health care increasingly available in rural areas. This was partly achieved through the building of a three-tier health system in the 1950s, established as a linked network with health service facilities a...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-017-0541-y
更新日期:2017-05-23 00:00:00
abstract:BACKGROUND:Large inequalities of mortality by most cancers in general, by mouth and pharynx cancer in particular, have been associated to behaviour and geopolitical factors. The assessment of socioeconomic covariates of cancer mortality may be relevant to a full comprehension of distal determinants of the disease, and ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-7-14
更新日期:2008-06-04 00:00:00
abstract:BACKGROUND:Health sector priority setting in Low and Middle-Income Countries (LMICs) entails balancing between a high demand and low supply of scarce resources. Human Resources for Health (HRH) consume the largest allocation of health sector resources in LMICs. Health sector decentralization continues to be promoted fo...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01284-3
更新日期:2020-09-21 00:00:00
abstract:BACKGROUND:Our research group advanced a health insurance theory to explain Canada's cancer care advantages over America. The late Barbara Starfield theorized that Canada's greater primary care-orientation also plays a critically protective role. We tested the resultant Starfield-Gorey theory by examining the effects o...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-015-0246-z
更新日期:2015-10-29 00:00:00
abstract:INTRODUCTION:One of the main weaknesses of the health system in Turkey is the uneven distribution of physicians. The diversity among geographical districts was huge in the beginning of the 1960s. After the 1980s, the implementation of a two-year compulsory service for newly graduated physicians is an interesting and sp...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-014-0131-1
更新日期:2015-01-08 00:00:00
abstract:BACKGROUND:In 2004, The Kenyan government removed user fees in public dispensaries and health centers and replaced them with registration charges of 10 and 20 Kenyan shillings (2004 $US 0.13 and $0.25), respectively. This was termed the 10/20 policy. We examined the effect of this policy on the coverage, timing, source...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-1150-8
更新日期:2020-03-14 00:00:00
abstract:BACKGROUND:Through a number of healthcare reforms, Kenya has demonstrated its intention to extend financial risk protection and service coverage for poor and vulnerable groups. These reforms include the provision of free maternity services, user-fee removal in public primary health facilities and a health insurance sub...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-1006-2
更新日期:2019-06-24 00:00:00
abstract::BACKGROUND: The nurse-doctor relationship is historically one of female nurse deference to male physician authority. We investigated the effects of physicians' sex on female nurses' behaviour. METHODS: Nurses at an urban, university based hospital completed one of two forms of a vignette-based survey in January, 2000....
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-2-1
更新日期:2003-02-11 00:00:00
abstract:BACKGROUND:Despite the centrality of health personnel to the health of the population, the planning, production and management of human resources for health remains underdeveloped in many low- and middle-income countries (LMICs). In addition to the general shortage of health workers, there are significant inequalities ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-017-0575-1
更新日期:2017-06-30 00:00:00
abstract:BACKGROUND:Efficiency and equity are both important policy objectives in resource allocation. The discipline of health economics has traditionally focused on maximising efficiency, however addressing inequities in health also requires consideration. Methods to incorporate equity within economic evaluation techniques ra...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-8-34
更新日期:2009-10-07 00:00:00
abstract:INTRODUCTION:The global scale-up of antiretroviral therapy (ART) for HIV patients has led to concerns regarding inequities in utilization of ART services in resource-limited contexts. In this paper, we describe regional and sex differentials in the distribution of ART among adult HIV patients in Ghana. We highlight the...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-11-62
更新日期:2012-10-16 00:00:00
abstract:BACKGROUND:Regulation of the medical tourism and public health sectors overlap in many instances, raising questions of how patient safety, economic growth, and health equity can be protected. The case of Guatemala is used to explore how the regulatory challenges posed by medical tourism should be dealt with in countrie...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0866-1
更新日期:2018-09-20 00:00:00
abstract:BACKGROUND:Latin America (LA) has experienced constant economic and political crises that coincide with periods of greater inequality. Between 1996 and 2007 Ecuador went through one of the greatest political and socio-economic crises in Latin America, a product of neo-liberal economic growth strategies. Between 2007 an...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01359-1
更新日期:2021-01-28 00:00:00
abstract:BACKGROUND:Equitable access to services that promote health and wellbeing is an important component of social justice. A community-engaged participatory qualitative study was conducted in Flint, Michigan, USA, to understand the needs of special populations (young women, perinatal women and new mothers, older women, wom...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-1133-9
更新日期:2020-01-31 00:00:00
abstract:PURPOSE:The purpose of this study was to identify female Hansen's disease experience in settlement village in Korea. METHOD:For this study, 11 participants in settlement village were purposively chosen. Data were collected through in-depth individual interviews from July to December 2015. Verbatim transcripts were ana...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01264-7
更新日期:2020-08-26 00:00:00
abstract::The unifying theme of the papers in this series is a concern for understanding the everyday practice of governance in low- and middle-income country (LMIC) health systems. Rather than seeing governance as a normative health system goal addressed through the architecture and design of accountability and regulatory fram...
journal_title:International journal for equity in health
pub_type: 社论
doi:10.1186/s12939-017-0665-0
更新日期:2017-09-15 00:00:00
abstract:BACKGROUND:Low socioeconomic status can increase the risk of adverse pregnancy outcomes, but it remains unclear whether this negative association is attributed to inadequate prenatal care. Korea has been adopting a universal healthcare system. All Korean citizens must be enrolled National Health Insurance (NHI) or be r...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-017-0715-7
更新日期:2018-01-05 00:00:00
abstract:BACKGROUND:Disparities in prostate cancer (PCa) outcomes and their links to socioeconomic status (SES) have been intensively studied. A relatively low incidence rate and a high proportion of late-stage diagnosis have been documented in studies of Asian populations. For the past 20 years, the trend in the growth of PCa ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0792-2
更新日期:2018-06-15 00:00:00
abstract::Monitoring inequalities in healthcare is increasingly being recognized as a key first step in providing equitable access to quality care. However, the detailed sociodemographic data that are necessary for monitoring are currently not routinely collected from patients in many jurisdictions. We undertook a mixed methods...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-12-75
更新日期:2013-08-30 00:00:00
abstract:BACKGROUND:In Tak province, Thailand migrants and refugees from Myanmar navigate a pluralistic healthcare system to seek Tuberculosis (TB) care from a variety of government and non-governmental providers. This multi-methods qualitative study examined access to TB, TB/HIV and multidrug-resistant tuberculosis (MDR-TB) tr...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0391-z
更新日期:2016-07-07 00:00:00
abstract:BACKGROUND:The purpose of this study was to examine the relationship between men who engage in carework and commitment to gender equity. The context of the study was that gender inequitable masculinities create vulnerability for men and women to HIV and other health concerns. Interventions are being developed to work w...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-10-17
更新日期:2011-05-09 00:00:00
abstract:INTRODUCTION:The Brazilian Government created Participatory Health Councils (PHCs) to allow citizen participation in the public health policy process. PHCs are advisory bodies that operate at all levels of government and that bring together different societal groups to monitor Brazil's health system. Today they are pre...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-015-0151-5
更新日期:2015-02-19 00:00:00
abstract:BACKGROUND:Aboriginal women are frequently called upon to support their families and other community members. At times, such supporting roles can be burdensome for these women. Many Aboriginal women live with chronic conditions. We explored the ways in which the women's caring roles impacted on how they maintained thei...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-019-1110-3
更新日期:2020-01-13 00:00:00
abstract:BACKGROUND:Given the persistence of Indigenous health inequities across national contexts, many countries have adopted strategies to improve the health of Indigenous peoples. Governmental recognition of the unique health needs of Indigenous populations is necessary for the development of targeted programs and policies ...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-1149-1
更新日期:2020-07-31 00:00:00
abstract:BACKGROUND:The strategy of health policy has been changed for improving the performances to meeting the increasing healthcare demands. However, limited evidences were found to prove that the bundled payment was valid for service delivering in public sector. This study was designed to evaluate the effectiveness of a bun...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0334-8
更新日期:2016-03-10 00:00:00
abstract:BACKGROUND:The 1986 Ottawa Charter for Health Promotion coincided with a preponderance of research, worldwide, on the social determinants of health and health inequities. Despite the establishment of a 'health inequities knowledge base', the precise roles for municipal governments in reducing health inequities at the l...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-9-13
更新日期:2010-05-25 00:00:00
abstract:BACKGROUND:Social isolation among older adults raises major issues for equity in healthcare in the context of the COVID-19 pandemic. MAIN TEXT:This commentary describes current challenges in preventing social isolation among older adults and proposes pathways to develop inclusive approaches to intervention in this vul...
journal_title:International journal for equity in health
pub_type: 信件
doi:10.1186/s12939-020-01360-8
更新日期:2021-01-08 00:00:00
abstract:BACKGROUND:Dying at home is the most frequent preference of patients with advanced chronic conditions, their caregivers, and the general population. However, most deaths continue to occur in hospitals. The objective of this study was to analyse the socioeconomic inequalities in the place of death in urban areas of Medi...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01324-y
更新日期:2020-12-03 00:00:00
abstract:BACKGROUND:Māori men have stark health inequities around non-communicable diseases. This study describes the case of a partnership attempting to develop and implement a culturally centred intervention through a collaborative partnership to potentially address the inequities. In particular, the partnership followed a pa...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01222-3
更新日期:2020-06-22 00:00:00