{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T07:06:41Z","timestamp":1789024001525,"version":"build-2803163510"},"reference-count":55,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Planning &amp; Management"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Cervical cancer (CC) represents a significant public health issue in low\u2010 and middle\u2010income countries. In Mali, the Weekend\u201070 cervical cancer screening programme, initially implemented in Bamako (the capital), is gradually being rolled out in other regions. Based on the visual inspection screening method, the programme aims to reduce mortality and morbidity due to CC. This article analyzes the barriers and facilitators influencing the programme's implementation in semi\u2010urban and rural health centres.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Using a multiple\u2010case study comparing the Kayes Ndi and Konobougou health centres, we conducted 18 semi\u2010structured interviews. Participants were key stakeholders in the implementation of the programme and included health centre staff (healthcare professionals, matrons, midwives and managers) as well as programme users. A thematic content analysis was carried out using\n                      <jats:italic>QDA Miner Lite<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The results show that the main barriers to implementing the programme are the lack of resources (human and material), the lack of training (initial and continuous) and the limited involvement of religious groups, considered as community pillars. The main facilitators identified were the offer of free screening days, favourable collaboration (between health centre staff and with their partners), awareness\u2010raising and the availability of on\u2010site treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study highlights the need to consider the barriers and facilitators influencing implementation to improve the programme, particularly with a view to national scaling. Our recommendations could guide programme managers and decision\u2010makers in this process, as well as benefiting other sub\u2010Saharan African countries wishing to implement similar programmes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hpm.70136","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T06:27:20Z","timestamp":1789021640000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Barriers and Facilitators to the Implementation of the Weekend\u201070 Cervical Cancer Screening Programme in Mali: A Multiple Case Study"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-4594-4609","authenticated-orcid":false,"given":"Aminata Adama","family":"Ndour","sequence":"first","affiliation":[{"name":"Department of Community Health Sciences Universit\u00e9 de Sherbrooke  Sherbrooke Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2885-6807","authenticated-orcid":false,"given":"Sabina Abou","family":"Malham","sequence":"additional","affiliation":[{"name":"School of Nursing Universit\u00e9 de Sherbrooke  Longueuil Quebec Canada"},{"name":"Interdisciplinary Center for International Health Development (CIDIS) Universit\u00e9 de Sherbrooke  Longueuil Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5346-7232","authenticated-orcid":false,"given":"David\u2010Martin","family":"Milot","sequence":"additional","affiliation":[{"name":"Interdisciplinary Center for International Health Development (CIDIS) Universit\u00e9 de Sherbrooke  Longueuil Quebec Canada"},{"name":"Department of Community Health Sciences Universit\u00e9 De Sherbrooke  Longueuil Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Genevi\u00e8ve","family":"Baron","sequence":"additional","affiliation":[{"name":"Department of Community Health Sciences Universit\u00e9 de Sherbrooke  Sherbrooke Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3111-6682","authenticated-orcid":false,"given":"Ibrahima","family":"T\u00e9gu\u00e9t\u00e9","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics Gabriel Toure Teaching Hospital Universit\u00e9 des Sciences des Techniques et des Technologies de Bamako  Bamako Mali"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahamane","family":"Maiga","sequence":"additional","affiliation":[{"name":"Interdisciplinary Center for International Health Development (CIDIS) Universit\u00e9 de Sherbrooke  Longueuil Quebec Canada"},{"name":"Center for International Cooperation in Health and Development (CCISD)  Bamako Mali"},{"name":"Department of Family Medicine and Emergency Medicine Universit\u00e9 De Sherbrooke  Longueuil Quebec Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kadidia","family":"Bokar","sequence":"additional","affiliation":[{"name":"Center for International Cooperation in Health and Development (CCISD)  Bamako Mali"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,9]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Cervical Cancer","author":"World Health Organization","year":"2024"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010018\u20100718\u20109"},{"key":"e_1_2_12_4_1","unstructured":"World Health Organization \u201cGlobal Strategy to Accelerate the Elimination of Cervical Cancer as a Public Health Problem \u201d (2020) https:\/\/www.who.int\/publications\u2010detail\u2010redirect\/9789240014107."},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.soncn.2019.02.003"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tvr.2023.200258"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.4178\/epih.e2021039"},{"key":"e_1_2_12_8_1","unstructured":"Minist\u00e8re de la sant\u00e9 du Mali Rapport d\u2019analyse des donn\u00e9es des registres des cancers (2020)."},{"key":"e_1_2_12_9_1","unstructured":"World Health Organization Mali: Profil pour le cancer du col de l\u2019ut\u00e9rus. (2021). cervical\u2010cancer\u2010mli\u20102021\u2010country\u2010profile\u2010fr.pdf"},{"key":"e_1_2_12_10_1","unstructured":"World Health Organization \u201cWHO Guidelines for Screening and Treatment of Precancerous Lesions for Cervical Cancer Prevention \u201d2013 https:\/\/iris.who.int\/bitstream\/handle\/10665\/94830\/9789241548694_eng.pdf?sequence=1."},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12905\u2010021\u201001331\u20103"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.4102\/curationis.v30i1.1050"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/16549716.2019.1587894"},{"issue":"1","key":"e_1_2_12_14_1","first-page":"27","article-title":"Barriers to Cervical Cancer Screening Within Private Medical Practices in Soshanguve, South Africa","volume":"12","author":"Mookeng M. J.","year":"2010","journal-title":"Africa Journal of Nursing and Midwifery"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010019\u20104015\u20103"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748\u20105908\u20104\u201050"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010022\u201001245\u20100"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s43058\u2010020\u201000097\u20103"},{"key":"e_1_2_12_19_1","volume-title":"Evaluating the Implementation of the Cervical Cancer Screening Program Weekend\u201070 in the Health Centers of Kayes Ndi and Konobougou, Mali","author":"Ndour A. A.","year":"2024"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14119"},{"key":"e_1_2_12_21_1","unstructured":"Centre international de recherche sur le cancer (CIRC) Guide Pratique Pour le d\u00e9pistage visuel des n\u00e9oplasies cervicales (2004)."},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.3917\/spub.011.0035"},{"key":"e_1_2_12_23_1","unstructured":"L.Gautier L.Tour\u00e9 andV.Ridde \u201cL\u2019adoption de la r\u00e9forme du syst\u00e8me de sant\u00e9 au Mali : Rh\u00e9torique et contradictions autour d\u2019un pr\u00e9tendu retour de la sant\u00e9 communautaire \u201d2021 https:\/\/scienceetbiencommun.pressbooks.pub\/cus\/chapter\/la\u2010politique\u2010de\u2010gratuite\u2010des\u2010soins\u2010de\u2010sante\u2010primaire\u2010au\u2010mali\u2010en\u20102019\/."},{"key":"e_1_2_12_24_1","unstructured":"\u00c9. F.Sissoko.Effondrement par r\u00e9silience contrari\u00e9e: Instabilit\u00e9 politique capital humain et croissance \u00e9conomique au Mali et dans le Sahel. (2025) https:\/\/doi.org\/10.5281\/zenodo.17282370."},{"key":"e_1_2_12_25_1","volume-title":"Pratiques et M\u00e9thodes d\u2019\u00e9valuation En Afrique. Etudes africaines","author":"Ridde V.","year":"2016"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1101\/2025.03.26.25324588"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckad056"},{"key":"e_1_2_12_28_1","volume-title":"Case Study Research and Applications: Design and Methods, (6E \u00c9d.)","author":"Yin R. K.","year":"2018"},{"key":"e_1_2_12_29_1","unstructured":"United Nations Human Settlements Programme UN\u2010Habitat \u201cCountry Brief: Mali 2023 A Better Quality of Life for all in an Urbanizing World \u201d2023 https:\/\/unhabitat.org\/sites\/default\/files\/2023\/07\/mali_country_brief_final_en_1.pdf."},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/16094069211073212"},{"key":"e_1_2_12_31_1","unstructured":"F.Coumare S.Haddad A.Bicaba A.Baril andM.Namory Traore \u201cLes comit\u00e9s de femmes utilisatrices renforcent le pouvoir d\u2019agir des femmes \u201d2018 https:\/\/idl\u2010bnc\u2010idrc.dspacedirect.org\/server\/api\/core\/bitstreams\/23528761\u20106d8d\u201046e8\u2010836d\u20100706f55f8713\/content."},{"key":"e_1_2_12_32_1","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1037\/13620-004","volume-title":"APA Handbook of Research Methods in Psychology, Vol 2: Research Designs: Quantitative, Qualitative, Neuropsychological, and Biological","author":"Braun V.","year":"2012"},{"key":"e_1_2_12_33_1","volume-title":"Les religions au Mali, cent vingt ans de regard ethnographique","author":"Tamari T.","year":"2022"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10943\u2010018\u20100650\u2010y"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1186\/1478\u20104491\u20109\u201015"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010publhealth\u2010032315\u2010021507"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472\u20106874\u201013\u20104"},{"key":"e_1_2_12_38_1","doi-asserted-by":"crossref","first-page":"545","DOI":"10.4000\/books.irdeditions.21242","volume-title":"Le Mali contemporain. Hors Collection","author":"Mespl\u00e9\u2010Somps S.","year":"2014"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472\u20106963\u201015\u2010S3\u2010S5"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.17269\/s41997\u2010022\u201000631\u2010x"},{"key":"e_1_2_12_41_1","unstructured":"T.Druetz A.Bicaba T.Some S.Kouanda A.Ly andS.Haddad La gratuit\u00e9 des soins am\u00e9liore grandement l\u2019accessibilit\u00e9 aux services de sant\u00e9 mais les gains demeurent fragiles (2019) http:\/\/hdl.handle.net\/10625\/57546."},{"key":"e_1_2_12_42_1","unstructured":"World Health Organization \u201cOttawa Charter for Health Promotion \u201d (1987) https:\/\/www.who.int\/publications\u2010detail\u2010redirect\/WH\u20101987."},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0170631"},{"key":"e_1_2_12_44_1","unstructured":"Measure Evaluation \u201cStrengthening Health Information Systems in Mali \u201d (2019) https:\/\/www.measureevaluation.org\/resources\/publications\/fs\u201017\u2010236\/at_download\/document."},{"key":"e_1_2_12_45_1","volume-title":"Mali: State of Funding in 2025 \u2013 Financing of the Humanitarian Response Plan","author":"United Nations Office for the Coordination of Humanitarian Affairs (OCHA)","year":"2025"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czp053"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.1186\/1478\u20104505\u20109\u20104"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(15)60755\u20103"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.1200\/GO.23.00115"},{"key":"e_1_2_12_50_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885\u2010024\u201011825\u20106"},{"key":"e_1_2_12_51_1","doi-asserted-by":"publisher","DOI":"10.3389\/frhs.2023.1294176"},{"key":"e_1_2_12_52_1","doi-asserted-by":"publisher","DOI":"10.3389\/frhs.2025.1593083"},{"key":"e_1_2_12_53_1","doi-asserted-by":"publisher","DOI":"10.1186\/s43058\u2010025\u201000719\u20108"},{"key":"e_1_2_12_54_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748\u20105908\u20102\u201040"},{"key":"e_1_2_12_55_1","volume-title":"Planning, Implementing and Evaluating Health Promotion Programs","author":"McKenzie J. F.","year":"2022"},{"key":"e_1_2_12_56_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010021\u201001082\u20107"}],"container-title":["The International Journal of Health Planning and Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hpm.70136","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/hpm.70136","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hpm.70136","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T06:27:28Z","timestamp":1789021648000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hpm.70136"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,9]]},"references-count":55,"alternative-id":["10.1002\/hpm.70136"],"URL":"https:\/\/doi.org\/10.1002\/hpm.70136","archive":["Portico"],"relation":{},"ISSN":["0749-6753","1099-1751"],"issn-type":[{"value":"0749-6753","type":"print"},{"value":"1099-1751","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,9]]},"assertion":[{"value":"2024-12-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"hpm.70136"}}