{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T16:00:06Z","timestamp":1792425606107,"version":"4.5.0"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,12,16]],"date-time":"2020-12-16T00:00:00Z","timestamp":1608076800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To understand the knowledge, preferences, and barriers for self\u2010collected cervical cancer screening (SC\u2010CCS) and follow\u2010up care at the individual and health system level to inform the implementation of community\u2010based SC\u2010CCS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Surveys and focus group discussions (FGDs) with women and FGDs with healthcare providers were conducted in Uganda. Survey data were analyzed using frequencies and FGD data were analyzed using thematic content analysis. Data were triangulated between methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixty\u2010four women were surveyed and 58 participated in FGDs. Facilitators to screening access included decentralization, convenience, privacy, confidentiality, knowledge, and education. Barriers to accessing screening included lack of transportation and knowledge, long wait times, difficulty accessing health care, and lack of trust in the health system. Additional implementation challenges included insufficiently trained human resources and lack of infrastructure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Integrating SC\u2010CCS within rural health systems in low\u2010resource settings has been under\u2010evaluated. Community\u2010based SC\u2010CSS could prevent high cervical cancer\u2010related mortalities while working within the human and financial resource limitations of rural health systems. SC\u2010CCS is acceptable to women and healthcare providers. By addressing rural women's preferences and barriers to care, decision\u2010makers can build health systems that provide community\u2010centered care close to women's homes across the care continuum.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.13454","type":"journal-article","created":{"date-parts":[[2020,10,31]],"date-time":"2020-10-31T13:10:55Z","timestamp":1604149855000},"page":"103-111","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Acceptability and preferences for self\u2010collected screening for cervical cancer within health systems in rural Uganda: A mixed\u2010methods approach"],"prefix":"10.1002","volume":"152","author":[{"given":"Angeli","family":"Rawat","sequence":"first","affiliation":[{"name":"School of Population and Public Health Faculty of Medicine University of British Columbia Vancouver BC Canada"},{"name":"Women\u2019s Health Research Institute Vancouver BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Sanders","sequence":"additional","affiliation":[{"name":"Women\u2019s Health Research Institute Vancouver BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadia","family":"Mithani","sequence":"additional","affiliation":[{"name":"Women\u2019s Health Research Institute Vancouver BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Amuge","sequence":"additional","affiliation":[{"name":"Uganda Cancer Institute Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Pedersen","sequence":"additional","affiliation":[{"name":"Women\u2019s Health Research Institute Vancouver BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Namugosa","sequence":"additional","affiliation":[{"name":"Uganda Cancer Institute Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth","family":"Payne","sequence":"additional","affiliation":[{"name":"Women\u2019s Health Research Institute Vancouver BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheona","family":"Mitchell\u2010Foster","sequence":"additional","affiliation":[{"name":"Department of Obstetrics &amp; Gynecology Faculty of Medicine University of Northern British Columbia Prince George BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jackson","family":"Orem","sequence":"additional","affiliation":[{"name":"Uganda Cancer Institute Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gina","family":"Ogilvie","sequence":"additional","affiliation":[{"name":"School of Population and Public Health Faculty of Medicine University of British Columbia Vancouver BC Canada"},{"name":"Women\u2019s Health Research Institute Vancouver BC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn","family":"Nakisige","sequence":"additional","affiliation":[{"name":"Uganda Cancer Institute Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,12,16]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"World Health Organization.Human papillomavirus (HPV) and cervical cancer.2019.https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/human\u2010papillomavirus\u2010(hpv)\u2010and\u2010cervical\u2010cancer. 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