{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T17:46:48Z","timestamp":1777484808268,"version":"3.51.4"},"reference-count":44,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T00:00:00Z","timestamp":1768780800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["D43 TW010037"],"award-info":[{"award-number":["D43 TW010037"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["U54 award 1U54CA254518-01 (U54CA25458)"],"award-info":[{"award-number":["U54 award 1U54CA254518-01 (U54CA25458)"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Cancer Control"],"published-print":{"date-parts":[[2026,1,19]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Cervical cancer screening literacy among rural women living with HIV (WLHIV), the ability to access, understand, appraise, and apply cervical cancer screening information to use cervical cancer screening services, is affected by individual factors including low educational attainment, low socioeconomic status, poor cervical cancer risk perception, fear, misconceptions, and beliefs, as well as interpersonal, community, and health facility barriers. However, rural public health facilities have limited resources that limit their ability mitigate these challenges. This research identified barriers and facilitators of healthcare providers\u2019 responsiveness to cervical cancer screening literacy needs of rural WLHIV in Eastern Uganda.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a descriptive qualitative study that involved conducting 15 Key Informant Interviews with all individuals involved in planning, communicating, and providing cervical cancer screening services at 4 purposively selected rural public health facilities in Eastern Uganda. Data were collected using a guide developed based on the organizational Health Literacy responsiveness framework. This framework was used to derive deductive categories (domains and sub-domains) during thematic analysis, and barriers and facilitators were inductively identified from the interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Barriers included non-involvement of health workers and affected women in planning, limited funding, few trained health workers, long waiting times, limited space, limited communication modalities, inadequate Information Education and Communication (IEC) materials, IEC materials not translated to the local language, challenges with addressing misconceptions, and language barriers. Facilitators included support from implementing partners, free cervical cancer screening services, integration of cervical cancer screening into HIV care, consumer-centered care, clear pathways and navigation support, using peers during health education, availability of IEC materials, using simple, local language during education sessions, and health worker facilitation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Strategies targeted at the identified factors can improve health care providers\u2019 responsiveness to the cervical cancer screening literacy needs of rural WLHIV in Eastern Uganda.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10732748261419591","type":"journal-article","created":{"date-parts":[[2026,1,19]],"date-time":"2026-01-19T12:34:09Z","timestamp":1768826049000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["\u201cCorrecting Misinformation is Challenging\u201d: Exploring Barriers and Facilitators of Health Care Providers\u2019 Responsiveness to Cervical Cancer Screening Literacy Needs of Rural Women Living With HIV in Eastern Uganda"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-1484-7759","authenticated-orcid":false,"given":"Juliana","family":"Namutundu","sequence":"first","affiliation":[{"name":"Makerere University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edith","family":"Nakku-Joloba","sequence":"additional","affiliation":[{"name":"Makerere University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juliet","family":"Kiguli","sequence":"additional","affiliation":[{"name":"Makerere University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fredrick","family":"Makumbi","sequence":"additional","affiliation":[{"name":"Makerere University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fred C.","family":"Semitala","sequence":"additional","affiliation":[{"name":"Makerere University"},{"name":"College of Health Sciences"},{"name":"Makerere University Joint AIDS Program (MJAP)"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rhoda K.","family":"Wanyenze","sequence":"additional","affiliation":[{"name":"Makerere University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam","family":"Laker-Oketta","sequence":"additional","affiliation":[{"name":"Makerere University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Damalie","family":"Nakanjako","sequence":"additional","affiliation":[{"name":"Makerere University"},{"name":"College of Health Sciences"},{"name":"Makerere University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miriam","family":"Nakalembe","sequence":"additional","affiliation":[{"name":"Makerere University"},{"name":"Makerere University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,1,19]]},"reference":[{"key":"e_1_3_7_2_2","unstructured":"World Health Organization W. 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