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Challenges in Delivery and Performance of a Cervical Cancer Prevention Program in the Kurdistan Region of the Iraq Health System Publisher Pubmed



Rasul VH1 ; Moghdam ZB2 ; Karim MA3 ; Cheraghi MA4
Authors
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Authors Affiliations
  1. 1. Department of Nursing, Shaqlawa Technique Institute, Erbil Poly Technique University, Erbil, Iraq
  2. 2. Department of Critical Nursing, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Continuous Professional Development Center, General Directorate of Erbil Health, Ministry of Health, Erbil, Iraq
  4. 4. Department of Reproductive Health, Faculty of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran

Source: International Journal of Gynecology and Obstetrics Published:2019


Abstract

Objective: To investigate health-system challenges responsible for the poor performance of a cervical cancer prevention program in the Kurdistan Region of Iraq. Method: A qualitative study was conducted among a purposive sample of healthcare providers and female volunteers in Erbil, Kurdistan Region of Iraq, between December 10, 2014, and July 23, 2016. Data were collected from participants using in-depth semi-structured interviews. The interviews were then transcribed and analyzed with an inductive content analysis approach. Results: In total, 23 individuals completed the interviews. The participants included 8 (35%) female volunteers; 5 (22%) nurses; 4 (17%) managers; 3 (13%) doctors; and 3 (13%) gynecologists. The health-system challenges were classified into three main categories: existence of an official reminder system, public information delivery programs, and infrastructures of facilities, which included three subcategories—cervical cancer screening center, material resources, and human resources. Conclusions: The Kurdistan Region of Iraq health system faced several challenges in delivering a cervical cancer prevention program. These challenges must be addressed to improve the coverage of cervical cancer screening, diagnosis, and treatment. © 2018 International Federation of Gynecology and Obstetrics
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