Research Article

A Mixed Method Research to Identify Perceived Reasons and Solutions for Low Uptake of Cervical Cancer Screening in Urban Families of Bhopal Region

Table 5

Thematic analysis of FGD with categorization matrix.

CategorySubcategoriesCodes

(1) Baseline knowledge(1) Perceptions about cervical cancerWomen lack of knowledge about cervical cancer (4)
It is a very common cancer
Cervical cancer is an preventable disease
Every women should be screened
Very few women undergo test
Delay in treatment is associated with poor outcome
(2) Perceptions about the causation of cervical cancerWhite discharge is an initial manifestation (5)
STD of uterus and related structures cause cervical cancer (2)
Use of condoms can prevent cancer (2)
Women having multiple sex partners have more risk of cervical cancer (3)
Irregular periods and heavy periods are associated with cervical cancer (4)
Pain and itching in private parts can be associated with cervical cancer
Abdominal mass and weight gain are symptoms of cervical cancer (2)
Decreased bleeding can be associated with cervical cancer
Unhygienic practices like use of dirty sanitary napkins cause cervical cancer
Surgical abortion can cause cervical cancer
Tobacco consumption is associated with cervical cancer
Prolapsed uterus can cause cervical cancer
Not wearing undergarments can be associated with cervical cancer

(2) Perceived reasons for low uptake(1) Information gap leading to fear of unknownLack of awareness about cervical cancer and screening procedures (5)
Illiteracy among females
Fear of cancer diagnosis (2)
Fear of dropping social image (2)
Fear of procedure (2)
Talking about sex is a taboo
No formal sex education by parents results in unsafe sex practices
No attempt to spread awareness about cervical cancer specially in rural areas (2)
(2) Casual attitude They can never develop cervical cancer (3)
They take personal problems casually
They are busy in daily chores
There is lack of family support
They need permission from family
(3) Resource constrains and affordability issuesLong waiting queue and procedural delays in government hospitals (6)
Bad behavior of doctors and staff (2)
Unreliable diagnosis in government hospitals
Poor satisfaction in government hospitals
Nonavailability of doctors and staff in government hospitals (2)
Being hesitant if doctor is male (4)
Lack of cheap public transport
High cost in private hospitals
Women undergo hysterectomy for trivial complaints
Preferring to get screening done in camps

(3) Perceived solutions(1) Increasing awareness Seminars for lay public (3)
Television and pamphlets (4)
Doctors should impart knowledge
Group discussions among women
ASHA worker can spread (2) awareness in rural areas
Camps by Anganwadi workers
(2) VaccinationNever heard of it
Have heard something but not sure
Would like to accept it is made available
Would like to get the daughters vaccinated
Worried about high cost
Vaccine in for mental satis faction and nothing else

Numbers written after the codes represent the frequency with which the code appeared in FGDs.