Investigator

Johanna E. Maree

University Of The Witwatersrand

JEMJohanna E. Maree
Papers(2)
The psychosocial impl…Knowledge and Practic…
Collaborators(2)
Nokuthula G. NkosiAgnes A. Huiskamp
Institutions(1)
University Of The Wit…

Papers

The psychosocial implications of cervical cancer in women living in sub-Saharan Africa

Background: A cervical cancer diagnosis has several implications for women’s lives. Living with cervical cancer in the context of sub-Sahara Africa’s unique challenges can have a devastating effect on psychosocial health. Objectives: This study describes the publication output reporting psychosocial implications of cervical cancer for women living in sub-Saharan Africa. Method: A scoping review was conducted using the keywords Africa and cervical cancer in combination with psychosocial, psychological, social, spiritual, cultural and financial to search five databases. A data extraction sheet was developed to capture the relative data, which was analysed using content analysis and descriptive statistics. Of the 294 articles initially identified, 18 were included in the review. Results: The majority of the studies (66.7%; n = 12) were qualitative. They focussed on five psychosocial domains – psychological including a lack of knowledge, misunderstanding and unmet information needs, the omnipresent experience of fear and sexual problems as well as social, cultural, spiritual and financial implications. Conclusion: Work focussing on the psychosocial implications of cervical cancer in women living in sub-Saharan Africa is limited. Only one study focussed specifically on a psychosocial domain, the rest reported little about psychosocial issues. There is an urgent need for research that focusses exclusively on psychosocial health, separate from other studies. Contribution: To the best of our knowledge, this is the first study synthesising research conducted on this specific topic. We mapped the extent of the current evidence base, identified gaps and highlighted areas requiring additional inquiry.

Knowledge and Practices of Cervical Cancer and Its Prevention Among Malawian Women

Malawi has the highest incidence of cervical cancer in the world. Due to various challenges the country faces in terms of cervical cancer control, women have a poor chance to survive this disease. The purpose of our study was to describe the knowledge and practices of cervical cancer and its screening as well as the educational preferences of women living in a rural community in the Chiradzulu District. We conducted a survey among women between the ages 30 and 45, used convenience sampling, a calculated sample size (n = 282) and structured interviews to collect the data. A questionnaire adapted from a previous study served as data collection instrument. The data were analysed in Microsoft Excel and chi-square (p < .05) was used to investigate the relationships between the variables. Content analyses analysed the open-ended questions. The mean age of the sample was 36.1 (SD ± 5.1) and the highest percentage (37.4%; n = 98) belonged to the Yao ethnic group. The majority attended primary school (66.0%; n = 173), were married (74.4%; n = 195) and depended on a small business as source of income (55.7%; n = 146). Most of the women (93.4%; n = 247) had heard of cervical cancer and the visual inspection with acetic acid (VIA) screening programme (67.9%; n = 178) but only 22.9% (n = 60) indicated they had been screened. Lack of knowledge of the screening programme was the most common reason for not being screened. Having a demonstration of the VIA procedure was the most popular educational method (92.0%; n = 241) which gives a fresh approach to educational programmes aimed at preventing cervical cancer.

2Papers
2Collaborators