Factors that contribute to women’s reluctance to undergo cervical cancer screening in clinics of Limpopo Province, South Africa
Cervical cancer is a prevalent global health issue, ranking as the fourth most frequently diagnosed cancer, with a high rate of mortality among women as compared to breast cancer. The present study aimed to examine factors contributing to women's reluctance to undergo cervical cancer screening in South African clinics, in Limpopo Province. This study used exploratory and descriptive qualitative design, conducted at five clinics in the Greater Giyani municipality in Limpopo Province among women aged 30 years and older. The clinics were chosen based on their low performance in cervical cancer screening between 2018 and 2020. Data was collected using semi-structured, in-depth face-to-face interviews. Data was analysed using Tesch's open coding method. The present study revealed factors affecting reluctance to undergo cervical cancer screening. Three themes and their respective subthemes emerged from the analysis. The study noted a lack of knowledge relating to the causes, risk factors, and signs and symptoms of cervical cancer. Experiences that affected participants' reluctance to undergo cervical cancer screening included stereotyping of women regarding male health workers who provide screening services and pain associated with screening procedures. There were also challenges related to the accessibility of results to patients, fear of cancer diagnosis, and long waiting times at clinics. While women generally have an awareness of who is at risk for cervical cancer and its signs and symptoms, various experiences and obstacles deter them from undergoing screening. Health information and education that emphasises the significance of preventing cervical cancer with efforts aimed at reaching women who seldom visit healthcare facilities is needed.