586 posters, 8 topics, 23 sessions, 1,077 authors, 622 institutions
ePostersLive by SciGen Technologies S.A. All rights reserved.
ISQua's 40th International Conference 2024
24th - 27th September 2024 | Istanbul, Türkiye
P657
Using an evidence-based tool to enhance cervical cancer prevention capacity in Peru: Applying the Measurement Instrument for Determinants of Innovations to explore implementation factors
Part of Topic
External Evaluation
Using an evidence-based tool to improve and sustain cervical cancer prevention capacity in the coastal, highland, and Amazon regions of Perú: Application of the Measurement Instrument for Determinants of Innovations to explore barriers and facilitators to implementation
Background
●Although cervical cancer is a largely preventable disease, it remains the fourth most common cancer among womenworldwide.
●Human papilloma virus (HPV) based screen-and-treat programs are increasingly being adopted throughout the world, to identify the virus that causes cervical cancer and manage any pre-cancerous lesions before cervical cancer develops.
●However, while screen-and-treat programs have had promising results, how to implement them reliably and effectively remains elusive.
Purpose
●This study aims to explore barriers and facilitators to the implementation of a national screen-and-treat program for cervical cancer screening and management across 4 departments in Perú.
Methods
●An adapted version of the Measurement Instrument for Determinants of Innovations (Fleuren et al, 2014) was used to collect barriers and facilitators to the implementation process.
●Surveys were based on an existing and validated Spanish version of the MIDI and adapted to cervical cancer.
●Survey was distributed to 120 health care professionals identified purposively and recruited through embedded gatekeepers in each health system.
●Health care professionals were based in five sites across the Peruvian coast, highlands and Amazon rainforest, in the departments of Cusco, Ica, Loreto, and Lima (North and South).
●A cut-off of 20% agreement or strong agreement was used to identify barriers and 80% to identify facilitators. Potential barriers were set at 21-50% and potential facilitators were set at 51-79%.
Results
See Figures
Implications
●The MIDI provided useful information regarding facilitators and potential barriers the implementation of a national cervical cancer prevention across the coast, highlands and rainforest of Peru.
The MIDI may prove useful in assessing and improving the implementation of additional screening programs, particularly for cervical cancer, which occurs in low-resource and complex health systems.
Conclusion
●These results will inform subsequent qualitative research for this explanatory sequential study, including the development of in-depth interviews and focus group discussions. highlighting the importance of adaptation to local context in each health system, as opposed to taking a “one size fits all” approach to implementation.
●Implementation science tools, theories and frameworks can provide a valuable way to explore and address barriers and facilitators to cervical cancer prevention and detection.