Social marketing globally promotes social mobilization to increase uptake of recommended health services. The Ministry of Health and Child Care in Zimbabwe markets breast and cervical cancer screening for reproductive-age women. Despite efforts, uptake remains low, particularly in Mutare district. To address this, an analytical cross-sectional study was conducted in Dangamvura suburb to explore the relationship between service providers' customer-care initiatives and screening uptake. Qualitative and quantitative data was collected via interviews with 96 women aged 18 to 49, randomly selected from Dangamvura Poly-Clinic departments. Of these women, 13.5% were screened for breast cancer, 30.3% for cervical cancer, and 78.8% expressed intent to screen. 90.3% had accurate knowledge of breast and cervical cancer, but only 30.3% could identify screening sites. Among those screened, 75.8% intended to retest. Primary motivations for screening included a desire for health status knowledge (39.2%) and reproductive system issues (32.1%). Main barriers for non-screened women were lack of motivation (56%) and fear of positive results (16.7%). Logistic regression indicated protective factors for screening uptake: history of reproductive issues (AOR: 9.0678, p: 0.0029), prior breast cancer screening (AOR: 21.4347, p: 0.0006), and age 31 to 49 (AOR: 0.1754, p: 0.0066). Overall, uptake was low, influenced by customer factors (age, reproductive issues, prior breast cancer screening) and cost factors (perceived wait times, screening duration, perceived costs). Future interventions aimed at improving uptake of screening services should be tailored to address fears, misconceptions, and lack of motivation to screen among women of reproductive age.
| Published in | Science Journal of Public Health (Volume 12, Issue 3) |
| DOI | 10.11648/j.sjph.20241203.11 |
| Page(s) | 57-72 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Screening, Customer-Care, Customer, Cost, Communication, Convenience
| [1] | WHO. (2019). WHO/Cervical Cancer. Retrieved from |
| [2] | Ministry Of Health and Child Care (2019). Ministry of Health and Child Care National Cancer Prevention Strategy 2019. The Cancer Association of Zimbabwe. Retrieved from www.cancerzimbabwe.org |
| [3] | Okoronkwo IL1, E.-O. P. (2015). Financial barriers to utilization of screening and treatment services for breast cancer: an equity analysis in Nigeria. PubMed, 287-291. |
| [4] | Munthali A, (2014). Exploring barriers to the delivery of cervical cancer screening and early treatment services in Malawi: some views from service providers. Dove Press, 501-508. |
| [5] | Kerrison, H. S. (2015). Text-message reminders increase uptake of routine breast screening appointments. BJC, 1-6. |
| [6] | ZDHS 2015 Key Findings. (2018). Retrieved from HIV and Sexual and Reproductive Health. |
| [7] | Ministry Of Health and Child Care. (2018). Annual Report (2018). Ministry of Health and Child Care. |
| [8] | Ministry Of Health and Child Care. (2019). Cervical Cancer Treatment. Ministry of Health and Child Care Zimbabwe report 2019. |
| [9] | Rose, S. (2015). Cochrans' sample size formula. Wordpress. |
| [10] | Njeri. (2016). Determinants of Students' uptake of Reproductive Health Services targeting high risk sexual behaviour in Kenyatta University in Kenya. |
| [11] | Nwabichie, R. (2018). NCBI Resources. Asian Pacific journal of cancer prevention. 17(10). 4549-4551. |
| [12] | Pradeep S. L. (2018). Barriers affecting uptake of cervical cancer screening in low and middle income countries: A systematic review. Retrieved from Indian Journal of Cancer. |
| [13] | Binka, S. (2019). Barriers to the Uptake of Cervical Cancer Screening and Treatment among Rural Women in Ghana. |
| [14] | Tapera. O, (2019). Sociodemographic inequities in cervical cancer screening, treatment and care amongst women aged at least 25 years: evidence from surveys in Harare, Zimbabwe. BMC Public Health. |
| [15] |
Owusu-Frimpong, N., Nwankwo, S., Dason, B. (2012). Measuring service quality and patient satisfaction with access to public and private healthcare delivery. International Journal of Public Sector Management. Retrieved from.
https://www.emerald.com/insight/content/doi/10.1108/09513551011032455/full/html |
| [16] | Oppah Kuguyo1, &. A. (2017). Cervical Canancer in Zimbabwe situation Analysis. Pan African Medical Journal: |
| [17] | Tetiana, S., (2016). Overall satisfaction of health care users with the quality of and access to health care services: a cross-sectional study in six Central and Eastern European countries. |
APA Style
Kureya, T., Mushonga, A., Masese, T., Mhlanga, M., Mukuzunga, M. (2024). Customer-Care Initiatives of Service Providers and the Uptake of Breast and Cervical Cancer Screening Services in Mutare, Zimbabwe. Science Journal of Public Health, 12(3), 57-72. https://doi.org/10.11648/j.sjph.20241203.11
ACS Style
Kureya, T.; Mushonga, A.; Masese, T.; Mhlanga, M.; Mukuzunga, M. Customer-Care Initiatives of Service Providers and the Uptake of Breast and Cervical Cancer Screening Services in Mutare, Zimbabwe. Sci. J. Public Health 2024, 12(3), 57-72. doi: 10.11648/j.sjph.20241203.11
AMA Style
Kureya T, Mushonga A, Masese T, Mhlanga M, Mukuzunga M. Customer-Care Initiatives of Service Providers and the Uptake of Breast and Cervical Cancer Screening Services in Mutare, Zimbabwe. Sci J Public Health. 2024;12(3):57-72. doi: 10.11648/j.sjph.20241203.11
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Download@article{10.11648/j.sjph.20241203.11,
author = {Tinashe Kureya and Alex Mushonga and Thomas Masese and Maxwell Mhlanga and Munyaradza Mukuzunga},
title = {Customer-Care Initiatives of Service Providers and the Uptake of Breast and Cervical Cancer Screening Services in Mutare, Zimbabwe
},
journal = {Science Journal of Public Health},
volume = {12},
number = {3},
pages = {57-72},
doi = {10.11648/j.sjph.20241203.11},
url = {https://doi.org/10.11648/j.sjph.20241203.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20241203.11},
abstract = {Social marketing globally promotes social mobilization to increase uptake of recommended health services. The Ministry of Health and Child Care in Zimbabwe markets breast and cervical cancer screening for reproductive-age women. Despite efforts, uptake remains low, particularly in Mutare district. To address this, an analytical cross-sectional study was conducted in Dangamvura suburb to explore the relationship between service providers' customer-care initiatives and screening uptake. Qualitative and quantitative data was collected via interviews with 96 women aged 18 to 49, randomly selected from Dangamvura Poly-Clinic departments. Of these women, 13.5% were screened for breast cancer, 30.3% for cervical cancer, and 78.8% expressed intent to screen. 90.3% had accurate knowledge of breast and cervical cancer, but only 30.3% could identify screening sites. Among those screened, 75.8% intended to retest. Primary motivations for screening included a desire for health status knowledge (39.2%) and reproductive system issues (32.1%). Main barriers for non-screened women were lack of motivation (56%) and fear of positive results (16.7%). Logistic regression indicated protective factors for screening uptake: history of reproductive issues (AOR: 9.0678, p: 0.0029), prior breast cancer screening (AOR: 21.4347, p: 0.0006), and age 31 to 49 (AOR: 0.1754, p: 0.0066). Overall, uptake was low, influenced by customer factors (age, reproductive issues, prior breast cancer screening) and cost factors (perceived wait times, screening duration, perceived costs). Future interventions aimed at improving uptake of screening services should be tailored to address fears, misconceptions, and lack of motivation to screen among women of reproductive age.
},
year = {2024}
}
TY - JOUR T1 - Customer-Care Initiatives of Service Providers and the Uptake of Breast and Cervical Cancer Screening Services in Mutare, Zimbabwe AU - Tinashe Kureya AU - Alex Mushonga AU - Thomas Masese AU - Maxwell Mhlanga AU - Munyaradza Mukuzunga Y1 - 2024/05/10 PY - 2024 N1 - https://doi.org/10.11648/j.sjph.20241203.11 DO - 10.11648/j.sjph.20241203.11 T2 - Science Journal of Public Health JF - Science Journal of Public Health JO - Science Journal of Public Health SP - 57 EP - 72 PB - Science Publishing Group SN - 2328-7950 UR - https://doi.org/10.11648/j.sjph.20241203.11 AB - Social marketing globally promotes social mobilization to increase uptake of recommended health services. The Ministry of Health and Child Care in Zimbabwe markets breast and cervical cancer screening for reproductive-age women. Despite efforts, uptake remains low, particularly in Mutare district. To address this, an analytical cross-sectional study was conducted in Dangamvura suburb to explore the relationship between service providers' customer-care initiatives and screening uptake. Qualitative and quantitative data was collected via interviews with 96 women aged 18 to 49, randomly selected from Dangamvura Poly-Clinic departments. Of these women, 13.5% were screened for breast cancer, 30.3% for cervical cancer, and 78.8% expressed intent to screen. 90.3% had accurate knowledge of breast and cervical cancer, but only 30.3% could identify screening sites. Among those screened, 75.8% intended to retest. Primary motivations for screening included a desire for health status knowledge (39.2%) and reproductive system issues (32.1%). Main barriers for non-screened women were lack of motivation (56%) and fear of positive results (16.7%). Logistic regression indicated protective factors for screening uptake: history of reproductive issues (AOR: 9.0678, p: 0.0029), prior breast cancer screening (AOR: 21.4347, p: 0.0006), and age 31 to 49 (AOR: 0.1754, p: 0.0066). Overall, uptake was low, influenced by customer factors (age, reproductive issues, prior breast cancer screening) and cost factors (perceived wait times, screening duration, perceived costs). Future interventions aimed at improving uptake of screening services should be tailored to address fears, misconceptions, and lack of motivation to screen among women of reproductive age. VL - 12 IS - 3 ER -
Faculty of Health Sciences, Africa University, Mutare, Zimbabwe
Faculty of Health Sciences, Africa University, Mutare, Zimbabwe
Faculty of Health Sciences, Africa University, Mutare, Zimbabwe
Centre of Gender Equity, University of Global Health Equity, Kigali, Rwanda
Faculty of Health Sciences, Africa University, Mutare, Zimbabwe
