Nurse-Midwives Perceived Client Related Barriers Influencing Intentions to Use Cervical Cancer Screening Services Among Women Aged 42 and Older in Blantyre, Malawi

Tuesday, 23 July 2013: 10:45 AM

Melanie Hami, PhD
Kamuzu College of Nursing, Maternal Child Health Department, University of Malawi, Kamuzu College of Nursing, Blantyre, Malawi
Valerie Ehlers, PhD
Department of Health Studies, UNISA, PRETORIA, South Africa
Dirk M. van der Wal, PhD
Department of Health Studies, University of South Africa, Pretoria, South Africa

Learning Objective 1: Describe from nurse/midwives perspective client related barriers influencing intentions to use cervical cancer screening services among women aged 42 and older in Blantyre, Malawi

Learning Objective 2: Outline some recommendations to address the barriers


The purpose of the study was to identify from nurse/midwives’ perspective client related barriers to utilisation of cervical cancer screening services among women aged 42 and older.


 A cross sectional descriptive study using qualitative research method was used. Ethical approval and permission were granted by relevant authorities to conduct the study. A purposive sample of 14 nurse/midwives working at three health centers in Blantyre district was used. They gave written consent and were interviewed. Using Atlas Ti version 4.2, transcribed data with similar meanings were grouped into themes and sub-themes.


The findings revealed that barriers for utilization of cervical cancer screening services include: fear of equipment used for screening, misconceptions about the cervical cancer screening procedure, negative cultural influences, misconceptions of the at risk group of women and feeling embarrassed about the procedure.

Conclusion: There is need for targeted motivation talks that would dispel myths and misconceptions related to cervical cancer screening. Service providers must explain the procedure step by step to each client and give her an opportunity to familialise herself with equipment used.