1. Kathy Ainul Møen, M.D, PhD candidate University of Bergen, Norway
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Healthcare providers’ perspectives of cervical cancer screening among immigrants in Norway
Kathy Møen, Laura Terragni and Esperanza Diaz
Kathy Ainul Møen, M.D, PhD candidate
University of Bergen, Norway

2. Introduction
Immigrants:
lower attendance to
cervical cancer screening

3. Background Develop interventions targeting Immigrant women or
UNIVERSITY OF BERGEN
Background
Develop interventions targeting
Immigrant women or
Health care providers
Er dette methods or background? Det er ikke resultater av dette du presenterer her, snat?
Tror egentlig du kan ta det ”both”, siden det ikke er det vi gjør og dt kan bli forvirrende hvis de forventer tre intevsnjoner

4. Aims To understand health care providers’ experiences
UNIVERSITY OF BERGEN
Aims
To understand health care providers’ experiences
To learn what kind of strategies they already used to overcome any barriers
Their need for additional information or assessment tools

5. UNIVERSITY OF BERGEN
Methods
3 focus groups and 4 personal interviews among health care providers in Oslo:
26 general practitioners
3 gynaecologists
3 midwives
Total of 32

6. Semi-structured interviews
UNIVERSITY OF BERGEN
Semi-structured interviews
A. What is your experience regarding cervical cancer screening among immigrants?
B. Is there any strategies you use to facilitate the consultations?
C. How would you like to get more knowledge about cervical cancer screening among immigrants?

7. UNIVERSITY OF BERGEN
Method
Focus groups and personal interviews were recorded and transcribed verbatim
Thematic analysis

8. Results A. Experiences from HCP
UNIVERSITY OF BERGEN
Results A. Experiences from HCP
General factors
Specific factors
Rutines and gender
Responsibility
Organisational
Language and low health literacy
Culture and gender
General
Organisational
Language (stor l)… Pass på spelling og sm detaljer

9. Results General factors Specific factors
I refer to my female colleague
Interpreter is a challenge!
They have to take the responsibility
Time pressure
Culture is a barrier
Ideen er god, men je blir forviret at denne: er det det samme som forrige slides?
Rekkefølgen virker meget rart… Different coulors for general and specific?
CCS is not obligatorisk
Language is the key

10. Results B. HCP’s strategies
UNIVERSITY OF BERGEN
Results B. HCP’s strategies
Organisational
Longer appointments
Help making appointments
Take cerviacl cancer test during other consultations
Organisational
IKKE bruk PAP SMEAR!

11. Results B. HCP’s strategies
UNIVERSITY OF BERGEN
Results B. HCP’s strategies
Language
Using interpreters
Health literacy
Using models and drawings
Cultural
Try to understand patient’s
cultural background
Er dette spørsmål B eller A- Fint om du har det på alle

12. C. How would you like to get more knowledge?
UNIVERSITY OF BERGEN
C. How would you like to get more knowledge?
15-min lecture during lunch/morning meetings

13. UNIVERSITY OF BERGEN
Conclusion
Disparities in CCS: immigrant women’s preferences, organisational factors
HCP’s need: cultural competence and awareness, knowledge on immigrants’ reproductive health
Intervention implemented in spring 2017, will be evaluated in autumn 2018