1. Intervention to increase the participation of immigrant women in cervical cancer screening
MERH 2018, Edinburgh
18 March, 2018
Samera Azeem Qureshi MD, PhD
Esperanza Diaz MD, PhD
Bernadette Kumar MD, PhD
Kathy Møen MD
Abdi Gele PhD

2. Background
Low uptake of cervical cancer screening among immigrant women
Community oriented approach
Target both users and health professionals
I suggest to cut text even more. Here some suggestions but do what you feelcomfortable with
Could you move the text a litle more to the right? (have some margins, generally in all slides)

3. Comparison of the effect measured by analyses of registry data
To identify barriers that influence the interactions between immigrants and health care professionals
To evaluate the effectiveness of two different community-based strategies to increase the participation
Comparison of the effect measured by analyses of registry data
Margins here too

4. How to increase participation
Immigrant Women
Health care professionals

5. Focusgroups health professionals in Oslo
26 GP’s, 3 gynecologists and 3 LHV’s, total 32
3 questions were asked:
Experience of cervical cancer testing among immigrant women
Strategy if any used by them during consultation
Need for more awareness and knowledge

6. Main Issues Raised General factors Specific factors Routines
Responsibility
Gender of GP
Language barrier
Knowledge
Cultural
Organizational structure

7. Focus Groups (Pakistani & Somali women)
Six FGDs in Oslo with 36 women (Feb.-April 2016)
Main Issues Raised
Genaral Practitioner
Not by males
Nature of the test
No letters from Kreftregisteret
Letters difficult to understand
Time and place and obligatory
Religious belief has become more of a taboo
Title: Work with the women- explian that Kathy will tell about health prof
Three in each group ?? What is this
Write General practitioner (not all know what GP is). The same KRG

9. Recruitment Community-based recruitment
Use of social media facebook etc.
Local contacts through telephone
Snow-ball method
I suggest recruitmen goes before intervention…

10. Intervention Between Feb- October 2017 total 14 meetings
Explanation about cervical cancer causes, risk factors
Do you have an illustration that you could put here?

11. Intervention Description & benefits of screening
Short video on cervical cancer test
Do you have an illustration that you could put here?

12. Intervention Information on taking appointment for the test
Questionnaire
Do you have an illustration that you could put here?

13. Results Pakistani Total invited: 391 Attended: 94 Somali
Explain that this is a community-based trial. Nobody expect tha all are reached, this is how this is different from a randomised controlled trial where the intervention-object is the person. Here is the community. We hope people talk to each other back home. This is why we will measure through registers.
I know the numbers were somhow disappointing to you, but we do not know how this is going to work.Maybe only been invited to this (even for those not attending) is a reminder that helps to go and take the etst!!
BE POSITIVE!!

14. Results Majority of women 26-45 years 81% of women were married
72% Pakistani & 45% Somali had ever taken the test
Awareness about cervical cancer and the test was low

15. Conclusions
Although we weere not able to mobilize women, but we have to keep in mind that it was a community-based
Word of mouth effect
Main effects evident when registry data analysed