The state of cervical cancer screening services and barriers to uptake in Abidjan, Cte DIvoire in 2017: A mixed methods study

Cervical cancer (CC) remains a public health concern in Cote d’Ivoire. The national policy for the prevention of cervical has been introduced more than 10 years ago, while coverage target population is still suboptimal. We aimed at describing barriers to screening among women Abidjan. A mixed method study was completed from February August 2016. Stakeholders were interviewed according their role program requested participate focus groups. Subjects discussed included knowledge, risk factors and CC, as well CC screening. In addition, site assessment carried out 27 visual inspection-based sites order describe structural Overall, (37.0%), 3 (11.1%) 2 (7.4%) proposed Pap test colposcopy HPV testing, respectively. Cryotherapy Loop Excision Procedure (LEEP) available 13 (48.2%) 3(11.1%) sites, During last twelve months, provision services interrupted 9 (33.3%) 18 (66.7%) due staff turnover shortage essential supplies, main lack knowledge about fear results support male partner. From stakeholders’ perception, human resources fund mobilization, logistic monitoring issues bottleneck sustainability program. Structural barriers, suboptimal link between stakeholders users remain challenges be faced ensure resilient, systematic organized Côte Key words: Barriers, cancer, screening,