The impact of the social environment on Zambian cervical cancer prevention practices

Anayawa Nyambe*, Jarl K. Kampen, Stridutt K. Baboo, Guido Van Hal

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

4 Citations (Scopus)


Background: Cervical cancer which is preventable by screening and vaccination is the most common cancer in Zambia among both the female and male population. In this article we aim to determine how the key players of the sociocultural and political environment recognize cervical cancer as a public health problem and therefore impact the provision of cervical cancer prevention services (screening and vaccination). Methods: Qualitative data in the form of interviews with stakeholders (health care providers, teachers and religious leaders), special interest groups (advocacy groups and non-governmental organizations) and policy makers, was collected as part of a mixed methods study from February to May 2016. Results: The views expressed by the respondents were coded into predetermined themes (cervical cancer in general, screening, vaccination) and an organizational chart of the administration of cervical cancer prevention services in Zambia was developed. Conclusions: It is evident that the Zambian cervical cancer prevention system has targeted several areas and multiple sectors of society to reduce cervical cancer cases. However, awareness, knowledge, social support and facilities are factors that can be improved.

Original languageEnglish
Article number1242
JournalBMC Cancer
Publication statusPublished - 12 Dec 2018


  • Cervical Cancer
  • Screening
  • Social ecological model
  • Theory of triadic influence
  • Vaccination
  • Zambia


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