Nursing & Primary Care

Nursing & Primary Care

Open Access
ISSN: 2639-9474
Research Article

Profiles, Needs and Survival of Women Diagnosed with Cervical Cancer on the Road to Care Programme of Hospice Africa Uganda

Authors: Róisín Sheehy, Janepher Nyakake, Nasur Buyinza.

DOI: 10.33425/2639-9474.1285


Abstract

Cervical cancer is one of the most prevalent cancers worldwide, particularly in low and middle-income countries such as Uganda, where it is the most frequently diagnosed cancer [1]. No recent review has been conducted to assess the profiles of these women, which provides treatment support for cervical cancer patients in Uganda, alleviating the financial burden of care. This study aimed to evaluate the profiles, needs, and survival outcomes of women enrolled in the Road to Care (RTC) programme of Hospice Africa Uganda (HAU).

This cross-sectional mixed-methods study utilised retrospective chart review of women diagnosed with cervical cancer between 2019 and 2023, supplemented by qualitative data from a focus group discussion. The study examined demographic, clinical, and socio-economic variables, with survival analysis conducted using Kaplan-Meier curves.

28% of study participants were aged 50-59 years and had low education levels, with 88% having primary-level education or less. Late-stage diagnosis of cervical cancer was prevalent, with 70% diagnosed either at Stage IIb or IIIb. Financial constraints were reported by 70% of participants as a major barrier to accessing treatment, while 59% experienced a lack of spousal support. Psycho-social support and counselling were provided to 91% of participants. The survival analysis indicated a sharp decline in survival probability from 96.7% in the first year to 0% by the fifth year.

The study findings underscore the impact of late-stage diagnosis and limited access to care, highlighting the need for accessible screening and awareness programmes, to enhance cervical cancer outcomes for women in Uganda.

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Citation: Róisín Sheehy, Janepher Nyakake, Nasur Buyinza. Profiles, Needs and Survival of Women Diagnosed with Cervical Cancer on the Road to Care Programme of Hospice Africa Uganda. Nur Primary Care. 2025; 9(3). DOI: 10.33425/2639-9474.1285
Editor-in-Chief
Michelle Ollivierre-Lawrence
Michelle Ollivierre-Lawrence
Department of Nursing | City College, Fort Lauderdale

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