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Table 3 Themes generated using the HBM framework

From: Acceptability of HPV screening among HIV-infected women attending an HIV-dedicated clinic in Abidjan, Côte d’Ivoire

Perceived severity

▪ Cervical cancer is a deadly disease

▪ Cervical cancer is perceived as an additional burden after HIV

 

Perceived susceptibility

▪ Existing link between womanhood and vulnerability to cancer

▪ Existing link between HIV infection and cervical cancer

▪ Existing link between sexual intercourse and cervical cancer

Perceived barriers

▪ Fear of an invisible disease

▪ Fear of a diagnosis perceived as an additional burden with associated stigma

▪ Lack of financial resources

▪ Lack of knowledge

Perceived benefits

▪ Maintaining health

▪ Early stage treatment availability

 

Cues to action

▪ Knowledge of cervical cancer and awareness of treatment

▪ Reliance on and trust in healthcare workers

▪ Free procedure

Self-efficacy

▪ Lack of confidence in performing self-sampling

▪ Health system navigation using healthcare workers support

▪ Uptake in confidence after first screening experience