Abstract
Background
Cervical cancer poses a significant global public health concern, especially in low- and middle-income countries like Rwanda, where access to preventive measures and screening is limited. The World Health Organization (WHO) urges nations to intensify efforts in human papillomavirus (HPV) vaccination, screening, and cervical cancer treatment. However, challenges in implementation persist. Digital health solutions have gained attention as potential solutions to enhance the effectiveness and accessibility of these interventions. This study assesses users’ experience including acceptability, satisfaction, and integration, of the digital health interventions for HPV vaccination and cervical cancer screening in Rwanda.
Methodology
Employing a qualitative approach, the study engaged 15 participants through purposeful sampling, ensuring data saturation and maximum variation. We conducted semi-structured, face-to-face interviews with key informants in selected Rwandan healthcare facilities offering HPV vaccination and cervical cancer services. Interviews were audio-recorded, transcribed, and subjected to manual coding and thematic analysis to extract common themes and patterns. Anonymous quotes were utilized to illustrate these themes.
Results
User experiences with digital health interventions, particularly regarding usability, acceptability, and satisfaction, have been largely positive. Nevertheless, transitioning from paper-based to digital systems has presented challenges, including limited computer literacy among users, initial resistance to change, and a shortage of necessary equipment. Factors such as leadership commitment, technical support, and supervision have been critical in the successful implementation of these digital interventions.
Conclusion
The study offers valuable insights into the advantages, obstacles, and methods to improve adoption and effectiveness of digital health interventions in cervical cancer prevention, aiming to reduce the disease burden in Rwanda. Moreover, the findings provide potential global insights for similar initiatives in cervical cancer prevention, suggesting broader applicability and significance of this research in other contexts.