Attending cervical cancer screening, opportunities and obstacles: A qualitative study on midwives’ experiences telephoning non-attendees in Sweden

Abstract

Aim: As part of a research project aimed at increasing participation in the cervical cancer screening program (CCS), we explored midwives’ unique experiences of telephoning non-attendees and offering Pap smear appointments. Methods: Twenty midwives, in four focus groups, discussed their experiences of a study investigating ways to increase participation in the CCS. The group discussions were tape-recorded and transcribed verbatim and underwent qualitative content analysis. Results: Speaking with more than 1000 non-attendees provided the midwives with new perspective on the CCS and they realised that improving it might address a number of reasons for not participating. These reasons were often related to logistics, such as scheduling flexibility and appointment booking. The telephone conversations revealed that some women required more individual attention, while it was discovered that others did not require screening. The midwives considered the CCS to be life-saving; participating in this screening activity gave them a sense of satisfaction and pride. Conclusions: This study shows that midwives can improve access and prevent non-attendance at the cervical cancer screening program when they are aware of women’s varying requirements for attending screening.