{"id":"https://openalex.org/W4378901151","doi":"https://doi.org/10.4081/jphia.2023.1783","title":"Determinants of an integrated cervical cancer screening services in primary healthcare: sharing lessons from Kisumu, Kenya","display_name":"Determinants of an integrated cervical cancer screening services in primary healthcare: sharing lessons from Kisumu, Kenya","publication_year":2023,"publication_date":"2023-04-30","ids":{"openalex":"https://openalex.org/W4378901151","doi":"https://doi.org/10.4081/jphia.2023.1783","pmid":"https://pubmed.ncbi.nlm.nih.gov/37347065","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/10280239"},"language":"en","primary_location":{"id":"doi:10.4081/jphia.2023.1783","doi":"https://doi.org/10.4081/jphia.2023.1783","is_oa":true,"landing_page_url":"https://doi.org/10.4081/jphia.2023.1783","pdf_url":"https://www.publichealthinafrica.org/jphia/article/download/1783/1074","source":{"id":"https://openalex.org/S2739444930","display_name":"Journal of Public Health in Africa","issn_l":"2038-9922","issn":["2038-9922","2038-9930"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","norway-1","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310315322","host_organization_name":"AOSIS","host_organization_lineage":["https://openalex.org/P4310315322"],"host_organization_lineage_names":["AOSIS"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Public Health in Africa","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.publichealthinafrica.org/jphia/article/download/1783/1074","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5005448780","display_name":"Eyo Akpan","orcid":"https://orcid.org/0000-0002-2284-0970","observed_orcids":["https://orcid.org/0000-0002-2284-0970"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Eyo Akpan","raw_affiliation_strings":["Grayscale International, Lagos, Nigeria","Grayscale International, Lagos"],"raw_orcid":"https://orcid.org/0000-0002-2284-0970","affiliations":[{"raw_affiliation_string":"Grayscale International, Lagos, Nigeria","institution_ids":[]},{"raw_affiliation_string":"Grayscale International, Lagos","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5083534456","display_name":"Nicholas Anthony Othieno-Abinya","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I12859529","display_name":"University of Nairobi","ror":"https://ror.org/02y9nww90","country_code":"KE","type":"education","lineage":["https://openalex.org/I12859529"]}],"countries":["KE"],"is_corresponding":true,"raw_author_name":"Nicholas Abinya","raw_affiliation_strings":["Hematology and Oncology Dept, Faculty of Medicine, College of Health Sciences, University of Nairobi, Kenya","Hematology and Oncology Department, Faculty of Medicine, College of Health Sciences, University of Nairobi"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hematology and Oncology Dept, Faculty of Medicine, College of Health Sciences, University of Nairobi, Kenya","institution_ids":["https://openalex.org/I12859529"]},{"raw_affiliation_string":"Hematology and Oncology Department, Faculty of Medicine, College of Health Sciences, University of Nairobi","institution_ids":["https://openalex.org/I12859529"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044603791","display_name":"Everlyne Odhiambo","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Everlyne Odhiambo","raw_affiliation_strings":["Nursing Department, Migosi County Hospital, Kisumu, Kenya","Nursing Department, Migosi County Hospital, Kisumu"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nursing Department, Migosi County Hospital, Kisumu, Kenya","institution_ids":[]},{"raw_affiliation_string":"Nursing Department, Migosi County Hospital, Kisumu","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5070057840","display_name":"Ernest Usang Ekpo","orcid":"https://orcid.org/0000-0002-6851-0969","observed_orcids":["https://orcid.org/0000-0002-6851-0969"]},"institutions":[{"id":"https://openalex.org/I129604602","display_name":"The University of Sydney","ror":"https://ror.org/0384j8v12","country_code":"AU","type":"education","lineage":["https://openalex.org/I129604602"]}],"countries":["AU"],"is_corresponding":true,"raw_author_name":"Ernest Ekpo","raw_affiliation_strings":["Image Optimization and Perception Group, Discipline of Medical Imaging Science, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Lidcombe, Australia","Image Optimization and Perception Group, Discipline of Medical Imaging Science, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Lidcombe"],"raw_orcid":"https://orcid.org/0000-0002-6851-0969","affiliations":[{"raw_affiliation_string":"Image Optimization and Perception Group, Discipline of Medical Imaging Science, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Lidcombe, Australia","institution_ids":["https://openalex.org/I129604602"]},{"raw_affiliation_string":"Image Optimization and Perception Group, Discipline of Medical Imaging Science, School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Lidcombe","institution_ids":["https://openalex.org/I129604602"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5005448780","https://openalex.org/A5044603791","https://openalex.org/A5070057840","https://openalex.org/A5083534456"],"corresponding_institution_ids":["https://openalex.org/I12859529","https://openalex.org/I129604602"],"apc_list":{"value":400,"currency":"EUR","value_usd":431},"apc_paid":{"value":400,"currency":"EUR","value_usd":431},"fwci":0.6635,"has_fulltext":true,"cited_by_count":3,"citation_normalized_percentile":{"value":0.65384646,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":95},"biblio":{"volume":"14","issue":"4","first_page":"6","last_page":"6"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13544","display_name":"Women's cancer prevention and management","score":0.736299991607666,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13544","display_name":"Women's cancer prevention and management","score":0.736299991607666,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10146","display_name":"Cervical Cancer and HPV Research","score":0.16089999675750732,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.0794999971985817,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cervical-cancer-screening","display_name":"cervical cancer screening","score":0.984000027179718},{"id":"https://openalex.org/keywords/primary-care-integration","display_name":"primary care integration","score":0.6880000233650208},{"id":"https://openalex.org/keywords/health-service-sustainability","display_name":"health service sustainability","score":0.621999979019165},{"id":"https://openalex.org/keywords/health-services-administration","display_name":"health services administration","score":0.5260000228881836},{"id":"https://openalex.org/keywords/health-facility-managers","display_name":"health facility managers","score":0.3569999933242798},{"id":"https://openalex.org/keywords/kisumu-kenya","display_name":"Kisumu, Kenya","score":0.8109999895095825}],"concepts":[{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.5559840798377991},{"id":"https://openalex.org/C68595000","wikidata":"https://www.wikidata.org/wiki/Q2274177","display_name":"Service delivery framework","level":3,"score":0.5532947778701782},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.5374655723571777},{"id":"https://openalex.org/C177212765","wikidata":"https://www.wikidata.org/wiki/Q627335","display_name":"Workflow","level":2,"score":0.49364957213401794},{"id":"https://openalex.org/C147077947","wikidata":"https://www.wikidata.org/wiki/Q1515895","display_name":"Socioeconomic status","level":3,"score":0.4599333107471466},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.45582517981529236},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4421982169151306},{"id":"https://openalex.org/C116537","wikidata":"https://www.wikidata.org/wiki/Q2169973","display_name":"Service provider","level":3,"score":0.42370206117630005},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.42187952995300293},{"id":"https://openalex.org/C56739046","wikidata":"https://www.wikidata.org/wiki/Q192060","display_name":"Knowledge management","level":1,"score":0.418276846408844},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.38690078258514404},{"id":"https://openalex.org/C195094911","wikidata":"https://www.wikidata.org/wiki/Q14167904","display_name":"Process management","level":1,"score":0.35243159532546997},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.30516141653060913},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.272895872592926},{"id":"https://openalex.org/C162853370","wikidata":"https://www.wikidata.org/wiki/Q39809","display_name":"Marketing","level":1,"score":0.2171006202697754},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.18817171454429626},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.17047655582427979},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.15192052721977234},{"id":"https://openalex.org/C205649164","wikidata":"https://www.wikidata.org/wiki/Q1071","display_name":"Geography","level":0,"score":0.1502259373664856},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.11553153395652771},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.11213383078575134},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C166957645","wikidata":"https://www.wikidata.org/wiki/Q23498","display_name":"Archaeology","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C77088390","wikidata":"https://www.wikidata.org/wiki/Q8513","display_name":"Database","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.4081/jphia.2023.1783","doi":"https://doi.org/10.4081/jphia.2023.1783","is_oa":true,"landing_page_url":"https://doi.org/10.4081/jphia.2023.1783","pdf_url":"https://www.publichealthinafrica.org/jphia/article/download/1783/1074","source":{"id":"https://openalex.org/S2739444930","display_name":"Journal of Public Health in Africa","issn_l":"2038-9922","issn":["2038-9922","2038-9930"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","norway-1","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310315322","host_organization_name":"AOSIS","host_organization_lineage":["https://openalex.org/P4310315322"],"host_organization_lineage_names":["AOSIS"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Public Health in Africa","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:10280239","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/10280239","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10280239/pdf/jpha-14-4-1783.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Public Health Afr","raw_type":"Text"},{"id":"pmid:37347065","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37347065","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of public health in Africa","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:2089fec4953b40a983d03a3680f7f2c2","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/2089fec4953b40a983d03a3680f7f2c2","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Public Health in Africa, Vol 14, Iss 4 (2023)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.4081/jphia.2023.1783","doi":"https://doi.org/10.4081/jphia.2023.1783","is_oa":true,"landing_page_url":"https://doi.org/10.4081/jphia.2023.1783","pdf_url":"https://www.publichealthinafrica.org/jphia/article/download/1783/1074","source":{"id":"https://openalex.org/S2739444930","display_name":"Journal of Public Health in Africa","issn_l":"2038-9922","issn":["2038-9922","2038-9930"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","norway-1","poland-20","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310315322","host_organization_name":"AOSIS","host_organization_lineage":["https://openalex.org/P4310315322"],"host_organization_lineage_names":["AOSIS"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Public Health in Africa","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9907000064849854}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4378901151.pdf","grobid_xml":"https://content.openalex.org/works/W4378901151.grobid-xml"},"referenced_works_count":37,"referenced_works":["https://openalex.org/W1508772290","https://openalex.org/W1977998315","https://openalex.org/W1999176496","https://openalex.org/W2059907993","https://openalex.org/W2079481491","https://openalex.org/W2082693503","https://openalex.org/W2086067697","https://openalex.org/W2095891225","https://openalex.org/W2111737815","https://openalex.org/W2115013563","https://openalex.org/W2121856301","https://openalex.org/W2124859979","https://openalex.org/W2127281163","https://openalex.org/W2128210106","https://openalex.org/W2138502971","https://openalex.org/W2160051381","https://openalex.org/W2187454182","https://openalex.org/W2398411861","https://openalex.org/W2412008076","https://openalex.org/W2461198870","https://openalex.org/W2485971736","https://openalex.org/W2557723753","https://openalex.org/W2559940314","https://openalex.org/W2605273552","https://openalex.org/W2732545751","https://openalex.org/W2747429103","https://openalex.org/W2749350370","https://openalex.org/W2754799758","https://openalex.org/W2760718475","https://openalex.org/W2770587522","https://openalex.org/W2795030107","https://openalex.org/W2900443860","https://openalex.org/W3026546867","https://openalex.org/W3121673563","https://openalex.org/W3146797295","https://openalex.org/W4234281470","https://openalex.org/W4234733488"],"related_works":["https://openalex.org/W2006015211","https://openalex.org/W4396905306","https://openalex.org/W2976672685","https://openalex.org/W4403637308","https://openalex.org/W3208189836","https://openalex.org/W7126773535","https://openalex.org/W3203759577","https://openalex.org/W7117540073","https://openalex.org/W3202796530","https://openalex.org/W4387808737"],"abstract_inverted_index":{"Background:":[0],"The":[1,203,291],"successful":[2],"integration":[3],"of":[4,75,117,144,182,222,232,270,310],"cervical":[5],"cancer":[6],"screening":[7,76],"service":[8,20,127,223,311],"(CCASS)":[9],"into":[10,170,258],"primary":[11,45,68],"healthcare's":[12],"routine":[13],"services":[14],"depends":[15],"on":[16,40,72,114],"locality-specific":[17],"and":[18,31,62,81,104,120,134,160,175,199,248,263,287],"context-based":[19],"determinants.":[21],"Objective:":[22],"This":[23],"paper":[24],"aims":[25],"to":[26,107,124,178,180,187,266,268,275],"identify":[27],"the":[28,44,73,78,82,115,189,214,277,302],"abovementioned":[29],"determinants":[30,146,167,183,224,234,255,271,312],"discusses":[32],"how":[33,94],"health":[34,69],"administrators":[35],"can":[36],"manage":[37],"their":[38],"influence":[39,188,276],"CCASS":[41,59,86,98,102,118,126,145,190,211,233,278,299],"delivery":[42,196,212,284,300],"at":[43,213,301],"healthcare":[46],"level.":[47],"Methods:":[48],"We":[49,129],"conducted":[50],"in-depth":[51],"face-to-face":[52],"interviews":[53],"using":[54],"a":[55,131],"structured":[56],"questionnaire":[57],"with":[58],"nurse":[60],"providers":[61,111],"managers":[63,91],"in":[64,85,192,280],"four":[65],"randomly":[66],"selected":[67],"facilities.":[70],"Information":[71],"method(s)":[74],"utilised,":[77],"challenges":[79],"faced,":[80],"changes":[83,122],"observed":[84],"provision":[87],"were":[88,92,112,147,168,235,256],"collected.":[89],"Service":[90],"asked":[93],"they":[95],"managed":[96],"unplanned":[97],"disruption,":[99],"factors":[100],"influencing":[101],"replication,":[103],"aftercare":[105],"support":[106],"cancer-affected":[108],"women.":[109],"Nurse":[110],"interviewed":[113],"management":[116],"awareness":[119],"critical":[121],"required":[123],"sustain":[125],"effectiveness.":[128],"used":[130],"constant":[132],"interactive":[133],"inductive":[135],"approach":[136],"for":[137],"data":[138],"analysis.":[139],"Results:":[140,228],"Nine":[141,229],"thematic":[142,230],"categories":[143,231],"identified:":[148,236],"'cultural',":[149,237],"'socioeconomic',":[150,238],"'individual',":[151,239],"'health":[152,240],"system',":[153,241],"'evidence-based":[154,242],"operations',":[155,243],"'outcome-based":[156,244],"resourcing',":[157,245],"'workflow":[158,246],"improvement":[159,247],"standardisation',":[161,249],"'inclusive":[162,250],"partner's":[163,251],"management',":[164,252],"'utilisation'.":[165,253],"These":[166,254],"grouped":[169,257],"three":[171,259],"domains:":[172,260],"'conceptual',":[173,261],"'outcomes',":[174,262],"'growth'":[176,264],"domains,":[177,265],"correspond":[179,267],"clusters":[181,269],"that":[184,206,226,272,294,314],"are":[185,273],"likely":[186,274],"lifecycle":[191,279],"its":[193,281],"formative,":[194,282],"continuous":[195,219,283,307],"or":[197,285],"productivity,":[198,286],"reproductive":[200,288],"phases.":[201,289],"Conclusions:":[202,290],"findings":[204,292],"show":[205,293],"sustaining":[207,295],"an":[208,296],"efficient":[209,297],"integrated":[210,298],"PHC":[215,303],"level":[216,304],"requires":[217,305],"phase-appropriate":[218,306],"adaptive":[220,308],"improvements":[221,309],"within":[225,313],"locality.":[227,315]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":1}],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2023-06-01T00:00:00"}