Other Titles

Cervical Cancer Screening in a Rohingya Refugee Community: A Multicomponent Approach to Promote Uptake at a Federally Qualified Healthcare Center [Poster Title]

Abstract

Cervical cancer remains a significant health issue globally, particularly in low and middle-income countries, with over 350,000 deaths in 2022. Disparities in cervical cancer screening (CCS) rates persist, notably among vulnerable populations such as refugee and immigrant women. This project addresses these disparities within the Rohingya refugee community at a Midwest Federally Qualified Health Care Center (FQHC), where only 21.74% of eligible Rohingya women had CCS appointments scheduled in 2023. The intervention aims to increase CCS rates among Rohingya women aged 21 and older through culturally tailored approaches. The project involves developing an educational video, standardizing workflows, engaging Community Health Workers (CHWs), and training clinicians in trauma-informed care and cultural competence. Methods include implementing a culturally relevant educational video, utilizing EHR documentation for streamlined scheduling, and conducting individual outreach via CHWs. Data collection through EHR and surveys will assess adherence and outcomes, with regular audits guiding adjustments. This intervention seeks to enhance health equity and increase CCS rates among the Rohingya community, ultimately improving cancer prevention efforts in this vulnerable population.

Notes

References:

1. Afsah, Y. R., & Kaneko, N. (2023). Barriers to cervical cancer screening faced by immigrant Muslim women: a systematic scoping review. BMC Public Health, 23(1). https://doi.org/10.1186/s12889-023-17309-9

2. Attipoe-Dorcoo, S., Chattopadhyay, S. K., Jacob, V., Ekwueme, D. U., Sabatino, S. A., Peng, Y., & Force, C. P. S. T. (2021). Engaging community health workers to Increase Cancer Screening: A Community Guide Systematic Economic Review. American Journal of Preventive Medicine, 60(4), e189–e197. https://doi.org/10.1016/j.amepre.2020.08.011

3. Drokow, E. K., Effah, C. Y., Agboyibor, C., Sasu, E., Amponsem-Boateng, C., Akpabla, G. S., Ahmed, H. a. W., & Sun, K. (2021). The impact of Video-Based Educational Interventions on cervical cancer, PAP smear and HPV vaccines. Frontiers in Public Health, 9. https://doi.org/10.3389/fpubh.2021.681319

4. Jannat, S., Sifat, R. I., & Khisa, M. (2022). Sexual and Reproductive Health Conditions of Women: Insights from Rohingya Refugee Women in Bangladesh. Sexuality Research and Social Policy, 20(3), 855–868. https://doi.org/10.1007/s13178-022-00758-z

5. Walker, P. F., Settgast, A., & DeSilva, M. B. (2022). Cancer screening in Refugees and Immigrants: a Global perspective. American Journal of Tropical Medicine and Hygiene, 106(6), 1593–1600. https://doi.org/10.4269/ajtmh.21-0692

Description

Cervical cancer disproportionately affects vulnerable populations, including refugee women. This project at a Midwest FQHC aims to boost cervical cancer screening (CCS) rates among Rohingya refugees. Interventions include a culturally tailored educational video, standardized workflows, Community Health Worker engagement, and clinician training. Data collection through EHR reviews and surveys will assess progress, striving to reduce health disparities and improve CCS access for this community.

Author Details

Talia Coveleski, BSN, RN, CHFN, BA; Barbara Shaw, DNP, APN, FNP-C; Jehan Adamji; DNP, FNP-BC

Sigma Membership

Gamma Phi

Type

Poster

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Health Equity or Social Determinants of Health, Primary Care, Interprofessional, Interdisciplinary, Cervical Cancer Screening, Vulnerable Populations, Rohingya Refugees

Conference Name

36th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Seattle, Washington, USA

Conference Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Click on the above link to access the poster.

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Cervical Cancer Screenings for Rohingya Refugees: A Project to Promote Uptake at an FQHC

Seattle, Washington, USA

Cervical cancer remains a significant health issue globally, particularly in low and middle-income countries, with over 350,000 deaths in 2022. Disparities in cervical cancer screening (CCS) rates persist, notably among vulnerable populations such as refugee and immigrant women. This project addresses these disparities within the Rohingya refugee community at a Midwest Federally Qualified Health Care Center (FQHC), where only 21.74% of eligible Rohingya women had CCS appointments scheduled in 2023. The intervention aims to increase CCS rates among Rohingya women aged 21 and older through culturally tailored approaches. The project involves developing an educational video, standardizing workflows, engaging Community Health Workers (CHWs), and training clinicians in trauma-informed care and cultural competence. Methods include implementing a culturally relevant educational video, utilizing EHR documentation for streamlined scheduling, and conducting individual outreach via CHWs. Data collection through EHR and surveys will assess adherence and outcomes, with regular audits guiding adjustments. This intervention seeks to enhance health equity and increase CCS rates among the Rohingya community, ultimately improving cancer prevention efforts in this vulnerable population.