Breaking Barriers: Improving access and awareness in cervical screening in Blackburn with Darwen

Healthwatch Blackburn with Darwen undertook research on barriers and attitudes to cervical screening to understand awareness, accessibility, cultural influences, and potential strategies to improve participation.  They undertook a survey of women, interviews with healthcare professionals, enter and view visits to GP surgeries and a case study.  They spoke to 60 people.

Many participants expressed fear about receiving bad news or finding something wrong, leading to hesitation or avoidance of screening. There was confusion about the screening process, with some imagining it as invasive or painful due to lack of clear information. Myths about virginity and the perceived invasiveness of the test were barriers for some participants.

Participants highlighted a lack of accessible and relatable information about cervical cancer and the screening process in their communities. Several participants suggested using simple, visual aids, such as posters or videos, to explain the process and its importance. Many advocated for using platforms like TikTok and Instagram to share information, particularly targeting younger audiences. Programmes should not be one-off but ongoing, incorporating regular messaging and accessible sessions.

Discussing health issues, especially related to reproductive health, was considered taboo in some families. Participants often relied on close friends or small family circles for discussions, avoiding larger family conversations due to embarrassment. Many participants suggested community-based awareness programmes and events to foster open discussions.

Difficulty in booking appointments or distrust in healthcare providers affected participation rates. Positive experiences with compassionate nurses were highlighted as a factor that could improve uptake, while negative experiences deterred participants. There was a preference for having screening at local GP practices due to convenience.

A specific example of a poster featuring a child whose mother had died from cervical cancer was mentioned as a powerful motivator. Participants suggested that local influencers or relatable figures could help normalise the discussion around cervical screening.