Publications by authors named "Margrethe Juncker"
Background: Cervical cancer remains a significant but preventable threat to women's health throughout much of the developing world, including Uganda. Cervical cancer screening and timely treatment of pre-cancerous lesions is a cost-effective means of mitigating cervical cancer morbidity and mortality. However, only 5% of women in Uganda have ever been screened.
View Article and Find Full Text PDFUnlabelled: Game Changers for Cervical Cancer Prevention (GC-CCP), a group advocacy training intervention, has been shown to increase cervical cancer prevention and screening advocacy. In this secondary analysis, we examined mediators and moderators of this effect. A randomized controlled trial of GC-CCP-a 7-session, peer led intervention designed to empower women to engage in cervical cancer prevention advocacy-was conducted with women who had recently been screened by visual inspection of the cervix with acetic acid for cervical cancer.
View Article and Find Full Text PDFCervical cancer (CC) is the most common cancer among women in Uganda, yet lifetime CC screening is as low as 5%. Training women who have screened for CC to engage in peer advocacy could increase uptake of CC screening in social networks. We conducted a randomized controlled trial of a peer-facilitated, manualized, 7-session group intervention to train women to engage in CC prevention advocacy.
View Article and Find Full Text PDFArticle Synopsis
- - The Game Changers for Cervical Cancer Prevention (GC-CCP) program aimed to improve cervical cancer advocacy among participants and their social networks, showing positive effects in encouraging advocacy behaviors.
- - In a study with 40 women, participants received either the GC-CCP intervention or were placed on a wait-list, with their social network members (up to 3 per participant) surveyed to assess advocacy and knowledge changes over time.
- - The findings indicate that increased knowledge about cervical cancer among social network members (or "alters") helped enhance their engagement in advocacy, highlighting the importance of knowledge in spreading advocacy efforts within social networks.
Article Synopsis
- The study explores how women who have undergone cervical cancer screening can be empowered as advocates to encourage other women in their social networks to get screened, aiming to increase overall screening rates.* ! -
- Researchers analyzed survey data from 40 women who had been screened and 103 women in their networks who had not, focusing on factors like cervical cancer knowledge, stigma, and self-efficacy to understand their influence on advocacy.* ! -
- Results showed that higher advocacy engagement was linked to better cervical cancer knowledge and self-efficacy; additionally, age and prior positive screening experiences correlated with increased screening uptake and advocacy efforts.* !
Introduction: Cervical cancer (CC) rates are high in Uganda, yet CC screening rates are very low. Our peer advocacy group intervention, Game Changers for Cervical Cancer Prevention (GC-CCP), was shown to increase CC screening uptake among social network members. In this secondary analysis, we examined mediators and moderators of this effect to better understand how and for whom the intervention was most successful in promoting CC screening.
View Article and Find Full Text PDFIntroduction: Cervical cancer (CC) is the most common cancer and accounts for one quarter of all cancer-related deaths among women in Uganda, where lifetime CC screening is estimated to be as low as 5%. This study will evaluate the feasibility, acceptability, and preliminary efficacy of a social network-based group intervention designed to empower women who have received CC screening to encourage women in their social network to also screen.
Methods: Forty adult women (index participants) who have recently screened for CC will be recruited, 20 of whom will be randomly assigned to take part in the intervention and 20 to the wait-list control.
The results are presented from a 2005 survey of 377 women in four HIV/AIDS treatment programs in Uganda. The aim of the study was to explore women's economic hardships and the association with four sexual risk behaviors: whether a woman was sexually active in the last 12 months, whether a condom was used during the last sex act, whether she reported having had a sexual partner in the last six months who she suspected had multiple partners and report of forced, coercive or survival sex in the last six months. Few women were sexually active (34%), likely due to the high proportion of widows (49%).
View Article and Find Full Text PDFBackground: There is growing concern about the human resources needed to care for increasing numbers of patients receiving antiretroviral therapy in resource-limited settings. We evaluated an alternative model, community-based, comprehensive antiretroviral program staffed primarily by peer health workers and nurses.
Methods: We conducted a retrospective cohort study of patients receiving antiretroviral therapy during the first 10 months of program enrollment beginning in late 2003.