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Scoping & Codesign Report for WAC Health Service - Implementation Strategies for Self-Collection & Cervical Screening

Scoping Activity

Methods

Results

Process Mapping Activity

N = 6, group discussion with staff to gauge current delivery of cervical screening pathway

- Cervical screening pathway detailed at WAC Health service.

- Starting to implement self-collection cervical screening

Interviews with general practitioners

N = 7 semi-structured interviews, thematically analysed using Theoretical Framework of Acceptability

- Self-collection is highly acceptable to GPs

- Access to the NCSR is needed

- More promotion of SC

- Follow-up with SC can be difficult.

- Community, knowledge, networks and engagement should be prioritised with SC

- Capacity building of non-GP staff through use of SC

Baseline Screening participation

CAT4 audit tool analysis based on filters:

- Indigenous status

- 25 – 74 years of age

- Active patients only

- Cervical Screening

As of Sept 22, 418 Indigenous women aged 25 – 74 year

- 40% (156) of eligible patients had no recorded histories

- 60% (234) of eligible patients have history recorded

o 196 up-to-date

o 38 overdue


Codesign Phase

A codesign workshop took place at the health service with 12 service stakeholders. The format was a round table discussion with CZ (non-Aboriginal) and KM (Gundjitmara) facilitating reflection on data and discussion where needed. The workshop was recorded, and the audio transcribed. Attendees were also provided with a short data brief prior to attending the workshop.

The aim of the codesign workshop was to consolidate the data collected by the research team (CZ, KM, CN, JB) regarding cervical screening (process mapping meeting, practitioner interviews, CAT4 analysis) and to further develop priorities and strategies to improve cervical screening participation at Wathaurong health service. The role of the research team was to support the development of strategies to increase cervical screening participation at Wathaurong and perform an evaluation.

After the presentation of findings, reflections on the data and the initial strategies that had been thought of were discussed amongst the attendees. There was also the discussion of end-goals and what the service would want to achieve. The workshop was then split into two groups to discuss priorities for the project and what strategies might be implemented. Attendees were given post-it notes and butchers paper to collate similar priorities and strategies in a meaningful way as seen in Figure 3. The two groups then came back together to align potential strategies discussed and priorities for the project seen in Figure 3 and 4 . The qualitative data from the codesign workshop was transcribed and thematically analysed.


Funding

ICOAV18002 Project Grant Victorian Cancer Agency 2018 Collaborative Research Grants: Improving Cancer Outcomes for Aboriginal Victorians. “My Screen, My Choice - Improving the benefits of the renewal of the National Cervical Screening Program for Victorian Aboriginal women”.

History

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