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. 2020 Oct 14;17(20):7473. doi: 10.3390/ijerph17207473

Table 5.

Examples of suggestions for improving screening protocol.

Approaches to Cervical Screening
Language Approach
  • “To put the screening information in different languages they can understand, for most Africans, it is English, that would help.” (P2/FGD8)

  • “The language, there should be better awareness. We are immigrants; our native language is not Finnish, and it is not everyone that speaks Finnish very well.” (P1/FGD1)

Appropriate Information about Screening
  • “I think the invitation letter and result can be given in simple English language with a simple and short explanation of what the test is about, and what would be done if anything is found.” (P2/FGD1)

  • “It is about my health; it is good to understand the test as much as I want the care.” (P2/FGD6)

Dissemination of Screening Information
Creating of Screening Awareness
  • “One way the municipality could help get the information to immigrants is to get in touch with some group or community leaders, where immigrants are gathering.” (P1/FGD4)

  • “As immigrants, we have places where we meet, and there we might understand things better than in a letter that comes to our home.” (P3/FGD1)

Individuals with Similar Cultural Backgrounds
  • “If they can involve people with a similar cultural background, it is easier to comprehend such information.” (P1/FGD3)

  • “If they get someone who understands the immigrants, or if they can involve not necessarily someone from Africa, even a Finn, who understands these people and has the time to talk to them.” (P3/FGD1)

Using Reminder Letters/Telephone/Recall System
  • “It might help if they (immigrants) do not show up, send another letter, and follow-up on people and call.” (P1/FGD2)

  • “I can imagine if I get a few letters, and then a phone call... that, you need to make an appointment, because sometimes people forget.” (P3/FGD1)

Enhancing Health Professionals’ Communication and Cultural skills
  • “I think if they should put people who are culturally sensitive and understand Africa issues, or wherever this woman is coming from so that when the person asks a question, they can understand.” (P4/FGD1)

  • “Also, to address the fear thing. They (nurses) should make people know that having cervical cancer is not a death sentence and that there are measures available if something is being detected.” (P1/FGD8)