The abstract presents a Knowledge, Attitudes, and Practices (KAP) study findings of reproductive cancers in Zanzibar Island of Tanzania, which comprised of women of reproductive age and adolescents. The study applied the Behavioral and Social Drivers (BeSD) framework to explore the cognitive, emotional, social, and structural determinants influencing health-seeking behaviors related to reproductive cancer prevention. Quantitative surveys assessed knowledge and practices, while qualitative interviews and focus groups unpacked deeper behavioral drivers and contextuais nuances. The study underscored the need for a holistic, system-wide approach that integrates community engagement, gender-responsive services, and behavioral insights into health system reforms. Social norms, especially gendered decision-making dynamics, emerged as pivotal, women and adolescents often required approval from male family members, especially fathers, husbands, or faith leaders, and in some instances in-laws. Men were found to be under-informed yet influential. Systemic barriers to screening and HPV vaccination, including inconsistent service availability, lack of trained female providers, and unclear eligibility messaging, further eroded trust and discouraged follow-through, even among motivated individuals.
The abstract presents a Knowledge, Attitudes, and Practices (KAP) study findings of reproductive cancers in Zanzibar Island of Tanzania, which comprised of women of reproductive age and adolescents. The study applied the Behavioral and Social Drivers (BeSD) framework to explore the cognitive, emotional, social, and structural determinants influencing health-seeking behaviors related to reproductive cancer prevention. Quantitative surveys assessed knowledge and practices, while qualitative interviews and focus groups unpacked deeper behavioral drivers and contextuais nuances. The study underscored the need for a holistic, system-wide approach that integrates community engagement, gender-responsive services, and behavioral insights into health system reforms. Social norms, especially gendered decision-making dynamics, emerged as pivotal, women and adolescents often required approval from male family members, especially fathers, husbands, or faith leaders, and in some instances in-laws. Men were found to be under-informed yet influential. Systemic barriers to screening and HPV vaccination, including inconsistent service availability, lack of trained female providers, and unclear eligibility messaging, further eroded trust and discouraged follow-through, even among motivated individuals.
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