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Providers' constructions of the role of women in cervical cancer screening in Bulgaria and Romania

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  • Todorova, Irina L.G.
  • Baban, Adriana
  • Balabanova, Dina
  • Panayotova, Yulia
  • Bradley, Janet

Abstract

The social and institutional context of health-care reform in Eastern Europe has important implications for cervical cancer screening and prevention. The incidence and mortality from cervical cancer in Bulgaria and Romania have risen, which is in sharp contrast to the steady decline in most other countries in Europe during the last 2 decades. To analyze these dynamics we conducted a multi-component study of health systems and psychosocial aspects of cervical cancer screening in Bulgaria and Romania. Following the disappearance of organized preventive programs, the initiative for cervical cancer screening has shifted to providers and clients and depends on the way they perceive their responsibility and interpret their own and each other's roles in prevention. We focus on how providers construct women and their role in prevention of cervical cancer through their accounts. The analysis identified several discourses and themes in providers' constructions of women's responsibility for prevention of disease. These include responsible women as 'intelligent' and 'cultured'; non-attenders as 'irresponsible' and 'negligent'; women as needing monitoring and sanctioning; and women as 'victims' of health-care reform. We discuss the implications for health-care reform and health promotion.

Suggested Citation

  • Todorova, Irina L.G. & Baban, Adriana & Balabanova, Dina & Panayotova, Yulia & Bradley, Janet, 2006. "Providers' constructions of the role of women in cervical cancer screening in Bulgaria and Romania," Social Science & Medicine, Elsevier, vol. 63(3), pages 776-787, August.
    • Handle: RePEc:eee:socmed:v:63:y:2006:i:3:p:776-787
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    References listed on IDEAS

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    1. Balabanova, Dina & McKee, Martin, 2004. "Reforming health care financing in Bulgaria: the population perspective," Social Science & Medicine, Elsevier, vol. 58(4), pages 753-765, February.
    2. Sarkadi, Anna & Widmark, Catarina & Törnberg, Sven & Tishelman, Carol, 2004. "The 'hows', 'whos', and 'whens' of screening: gynaecologists' perspectives on cervical cancer screening in urban Sweden," Social Science & Medicine, Elsevier, vol. 58(6), pages 1097-1108, March.
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    Cited by:

    1. Stephen Hinchliffe & Mark A. Jackson & Katrina Wyatt & Anne E. Barlow & Manuela Barreto & Linda Clare & Michael H. Depledge & Robin Durie & Lora E. Fleming & Nick Groom & Karyn Morrissey & Laura Salis, 2018. "Healthy publics: enabling cultures and environments for health," Palgrave Communications, Palgrave Macmillan, vol. 4(1), pages 1-10, December.
    2. Andreassen, Trude & Weiderpass, Elisabete & Nicula, Florian & Suteu, Ofelia & Itu, Andreea & Bumbu, Minodora & Tincu, Aida & Ursin, Giske & Moen, Kåre, 2017. "Controversies about cervical cancer screening: A qualitative study of Roma women's (non)participation in cervical cancer screening in Romania," Social Science & Medicine, Elsevier, vol. 183(C), pages 48-55.
    3. Raluca Dania Todor & Gabriel Bratucu & Marius Alexandru Moga & Adina Nicoleta Candrea & Luigi Geo Marceanu & Costin Vlad Anastasiu, 2021. "Challenges in the Prevention of Cervical Cancer in Romania," IJERPH, MDPI, vol. 18(4), pages 1-14, February.

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