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“A Huge Gap”: Health Care Provider Perspectives on Cancer Screening for Aboriginal and Torres Strait Islander People in the Northern Territory

Author

Listed:
  • Emma V. Taylor

    (Western Australian Centre for Rural Health, The University of Western Australia, Geraldton, WA 6530, Australia)

  • Sarah Dugdale

    (Health Statistics and Informatics, NT Health, Darwin, NT 0800, Australia)

  • Christine M. Connors

    (Public Health Division, NT Health, Darwin, NT 0800, Australia)

  • Gail Garvey

    (The School of Public Health, Faculty of Medicine, The University of Queensland, Herston, QLD 4006, Australia)

  • Sandra C. Thompson

    (Western Australian Centre for Rural Health, The University of Western Australia, Geraldton, WA 6530, Australia)

Abstract

Cancer is one of the leading causes of death for Aboriginal and Torres Strait Islander people in the Northern Territory (NT). Accessible and culturally appropriate cancer screening programs are a vital component in reducing the burden of cancer. Primary health care plays a pivotal role in facilitating the uptake of cancer screening in the NT, due to the significant challenges caused by large distances, limited resources, and cultural differences. This paper analyses health care provider perspectives and approaches to the provision of cancer screening to Aboriginal people in the NT that were collected as part of a larger study. Semi-structured interviews were conducted with 50 staff from 15 health services, including 8 regional, remote, and very remote primary health care (PHC) clinics, 3 hospitals, a cancer centre, and 3 cancer support services. Transcripts were thematically analysed. Cancer screening by remote and very remote PHC clinics in the NT is variable, with some staff seeing cancer screening as a “huge gap”, while others see it as lower priority compared to other conditions due to a lack of resourcing and the overwhelming burden of acute and chronic disease. Conversely, some clinics see screening as an area where they are performing well, with systematic screening, targeted programs, and high screening rates. There was a large variation in perceptions of the breast screening and cervical screening programs. However, participants universally reported that the bowel screening kit was complicated and not culturally appropriate for their Aboriginal patients, which led to low uptake. System-level improvements are required, including increased funding and resourcing for screening programs, and for PHC clinics in the NT. Being appropriately resourced would assist PHC clinics to incorporate a greater emphasis on cancer screening into adult health checks and would support PHCs to work with local communities to co-design targeted cancer screening programs and culturally relevant education activities. Addressing these issues are vital for NT PHC clinics to address the existing cancer screening gaps and achieving the Australian Government pledge to be the first nation in the world to eliminate cervical cancer as a public health problem by 2035. The implementation of the National Lung Cancer Screening Program in 2025 also presents an opportunity to deliver greater benefits to Aboriginal communities and reduce the cancer burden.

Suggested Citation

  • Emma V. Taylor & Sarah Dugdale & Christine M. Connors & Gail Garvey & Sandra C. Thompson, 2024. "“A Huge Gap”: Health Care Provider Perspectives on Cancer Screening for Aboriginal and Torres Strait Islander People in the Northern Territory," IJERPH, MDPI, vol. 21(2), pages 1-20, January.
  • Handle: RePEc:gam:jijerp:v:21:y:2024:i:2:p:141-:d:1327844
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    References listed on IDEAS

    as
    1. Emma V. Taylor & Marilyn Lyford & Lorraine Parsons & Michele Holloway & Karla Gough & Sabe Sabesan & Sandra C. Thompson, 2022. "Putting Policy into Practice: How Three Cancer Services Perform against Indigenous Health and Cancer Frameworks," IJERPH, MDPI, vol. 19(2), pages 1-21, January.
    2. Catherine Cosgrave, 2020. "The Whole-of-Person Retention Improvement Framework: A Guide for Addressing Health Workforce Challenges in the Rural Context," IJERPH, MDPI, vol. 17(8), pages 1-14, April.
    3. Emma V. Taylor & Rosalie D. Thackrah & Sandra C. Thompson, 2022. "Improving Access to Cancer Treatment Services in Australia’s Northern Territory—History and Progress," IJERPH, MDPI, vol. 19(13), pages 1-18, June.
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    Cited by:

    1. Shaila M. Strayhorn-Carter & Ken Batai & Francine C. Gachupin, 2024. "Types of Racism and Health Disparities and Inequalities among Cancer Patients: An Editorial Reflection of Articles in This Special Issue of IJERPH," IJERPH, MDPI, vol. 21(6), pages 1-8, June.

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