Enhancing equity and efficiency in cervical screening uptake: a multidisciplinary quality improvement initiative
Background Cervical cancer screening is vital for early detection and prevention, yet uptake remains suboptimal in diverse communities. Local problem Cauldwell Medical Centre reported cervical screening uptake rates of 54% (ages 25–49) and 62% (ages 50–64) by June 2022, both significantly below the...
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| Language: | English |
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BMJ Publishing Group
2025-08-01
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| Series: | BMJ Open Quality |
| Online Access: | https://bmjopenquality.bmj.com/content/14/3/e003111.full |
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| _version_ | 1849236014141276160 |
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| author | Carlos Santos Julie Roye Joyce Tucker Christina Guevara |
| author_facet | Carlos Santos Julie Roye Joyce Tucker Christina Guevara |
| author_sort | Carlos Santos |
| collection | DOAJ |
| description | Background Cervical cancer screening is vital for early detection and prevention, yet uptake remains suboptimal in diverse communities. Local problem Cauldwell Medical Centre reported cervical screening uptake rates of 54% (ages 25–49) and 62% (ages 50–64) by June 2022, both significantly below the national target of 80%, with a concerning 8 percentage point disparity between age groups. Methods Using quality improvement (QI) methodologies, including Plan-Do-Study-Act cycles and statistical process control charts, the team tested eight cycles of change grouped into three high-impact actions designed to improve accessibility, trust and personalisation of cervical screening services. Tests of change included culturally sensitive outreach, extended clinic hours and a self-booking system to enhance accessibility and engagement. Results This QI initiative achieved a marked reduction in age-related inequalities in cervical screening uptake. By the end of the intervention period (March 2023), screening rates increased from 54% to 69% among women aged 25–49 and from 62% to 72% among women aged 50–64, narrowing the gap from 8 to 3 percentage points—a 60% reduction in disparity. By the final monitoring week, uptake further increased to 73% (ages 25–49) and 82% (ages 50–64), demonstrating how structured QI approaches can amplify the effectiveness of existing healthcare processes. Conclusions This project highlights that systematically applying QI methodologies can effectively address healthcare inequalities, providing a scalable model for improving cervical screening uptake among under-represented populations. |
| format | Article |
| id | doaj-art-7d8d41c4fe73408eaa36612a50209063 |
| institution | Kabale University |
| issn | 2399-6641 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open Quality |
| spelling | doaj-art-7d8d41c4fe73408eaa36612a502090632025-08-20T04:02:31ZengBMJ Publishing GroupBMJ Open Quality2399-66412025-08-0114310.1136/bmjoq-2024-003111Enhancing equity and efficiency in cervical screening uptake: a multidisciplinary quality improvement initiativeCarlos Santos0Julie Roye1Joyce Tucker2Christina Guevara3Quality Improvement Department, East London NHS Foundation Trust, London, UKEast London NHS Foundation Trust, London, UKEast London NHS Foundation Trust, London, UKEast London NHS Foundation Trust, London, UKBackground Cervical cancer screening is vital for early detection and prevention, yet uptake remains suboptimal in diverse communities. Local problem Cauldwell Medical Centre reported cervical screening uptake rates of 54% (ages 25–49) and 62% (ages 50–64) by June 2022, both significantly below the national target of 80%, with a concerning 8 percentage point disparity between age groups. Methods Using quality improvement (QI) methodologies, including Plan-Do-Study-Act cycles and statistical process control charts, the team tested eight cycles of change grouped into three high-impact actions designed to improve accessibility, trust and personalisation of cervical screening services. Tests of change included culturally sensitive outreach, extended clinic hours and a self-booking system to enhance accessibility and engagement. Results This QI initiative achieved a marked reduction in age-related inequalities in cervical screening uptake. By the end of the intervention period (March 2023), screening rates increased from 54% to 69% among women aged 25–49 and from 62% to 72% among women aged 50–64, narrowing the gap from 8 to 3 percentage points—a 60% reduction in disparity. By the final monitoring week, uptake further increased to 73% (ages 25–49) and 82% (ages 50–64), demonstrating how structured QI approaches can amplify the effectiveness of existing healthcare processes. Conclusions This project highlights that systematically applying QI methodologies can effectively address healthcare inequalities, providing a scalable model for improving cervical screening uptake among under-represented populations.https://bmjopenquality.bmj.com/content/14/3/e003111.full |
| spellingShingle | Carlos Santos Julie Roye Joyce Tucker Christina Guevara Enhancing equity and efficiency in cervical screening uptake: a multidisciplinary quality improvement initiative BMJ Open Quality |
| title | Enhancing equity and efficiency in cervical screening uptake: a multidisciplinary quality improvement initiative |
| title_full | Enhancing equity and efficiency in cervical screening uptake: a multidisciplinary quality improvement initiative |
| title_fullStr | Enhancing equity and efficiency in cervical screening uptake: a multidisciplinary quality improvement initiative |
| title_full_unstemmed | Enhancing equity and efficiency in cervical screening uptake: a multidisciplinary quality improvement initiative |
| title_short | Enhancing equity and efficiency in cervical screening uptake: a multidisciplinary quality improvement initiative |
| title_sort | enhancing equity and efficiency in cervical screening uptake a multidisciplinary quality improvement initiative |
| url | https://bmjopenquality.bmj.com/content/14/3/e003111.full |
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