Overcoming barriers to screening
A range of strategies can be considered by GPs, nurses and clinics to encourage eligible women to have regular Pap tests. These strategies could include:
- Explaining how a Pap test is carried out and stressing that it is a screening tool for healthy women rather than a diagnostic one.
- Asking if patients would prefer a female colleague to perform the Pap test.
- Stressing the importance of regular Pap tests as a preventative measure.
- Being aware of language barriers and addressing these (for instance, using a language or sign interpreter).
- Encouraging the patient to bring a friend or relative.
- Sending a reminder letter from your clinic when the woman's next Pap test is due.
- Acknowledging specific cultural beliefs, for instance the Aboriginal and Torres Strait Islander community consider Pap tests 'women's business'. In this circumstance arranging for a female to take the Pap test, and trying to find an Aboriginal health worker to accompany the woman may be helpful.
- Acknowledging that Pap tests can be awkward and putting patients who feel ashamed, scared or embarrassed at ease. Let women know that you can stop the test at any time if they feel uncomfortable.
- Having longer appointments to allow sufficient time for questions, to discuss the process and allay concerns and issues.
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Case study: Sue
I work at the Well Women's Clinic at the Royal Women's Hospital in Parkville.
I trained to be a Pap test provider because I understood women wanted a female practitioner.
