{"doi":"10.1017/s1463423625100169","title":"Challenges to women’s cancer control in Morocco: a qualitative study of lay advisors and civil society perspectives","abstract":"<jats:title>Abstract</jats:title>\n\t  <jats:sec id=\"S1463423625100169_as1\">\n\t    <jats:title>Aim:</jats:title>\n\t    <jats:p>This study explores the perspectives of cancer lay health providers and civil society on the barriers and facilitators to cancer detection and treatment among women.</jats:p>\n\t  </jats:sec>\n\t  <jats:sec id=\"S1463423625100169_as2\">\n\t    <jats:title>Background:</jats:title>\n\t    <jats:p>In 2010, the Moroccan Ministry of Health implemented a national plan for cancer care and control. Activities focused on strengthening multisectoral collaboration in cancer care and control, including promoting early detection in primary care. Despite progress in reducing women’s cancer mortality, socio-cultural challenges impede further gains. Elucidating the perspectives of the community-based and civil society allied in cancer control is critical to addressing cancer disparities.</jats:p>\n\t  </jats:sec>\n\t  <jats:sec id=\"S1463423625100169_as3\">\n\t    <jats:title>Methods:</jats:title>\n\t    <jats:p>Data were collected through in-depth interviews with cancer lay health advisors (<jats:italic>n</jats:italic> = 10) and civil society members (<jats:italic>n</jats:italic> = 10) on topics of challenges and opportunities to improve care-seeking and treatment. Data were analysed using thematic analysis and guided by the socio-ecological model.</jats:p>\n\t  </jats:sec>\n\t  <jats:sec id=\"S1463423625100169_as4\">\n\t    <jats:title>Findings:</jats:title>\n\t    <jats:p>Barriers and facilitators to early diagnosis and treatment were identified at levels of the individual, family, community/societal, and the health system. Barriers to early detection include taboo and stigma, fear of death, and gender norms and roles. Financial and geographic barriers, lack of psychosocial support, and poor health system/provider communication were major deterrents related to treatment. Results suggest intervention targets to reduce late-stage presentation for women, including enhancing educational efforts and augmenting community outreach linkages to primary care.</jats:p>\n\t  </jats:sec>","journal":"Primary Health Care Research &amp; Development","year":2025,"id":628447,"datarank":0.16479184330021646,"base_score":1.0986122886681096,"endowment":1.0986122886681096,"self_citation_contribution":0.16479184330021646,"citation_network_contribution":0.0,"self_endowment_contribution":0.16479184330021646,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1627108,"name":"Maha Naamaoui","orcid":"0009-0009-4609-3103","position":1,"is_corresponding":false},{"id":373343,"name":"Amr S. Soliman","orcid":"0000-0003-2284-360X","position":2,"is_corresponding":false},{"id":1021569,"name":"Majdouline Obtel","orcid":"0000-0002-3357-0603","position":3,"is_corresponding":false},{"id":1627109,"name":"Wafaa Kaikani","orcid":"0000-0003-3317-0826","position":4,"is_corresponding":false},{"id":1627110,"name":"Hafida Charaka","orcid":null,"position":5,"is_corresponding":false},{"id":452849,"name":"Chakib Nejjari","orcid":"0000-0001-9610-8507","position":6,"is_corresponding":false},{"id":1021571,"name":"Mohamed Khalis","orcid":"0000-0003-4639-049X","position":7,"is_corresponding":false},{"id":1126391,"name":"Amy Luo","orcid":"0000-0002-4466-375X","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Challenges to women’s cancer control in Morocco: a qualitative study of lay advisors and civil society perspectives","abstract":"<jats:title>Abstract</jats:title>\n\t  <jats:sec id=\"S1463423625100169_as1\">\n\t    <jats:title>Aim:</jats:title>\n\t    <jats:p>This study explores the perspectives of cancer lay health providers and civil society on the barriers and facilitators to cancer detection and treatment among women.</jats:p>\n\t  </jats:sec>\n\t  <jats:sec id=\"S1463423625100169_as2\">\n\t    <jats:title>Background:</jats:title>\n\t    <jats:p>In 2010, the Moroccan Ministry of Health implemented a national plan for cancer care and control. Activities focused on strengthening multisectoral collaboration in cancer care and control, including promoting early detection in primary care. Despite progress in reducing women’s cancer mortality, socio-cultural challenges impede further gains. Elucidating the perspectives of the community-based and civil society allied in cancer control is critical to addressing cancer disparities.</jats:p>\n\t  </jats:sec>\n\t  <jats:sec id=\"S1463423625100169_as3\">\n\t    <jats:title>Methods:</jats:title>\n\t    <jats:p>Data were collected through in-depth interviews with cancer lay health advisors (<jats:italic>n</jats:italic> = 10) and civil society members (<jats:italic>n</jats:italic> = 10) on topics of challenges and opportunities to improve care-seeking and treatment. Data were analysed using thematic analysis and guided by the socio-ecological model.</jats:p>\n\t  </jats:sec>\n\t  <jats:sec id=\"S1463423625100169_as4\">\n\t    <jats:title>Findings:</jats:title>\n\t    <jats:p>Barriers and facilitators to early diagnosis and treatment were identified at levels of the individual, family, community/societal, and the health system. Barriers to early detection include taboo and stigma, fear of death, and gender norms and roles. Financial and geographic barriers, lack of psychosocial support, and poor health system/provider communication were major deterrents related to treatment. Results suggest intervention targets to reduce late-stage presentation for women, including enhancing educational efforts and augmenting community outreach linkages to primary care.</jats:p>\n\t  </jats:sec>","is_dataset_classified":null,"base_score":1.0986122886681096,"endowment":1.0986122886681096,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"40518973","pmcid":"PMC12175096","openalex_id":"https://openalex.org/W4411328117","authors":[],"funders":[{"funder_name":"NIMHD NIH HHS","grant_id":"U54 MD017979","title":null},{"funder_name":"National Institutes of Health","grant_id":"5R25CA112383-18","title":"Cancer Epidemiology Education in Special Populations (CEESP)"},{"funder_name":"National Institutes of Health","grant_id":"2T32MH122357-06","title":"Integrating data for causal inference in behavioral health"}],"total_grants":3,"fwci":0.9799,"citation_percentile":0.7646031,"influential_citations":0,"citation_trend":[{"year":2026,"count":2}],"oa_status":"gold","license":"cc-by","oa_locations":[{"url":"https://www.cambridge.org/core/services/aop-cambridge-core/content/view/AD7A5EEAEBB7C00B7B9DAF82FF9194D9/S1463423625100169a.pdf/div-class-title-challenges-to-women-s-cancer-control-in-morocco-a-qualitative-study-of-lay-advisors-and-civil-society-perspectives-div.pdf","host_type":"journal"},{"url":"https://www.cambridge.org/core/services/aop-cambridge-core/content/view/AD7A5EEAEBB7C00B7B9DAF82FF9194D9/S1463423625100169a.pdf/div-class-title-challenges-to-women-s-cancer-control-in-morocco-a-qualitative-study-of-lay-advisors-and-civil-society-perspectives-div.pdf","host_type":"publisher"},{"url":"https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S1463423625100169","host_type":"publisher"},{"url":"https://doi.org/10.1017/s1463423625100169","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/40518973","host_type":"repository"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12175096","host_type":"repository"},{"url":"https://europepmc.org/articles/PMC12175096","host_type":"Europe_PMC"},{"url":"https://europepmc.org/articles/PMC12175096?pdf=render","host_type":"Europe_PMC"},{"url":"http://dx.doi.org/10.1017/S1463423625100169","host_type":""}],"fields_of_study":["Global Cancer Incidence and Screening","Cancer survivorship and care","Global Maternal and Child Health","03 medical and health sciences","0305 other medical science"],"mesh_terms":["Adult","Community Health Workers","Female","Health Services Accessibility","Humans","Interviews as Topic","Middle Aged","Morocco","Neoplasms","Patient Acceptance of Health Care","Women's Health","Qualitative Research","Early Detection of Cancer"],"keywords":["Outreach","Psychosocial","Taboo","Thematic analysis","Civil society","Health care","Nursing","Qualitative research","Medicine","Political science","Public relations","Sociology","Psychiatry","Cancer","Morocco","Community Health","Health Systems","Lay Health Providers","Adult","Community Health Workers","Research Article Article","Middle Aged","Patient Acceptance of Health Care","Health Services Accessibility","Interviews as Topic","Neoplasms","Humans","Women's Health","Female","Early Detection of Cancer"],"sdg_mappings":[],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-05T13:34:03.140195Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}