Promoting Cervical Health: Addressing Screening Gaps Among Roma Women

In a significant health initiative aimed at improving cervical cancer screening rates, Roma health coordinator Gina Miyagawa, associated with Cork Kerry Community Healthcare, has been actively engaging the local Roma community in Cork, Ireland. This outreach, which emphasizes the importance of cervical screening, has revealed that many Roma women had never participated in such tests before.

Cervical cancer remains a critical public health issue, and the World Health Organization (WHO) has recommended that women aged 25 to 65 undergo regular screening to detect potential abnormalities early. According to the Health Service Executive (HSE) of Ireland, cervical screening tests can significantly reduce the incidence of cervical cancer when conducted regularly. Despite this, cultural barriers and lack of information have resulted in lower screening rates among minority communities, including the Roma.

Miyagawa, who coordinates health-related activities at the South Parish community center, recently hosted two successful sessions focused on cervical cancer screening, sexual health, and HPV vaccination. "Many women were unaware of the cervical screening program, so we took time to discuss its importance and dispel myths surrounding it," she explained. The sessions provided translated resources to ensure the information was accessible.

Dr. Mary O'Reilly, a public health expert at University College Cork, supports initiatives like Miyagawa's. She noted, "Engaging communities in their own health care is vital. Cultural sensitivity and tailored information can bridge the gap in health services for marginalized groups."

The initiative also includes physical activities, such as the 'Walk Your Heart Healthy' program, designed to promote both physical and mental well-being. After each session, participants engage in walks, fostering community spirit and shared experiences.

Miyagawa’s work aligns with the National Action Plan Against Racism (NAPAR), as she contributes to policymaking aimed at combating anti-Roma racism. Her involvement in these discussions highlights the intersection of health and social justice in public health policies.

The HSE has reported that cervical screening participation rates among the general population are around 80%. However, it is crucial to ensure that vulnerable populations, like the Roma, are not left behind. Increasing awareness and encouraging participation in screening programs can lead to early detection and treatment, ultimately reducing cervical cancer mortality rates.

As the initiative progresses, it is imperative to evaluate its impact on screening uptake among Roma women. Future studies could assess the effectiveness of community engagement in improving health outcomes. By fostering a culture of health awareness and proactive engagement, initiatives led by health coordinators like Miyagawa could serve as models for similar communities nationwide.

For more information on cervical screening and to check registration, individuals are encouraged to visit the HSE's CervicalCheck website at hse.ie/cervicalcheck.