Interventions to increase mammography screening uptake among women living in low-income and middle-income countries: a systematic review

Authors: Ifeoma Jovita Nduka, Izuchukwu Loveth Ejie, Charles Ebuka Okafor, George Uchenna Eleje, Obinna Ikechukwu Ekwunife

The objective of this study was to systematically identify interventions that increase the use of mammography screening in women living in low-income and middle-income countries. A systematic review was conducted utilizing the following databases: MEDLINE, Embase, Global Health, CINAHL, PsycINFO, Web of Science, Cochrane Central Register of Controlled Trials, Google Scholar and African regional databases. Overall, five studies met the inclusion criteria, consisting of two randomized controlled trials, one quasi-experiment, and two cross-sectional studies. Mass and small media campaigns, group education, reduction of economic and structural barriers, client reminders, and engagement of CHWs were all found to be effective strategies for increasing use of mammography among women in LMICs. These findings support the adoption of these interventions, while particularly emphasizing the potential of multicomponent interventions to increase use of mammography.