TY - JOUR
T1 - The influence of institutional logics and emotions on the uptake of cervical cancer screening
T2 - A case study from Xai-Xai, Mozambique
AU - Major, Maria
AU - Lorenzoni, Cesaltina
AU - Munguambe, Khatia
AU - Fulane, Gefra
N1 - Funding Information:
We are grateful to everyone who has directly or indirectly made a contribution. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This manuscript was not funded by any institution. The study was built on a previous investigation undertaken for a Doctoral program. The Doctoral program was supported by Funda\u00E7\u00E3o para a Ci\u00EAncia e Tecnologia (FCT) of Portugal, which provided study scholarship to the first author from 2015 to 2019. The second author acknowledges that this work was supported by Funda\u00E7\u00E3o para a Ci\u00EAncia e a Tecnologia, grant UIDB/00315/2020.
Publisher Copyright:
© The Author(s) 2024.
PY - 2024/8
Y1 - 2024/8
N2 - This study investigates the role of emotional attachment to competing institutional logics on women’s uptake of cervical cancer screening in Mozambique. Through a qualitative study conducted in Xai-Xai, Southern Mozambique, we identify 2 concurrent logics in the context of screening: preservation logic, influenced by social-cultural norms, and the prevention logic, centered around screening. Women, affected by emotions such as shame, fear, and marital subordination, often become attached to the preservation logic, which influences their values and contradicts acceptance of screening. However, some women with marital autonomy may reflect on both logics and gradually detach themselves from the preservation norms and show their intention to adopt life-saving behavior by accepting screening. It is through their emotions that women show their attachment to and detachment from competing logics, reinforcing traditional norms on the one hand, or giving them the means to adopt preventive measures on the other. The study indicates that cultural expectations, shame and the desire to preserve intimacy tie women to the logic of preservation and have a negative impact on participation in cervical cancer screening. Consequently, to improve screening uptake in Mozambique, the authorities need to adapt screening to socio-cultural and emotional factors, empower women, and effectively engage communities.
AB - This study investigates the role of emotional attachment to competing institutional logics on women’s uptake of cervical cancer screening in Mozambique. Through a qualitative study conducted in Xai-Xai, Southern Mozambique, we identify 2 concurrent logics in the context of screening: preservation logic, influenced by social-cultural norms, and the prevention logic, centered around screening. Women, affected by emotions such as shame, fear, and marital subordination, often become attached to the preservation logic, which influences their values and contradicts acceptance of screening. However, some women with marital autonomy may reflect on both logics and gradually detach themselves from the preservation norms and show their intention to adopt life-saving behavior by accepting screening. It is through their emotions that women show their attachment to and detachment from competing logics, reinforcing traditional norms on the one hand, or giving them the means to adopt preventive measures on the other. The study indicates that cultural expectations, shame and the desire to preserve intimacy tie women to the logic of preservation and have a negative impact on participation in cervical cancer screening. Consequently, to improve screening uptake in Mozambique, the authorities need to adapt screening to socio-cultural and emotional factors, empower women, and effectively engage communities.
KW - autonomy
KW - cervical cancer
KW - emotions
KW - institutional logics
KW - Institutional theory
KW - Mozambique
UR - http://www.scopus.com/inward/record.url?scp=85202163462&partnerID=8YFLogxK
U2 - 10.1177/11786329231224619
DO - 10.1177/11786329231224619
M3 - Article
AN - SCOPUS:85202163462
SN - 1178-6329
VL - 17
SP - 1
EP - 10
JO - Health Services Insights
JF - Health Services Insights
ER -