Experience of male partners of cervical cancer survivors at Bugando Cancer Centre in Mwanza Tanzania: a phenomenological qualitative study

Abstract

ABSTRACT Background Cervical cancer remains a major health concern, with over 600,000 cases globally, predominantly in low- and middle-income countries like those in Africa. Tanzania has an exceptionally high incidence rate of 54 per 100,000 people. Despite advancements in early detection and treatment, survivors often experience a reduced quality of life, including sexual distress and intimacy issues affecting the patients and their partners. Communication difficulties and relationship strains are common. The limited information on male partners’ experiences highlights the need for more research, especially in Mwanza, Tanzania. Objective: The study explored the experience of male partners of cervical cancer survivors at Bugando Cancer Centre in Mwanza, Tanzania. Materials and methods: This qualitative study employed a phenomenological approach to explore the experiences of male partners of cervical cancer survivors. Data were collected through in-depth, semi-structured interviews with 12 participants, selected via purposive sampling. The interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis to identify common themes and patterns. Manual thematic analysis facilitated the coding process, ensuring systematic data management. Ethical considerations included informed consent, confidentiality, and the right to withdraw. The study aimed to provide insights into the emotional, social, and psychological impacts on male partners, contributing to improved support mechanisms in healthcare settings. Results: This study explored the experiences of male partners of cervical cancer survivors at Bugando Cancer Centre in Mwanza, Tanzania. Three main themes emerged: challenges of male partners, relationship dynamics, and cultural norms. Participants faced significant psychosocial challenges, including stress, guilt, and social isolation, alongside financial strains due to treatment costs and lost income. Logistical challenges included accessing specialized care and lack of information. Relationship dynamics were strained by communication issues and changes in sexual intimacy. Cultural norms imposed additional xii burdens, with societal expectations and reliance on traditional practices affecting caregiving and health-seeking behaviors. This study highlights the need for comprehensive support for male partners of cervical cancer survivors. Conclusion: The study found that male partners of cervical cancer survivors experience an unbearable stress and financial difficulties, made worse by problems accessing care and not having enough information. Their relationships often suffer, especially in terms of communication and sexual intimacy. Cultural expectations add extra pressure, affecting how they care for their partners and seek medical help. This finding highlight the need to offer support programs for mental health, easy-to-understand information, counseling for relationships, and training for healthcare workers. This study makes a substantial contribution to the existing literature by addressing the notable gap in research on male partners of cervical cancer survivors, especially within low-resource settings such as Tanzania