I think there have been some nice ideas on here about changing campaigns for the better, in theory. However, reassurance and telling women they will encounter lovely, understanding HCPs who will listen to them respectfully, work together with them to make it a more tolerable experience etc. will only work if it reflects reality. Too often, as exemplified by other threads, women have awful experiences and are cajoled and sometimes even harassed into screening after having it brought up at unrelated appointments. That’s certainly been my experience and it doesn’t leave you motivated to go back, that’s for sure. Especially if you are a woman/trans man facing barriers.
To me, funds would be better spent on educating HCPs on informed consent and trauma-informed care. Then, women can be presented with factual information about the risks and benefits of screening, in order to give informed consent, and supported to access it if there are barriers and if they want it. Preferably, they should be supported in a way that means they don’t have to disclose things like past trauma if they don’t want to. Accommodations should be built into the system.
Any future campaigns need to be free from the usual tactics of scaremongering, shaming, infantilisation, minimising concerns, and sexualising an invasive medical procedure. And, ideally, should promote kinder conversations on the topic. The way women speak to each other about screening is just awful.
Finally, I really think the way forward is a self-testing option. It’s available in a number of countries already.