scholarly journals Cervical cancer: perception of peripheral health workers in Lucknow: a cross-sectional study

Author(s):  
Arshi Ansari ◽  
Monika Agarwal ◽  
V. K. Singh ◽  
Kumari Nutan ◽  
Sujata Deo

Background: Cervical cancer is one of the most prevalent cancers among Indian women. Cervical cancer incidence reduces dramatically when effective screening programs linked with access to treatment are in place and are readily accessible. Peripheral health workers (PHWs) being frontline workers have a major influence on raising awareness among community about acceptability of available screening programmes. This study was thus conducted to assess the awareness of PHWs regarding risk factors, signs and symptoms, early detection and prevention for cervical cancer.Methods: A questionnaire-based study was conducted among 450 PHWs (ASHAs and BHWs). Information was collected regarding their bio-social characteristics, awareness about female cancers, risk factors, signs/symptoms, early detection methods and services available for screening and prevention of cervical cancer.Results: Awareness of different aspects of cervical cancer was found to be very low. Only eight per cent of the PHWs had good awareness score. BHWs obtained statistically significant better mean scores as compared to ASHAs. Few (7.6%) PHWs had received training for any type of female cancers. Only 17 per cent of the PHWs were aware of HPV vaccine availability and only 29 per cent from them could name the vaccine.Conclusions: Majority of the PHWs had poor awareness about cervical cancer and available screening facility in our health system. They had almost no idea of availability of free HPV vaccination at the Sampoorna clinics. This low level of awareness calls for regular training of PHWs on cervical cancer which would ultimately trickle down to the community.

2021 ◽  
Vol 4 (1) ◽  
pp. 44-50
Author(s):  
Nisha Mehta ◽  
Saroj Singh

Introduction: Cervical cancer is the fourth most common cause of cancer in women in the world and the second most common cancer among Indian women. About 23% of the global cervical cancer burden is beard by India alone. The screening of cervical cancer is commonly done by a pap smear, visual inspection of acetic acid, human papillomavirus DNA testing etc. These identify precancerous changes which when treated can prevent the development of cancer. The objectives of the study were to screen the patient at Gynecology OPD by visual Inspection with acetic acid (VIA) and Pap smear for early detection of cervical cancer and to evaluate the efficacy of visual inspection with acetic acid and Pap smear in the early detection of cervical cancer. Methods: A descriptive cross-sectional study was conducted among 60 women attending Gynecology O.P.D of a Tertiary Level Hospital, Gwalior (India) by non-probability purposive sampling technique between 1st August to 30th August 2017. Pap smear was taken from each woman followed by VIA. Women with positive VIA and/or positive Pap smear were referred for colposcopy-directed cervical biopsy. Results: After the application of 3% VIA among 60 women, 16 (26.67%) developed acetowhite while 44 (73.33%) didn’t. While the result of Pap smear shows, 22 (36.66%) had an inflammatory smear, 6(10%) shows benign smear, 9(15%) bacterial vaginosis, 1(1.66%) squamous metaplastic cells, 12 (20%) shows adenocarcinoma and 10(16.66%) normal pap smear.  Conclusion: The study concludes that VIA and pap smear were effective methods for the early detection of cervical cancer. Visual inspection of the cervix after acetic acid application (VIA) is widely recommended as the method of choice in cervical cancer screening programs in resource-limited settings and developing countries because of its simplicity, cost-effectiveness and ability to link with immediate treatment.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Mariene Wiwin Dolang ◽  
Christina - Leasa

Reproductive Health is a state of complete physical, mental and social well-being that is not solely free from diseases related to the reproductive system. Cervical cancer is cancer that grows from cervical cells, cervical cancer can originate from cells in the cervix but can also grow from cervical cells. This situation is usually accompanied by bleeding and abnormal vaginal discharge. The purpose of this study was to analyze the factors associated with early detection of cervical cancer in fertile age women at Puskesmas Benteng. The design of this study was an observational analytic study with a cross sectional approach. The sample in this study was WUS aged 15-49 years old who were in the Puskesmas Benteng area as many as 135 respondents. The results showed there was a relationship between knowledge (p = 0.004), first age of marriage (p = 0.014), husband's support (p = 0.005), and the role of health workers (p = 0.005) with early detection of cervical cancer in fertile age women at Puskesmas Benteng.DETERMINAN DETEKSI DINI KANKER SERVIKS PADA WANITA USIA SUBUR


2018 ◽  
Vol 13 (1) ◽  
pp. 24-27
Author(s):  
Zebunnessa Parvin ◽  
Lutfun Naher ◽  
Sanjoy Kumar Das ◽  
Shafeya Khanam ◽  
Nasrin Rosy

Cervical cancer continues to be a major public health problem in Bangladesh in the absence of satisfactory and organized cervical screening programs. World Health Organization (WHO) considered cervical cancer as a preventable disease, as it can be identified in the pre-invasive stage. Visual inspection of the cervix with acetic acid (VIA) is an effective, inexpensive screening test that can be combined with simple treatment procedure for early cervical lesions, provided by trained health workers. To evaluate the value of visual inspection with acetic acid (VIA) for early detection of cervical pre-cancer and cancer in low resource country like Bangladesh, diluted acetic acid 5% was applied to the cervix and visual inspection was done. VIA tests were done for at least 3 years interval, in case of married woman, for cervical cancer screening. Women with positive results were sent for colposcopy. From January to December 2014, in Gynae OPD of the Faridpur Medical College Hospital, Faridpur, a total of 2000 women were screened by VIA test. Fourty-one VIA positive cases were identified and referred for colposcopy. Out of 41 cases, 27 patients underwent colposcopic examination, among them CIN-1 was found in 21 cases, CIN-2 in 2 cases and CIN-3 in 2 cases. However, two cases were colposcopically negative. So even during gynecological practice, if we arrange a setup for cervical screening by VIA test, many women can be saved from future development of carcinoma cervix later in their lives.Faridpur Med. Coll. J. Jan 2018;13(1): 24-27


2021 ◽  
Vol 4 (2) ◽  
pp. 160-168
Author(s):  
Lifiah Ninja Astuti ◽  
La Ode Ali Hanafi ◽  
Juslan

Data from the Jati Raya Health Center UPTD found that the number of women of childbearing age who did the IVA examination was still lacking. This study aimed to determine the factors related to the Acetic Acid Visual Inspection (IVA) as early detection of cervical cancer in women of childbearing age in the working area of Jati Raya Public Health Center in Kendari City. This study employed an observational analytic method with a Cross-Sectional Study approach. The population amounted to 488 people with a total sample of 83 people, using simple random sampling. The method of analysis used the Chi-Square test. The results of the study showed that knowledge with value X2count=13.414>X2table=4.605, attitude with value X2count=31.867>X2table=2.705, and health workers support with value X2count=0.163>X2table=2.705. In conlusion, there was a relationship between knowledge and attitude with IVA as early detection of cervical cancer in women of childbearing age and there was no relationship between the health workers support and IVA as early detection of cervical cancer in women of childbearing age. It is recommended to the Jati Raya Health Center to increase socialization and provide information about the implementation of the IVA program.


2019 ◽  
Vol 30 ◽  
pp. vi101
Author(s):  
Md Shariful Islam ◽  
Yeasmin Akter ◽  
A.K.M. Mohiuddin ◽  
Fatematuz Zuhura Evamoni ◽  
Mehedi Hasan ◽  
...  

Author(s):  
Nelly Mariyam ◽  
Idha Budiarti

ABSTRAK Tujuan dari penelitian ini adalah diketahuinya hubungan paritas dengan kejadian hiperemesis gravidarum pada ibu hamil di RS Muhammadiyah Palembang Tahun 2018. Penelitian ini menggunakan desain penelitian cross sectional. Besar sampelnya adalah 35 responden diambil dengan teknik total sampling. Hasil penelitian menunjukkan bahwa kelompok primipara yang mengalami hiperemesis gravidarum tingkatan pertama 0 responden (0%), hiperemesis gravidarum tingkatan kedua 11 responden (44,0%) dan hiperemesis gravidarum tingkatan ketiga sebanyak 14 responden (56,0%). Pada kelompok multipara jumlah ibu yang megalami hiperemesis gravidarum tingkatan pertama 2 responden (20,0%), hiperemesis gravidarum tingkatan kedua 3 responden (30,0%), dan hiperemesis gravidarum tingkatan ketiga sebanyak 5 responden (50,0%). Terdapat hubungan yang bermakna antara paritas dengan kejadian hiperemesis gravidarum pada ibu hamil di RS Muhammadiyah Palembang tahun 2018 (p value = 0,067 <a = 0,05). Berdasarkan hasil penelitian ini disarankan kepada petugas kesehatan untuk melakukan deteksi dini bagi ibu yang diidentifikasi memiliki faktor risiko hiperemesis melalui konseling dan pelayanan KIA. Kata Kunci      : Paritas, Kejadian Hiperemesis Gravidarum   ABSTRACT The aim of this study is to know the correlation between parity and hyperemesis gravidarum to pregnant mothers at Muhammadiyah Hospital Palembang 2018. The method of this study is cross sectional research design. The sample of study was 35 respondents taken with total sampling technique. The result of study showed that primipara group having hyperemesis gravidarum in the first level 0 respondent (0%), hyperemesis gravidarum second level 11 respondents (44,0%) and hyperemesis gravidarum third level 14 respondents (56,0%).  In the multiparous group, the number of mothers with hyperemesis gravidarum was 2 respondents (20.0%), hyperemesis gravidarum second level 3 respondents (30.0%), and hyperemesis gravidarum third level of 5 respondents (50.0%). There was a significant correlation between parity and hyperemesis gravidarum occurrence in pregnant mothers at Muhammadiyah Hospital Palembang 2018 (p value = 0,067 <a = 0,05). Based on the results of this study it is suggested to health workers to perform early detection for mothers who are identified to have hyperemesis risk factors through counseling and KIA services. Keywords           : Parity, Hypremesis Gravidarum


Author(s):  
Santhana Lakshmi M. ◽  
Sugunadevi G.

Background: Worldwide breast cancer is one of the most common type of non-skin cancer in women and the fifth most common cause of cancer death. As the incidence of breast cancer is rising, there is a current need to educate the women on preventive measures of breast cancer. The objectives of the study were to assess the knowledge on risk factors and on the preventive measures of breast cancer among women aged 20-30 years.Methods: The cross-sectional study was conducted among 200 women aged 20-30 years residing in an urban area in Coimbatore. A questionnaire was designed to assess the awareness levels on risk factors and the preventive measures of Breast cancer among the study participants.Results: The study showed that most of the women (91%) were not aware about the risk factors of breast cancer and only 7.5% knew that lesser duration of breast feeding for <6 months is an important risk factor for breast cancer. 89.5% were not aware about the symptoms of breast cancer. 92.5% were not aware about the preventive measures of breast cancer. None of them were aware of breast self-examination (BSE) as an important early detection measure for breast cancer. Comparing the educational status and the level of awareness on Breast cancer among the study subjects we found that the educational status had significant influence on the level of awareness on breast cancer (p<0.0001).Conclusions: The knowledge on risk factors, symptoms and on the preventive measures of breast cancer among the women aged 20-30 years was very low. To increase the awareness about breast cancer in the community, frequent educational interventions and screening programs needs to be conducted by health workers.


2019 ◽  
Vol 1 (1) ◽  
pp. 17
Author(s):  
Ummul Qura ◽  
Jumriani Ansar ◽  
Dian Sidik Arsyad ◽  
Indra Dwinata ◽  
Muh Ikhsan ◽  
...  

Background: Cervical cancer can be recognized at the pre-cancer stage by doing early detection test in married women. One of the cervical cancer early detection methods is Visual Inspection with Acetic Acid (VIA) test. The coverage of the early detection of cervical cancer through VIA test method in 2017 was still very low, i. e. 1.03% from the national target of 50%. The research aims to know the determinants of cervical cancer early detection behaviour by using IVA test method in visitors of Policlinic KIA-KB (Pediatric and Family Planning Polyclinic) in Kassi-Kassi Public Health Center.Methods: The research was observational analytical research with cross-sectional study design. The population of the study was all women of fertile couple that visited Policlinic KIA-KB in Kassi-Kassi Public Health Center and lived within the coverage area of Kassi-Kassi Public Health Center, which amounted to 135 women. The samples were 101 women that were collected by using the accidental sampling technique.Results: The results showed that there was a relation between knowledge (p=0.000), attitude (p=0.005), husband support (p=0.000), as well as health worker support (p=0.000) and early detection behaviour by using IVA test method. Conclusions: Meanwhile, there was no relation between education and early detection behaviour by using IVA test method. There should be proactive and creative actions from health workers in improving the knowledge of the targets and their husbands about early detection of cervical cancer.


Author(s):  
Jagmahender Singh Sehrawat ◽  
. Garima ◽  
Suman Mor

Background: The entire world is at the risk of various dreadful diseases and cancer is one of them. Most of the victims seek medical interventions at advanced stage of breast cancer due to lack of awareness about its risk factors, symptoms, early detection methods and treatment. Present study was conducted to assess the knowledge levels, beliefs and the practices about breast cancer among both rural and urban women of Gurdaspur (Punjab) in an attempt to spread awareness and remove the fear of an unwarranted trauma among target population.Methods: Data was generated by interviewing 300 Gurdaspur (Punjab) women (20-40 years) through a pre-structured questionnaire designed to collect information about their knowledge of breast cancer, its causative factors, screening methods, treatments and beliefs.Results: Mean age of the participants was 41±5 years. More than 80% women had heard about breast cancer from family members or friends. About 70% women had knowledge about symptoms of this traumatic disease and more than half of them had heard about the practice of breast self-examination, though only 8.9% urban and 5.2% rural women had ever practiced it. Awareness of breast cancer was found significantly associated with age, marital status, educational level and socioeconomic status of the woman.Conclusions: Participants had a very limited knowledge about symptoms, screening procedure, risk factors, treatment of breast cancer etc. Some public health intervention and evaluation programs are urgently required to educate women about early detection and treatment strategies of breast cancer to reduce mortality from this disease.


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