scholarly journals Assessment of uptake of cervical cancer screening services among women of reproductive age in Khwisero sub-county, Kakamega County, Kenya

Author(s):  
James G. Kiboche ◽  
Philip A. Ogutu ◽  
Anne Naliaka Mustami

Background: Cervical cancer stands to be amongst the major contributors to cancer demises and morbidity in the world. It is also ranked fourth among the most frequent types of cancer among women. The objective was assessing uptake of services for cervical cancer screening amongst women in the reproductive age in Khwisero Sub County, Kakamega County, Kenya.Methods: Cross sectional descriptive study of 393 females from the age of eighteen to forty nine who were purposively sampled from was conducted. A questionnaire was administered by the interviewer. The data was collected, cleaned and entered in the analysis software (SPSS version 17). The Pearson Chi-square was used to conduct bivariate analysis in order to define the relationships between the variables having a level of significance at p<0.05. The presentation of the captured results was then done in pie-charts, graphs, charts and tables.Results: Of the 393 interviewed 16.8% had a cervical cancer screening done either through pap smear, VIA and VILI within the past year. Significant influencers of screening uptake were marriage, age, parity, and health providers’ support.Conclusions: There was a low level of awareness and knowledge on cervical cancer which resulted in low uptake levels of screening services which also influenced by other factors like age and marital status.

2020 ◽  
Vol 22 (1) ◽  
Author(s):  
Mercy Kokuro ◽  
Abigail Kusi-Amponsah Diji

Cervical cancer is the second most frequently diagnosed and the fourth commonest cause of cancer death among women worldwide. Even though cervical cancer is preventable, its screening rate has been reported to be low in Ghana. To the best of our knowledge, no study has focused on the utilisation and perceptions of cervical cancer among women in their reproductive age in Ghana. The present study aimed at assessing the utilisation and perceptions of cervical cancer screening services among women who seek reproductive healthcare services. A descriptive cross-sectional study was carried out among women aged 18 years and above. Using a two-stage sampling technique, 369 participants were selected from 2 out of 4 eligible study sites. Data on the perceptions and utilisation of cervical cancer screening services were collected following ethical approval. The data were collected using both English and Twi versions of the questionnaire. The data were descriptively and inferentially analysed. A few of the participants had been previously screened for cervical cancer (n = 69; 18.7%), while a greater proportion of the participants appropriately perceived the screening benefits (> 70%), and an equally greater percentage of them harboured negative perceptions which prevented them from engaging in such endeavours (> 80%). Significant differences in perception were, however, observed in two-fifths of the studied areas (6/14) among the screened and unscreened participants. Cervical cancer screening services were not utilised by the majority of the participating women. Screening was associated with socio-demographic characteristics such as marital status, parity, education, and employment status. Inappropriate perceptions on cervical cancer screening may account for the low utilisation of cervical cancer screening. Therefore, all-inclusive health education on the benefits of cervical cancer screening for both women and men should be a priority for stakeholders and all health organisations.


Author(s):  
Bustanil Bustanil ◽  
Dina Putri Utami Lubis

Background: Cervical cancer is cancer that often happens and that causes of death to women. More than 270,000 deaths of cervical cancer each year in developing countries (WHO, 2014). Objective: To determine the correlation of perception of women in reproductive about cervical cancer with motivation Pap smear in Sapuangin, Srandakan, Bantul, Yogyakarta.Methods: Research methods is used in my research was quantitative research using a descriptive correlation design with cross sectional approach. The population women in reproductive age with the number 46 of sons in Sapuangin, Srandakan, Bantul, Yogyakarta. Sampling technique using saturated purposive sampling. Data collection using the questionnaire. Data analyzed used univariat analysis by fi nding the frequency distribution and bivariate analysis by correlation perception of women in reproductive age about cervical cancer with motivation Pap smear by Chi-Square. Results: Statistical test results obtained using the Chi-Square X 2 result amounted to 13.295> 5.591 X 2 tabel, the value of ρ value of 0,001 (ρ <0.05) and showed that Ha Ho accepted and rejected, meaning there is a perception of women in reproductive age about cervical cancer with motivation Pap smear in sapuangin. 0495 correlation value and signifi cance value of 0.001.Conclusion: There is a relation perception of women in reproductive age about cervical cancer with motivation Pap smear in Sapuangin, Srandakan, Bantul, Yogyakarta


2018 ◽  
Vol 11 (1) ◽  
pp. 451-463
Author(s):  
Elisa N. Vhuromu ◽  
Daniel T. Goon ◽  
Maria S. Maputle ◽  
Rachel T. Lebese ◽  
Benedine U. Okafor

Aim:Screening for early detection and treatment of cervical cancer is a cornerstone of prevention. The purpose of this study was to assess the awareness in women about the utilization of cervical cancer screening services in Vhembe District, South Africa.Methods:This cross-sectional study involved a random selection of 500 women aged 20-59 years in Vhembe District, Limpopo Province, South Africa. Data was collectedviaa self-structured questionnaire on the demographic variables, provision, utilization and awareness of cervical cancer screening services.Results:The majority of the participants agreed to have cervical cancer screening services in their clinics (79.2%), and never had a Pap smear (58.6%). Most women would not go for cervical cancer screening, mainly because of a lack of facilities (30.0%), fear of pain (24.4%), and embarrassment (15.2%). Most participants indicated that Pap smear test meant scraping the cervix to detect abnormal cancerous cells (39.2%) and 34.2% did not know a Pap smear. Majority of the participants indicated Pap smears should be done every 10 years (65.8%); Pap smears could detect cervical cancer earlier (66.8%), and had heard about cervical cancer (71.6%). The majority of the participants considered cervical cancer as a serious problem to warrant considerable attention (59.4%); and some perceived cervical cancer as transmittable through multiple sexual partners (22.2%). The majority of the participants were aware of a vaccine against cervical cancer for girls at school (69.0%), and it was indicated that government should use health education to encourage women to attend cervical screening services (51.6%).Conclusion:Despite the free availability of cervical cancer screening services and awareness, the utilization of cervical cancer screening services is low. There is a need to intensify cervical screening health talks and campaigns, and to provide alternative accessible options for screening services for women in rural areas.


2021 ◽  
Vol 15 (1) ◽  
pp. 1-9
Author(s):  
Rahmat A Oyekale ◽  
O Abimbola Oluwatosin ◽  
Olaide B Edet

Background/Aims More than one million women are currently living with cervical cancer. Approximately 311 000 deaths were attributed to the disease in 2018, with the majority occurring in low- and middle-income countries, like Nigeria. Cervical cancer screening has been consistently shown to be effective in reducing the occurrence of new cases of cervical cancer and mortality related to the disease. This study aimed to determine the predictors of cervical cancer screening among nurses in Ogbomoso, Oyo State. Methods This was a descriptive cross-sectional study, which used a structured pretested questionnaire to collect data from 230 nurses randomly selected from two settings in Ogbomoso, Nigeria. Data were analysed using descriptive statistics, Chi-Square and logistic regression. Results All participants had heard of cervical cancer and its screening measures. More than half of the respondents (68.7%) had never submitted for screening. The respondents reported factors such as lack of facilities (77.0%), financial status (76.5%), lack of awareness (75.7%), inconvenient screening time (75.7%) and level of education (71.7%) as influencers of use of cervical cancer screening. Logistic regression analysis showed marital status was significantly related to cervical cancer screening usage (P=0.047). Conclusions Good knowledge of nurses on cervical cancer screening does not translate to uptake of screening services. It is recommended that cervical and other cancer screening services should be included in the pre-employment medical examination of nurses to compel usage of screening services.


Author(s):  
Chidebe Christian Anikwe ◽  
Philip Chidubem Osuagwu ◽  
Cyril Chijioke Ikeoha ◽  
Okechukwu B Ikechukwu Dimejesi ◽  
Bartholomew Chukwunonye Okorochukwu

Background Cervical cancer is a preventable disease that contributes significantly to the death of women. This study is aimed at determining the level of knowledge and utilization of cervical cancer screening and its determinants among female undergraduates of Ebonyi State University. Methods A structured questionnaire was used for a cross-sectional survey of the study population between January 1 and March 3, 2018. The data were analyzed using IBM SPSS Statistics version 20. Data were represented with frequency table, simple percentage, mode, range, Chi square and pie chart. The level of significance is at P-value < 0.05. Results Majority (74.8%) of the respondents were aware of cervical cancer and it could be prevented (70.8%). More than three-fifths (68.30%) were informed via health workers, and 86.8% were aware that post-coital vaginal bleeding is a symptom. Less than half (49.8%) knew that HPV is the primary cause, and only 32.9% were aware of the HPV vaccine. One-quarter of the respondent were aware that early coitarche is a risk factor for cervical cancer. Only 41.8% of the women were aware of Pap smear, 9.2% had undergone screening, and 97.6% were willing to be screened. Marital status was the significant determinant of being screened while class level did not significantly influence uptake of cervical cancer screening. The most common reason (20.6%) for not being screened was lack of awareness of the test. Conclusion Our study population had a good knowledge of cervical cancer, but utilization of cervical cancer screening was poor. Awareness creation through the mass media and provision of affordable screening services can promote the use of cervical cancer screening in the study area.


2017 ◽  
Vol 16 (2) ◽  
pp. 18-22 ◽  
Author(s):  
Andrea Obročníková ◽  
Ľudmila Majerníková

AbstractAim. Cervical cancer is the most common genital malignancy and one of the leading causes of death among female population in Slovakia. At present, this location of cancer is preventable disease visible in screening for premalignant lesions if the women use and participate in such screening regularly. We assessed the knowledge on the cervical cancer screening, the attitude towards it and its utilization among women in Slovakia.Material and methods. A cross-sectional study evaluated the knowledge, attitude and practice of cervical cancer prevention and screening among women. The sample was composed of 239 women aged 18-64 years. Data collection was conducted by selfadministered questionnaire in a period from January to April 2015.Results. Respondents exhibited an average knowledge of cervical cancer, about risk factors and early signs, but awareness of cervical cancer screening was satisfactory. Despite the fact that respondents expressed good attitude to cervical cancer screening, their level of practice was low (64% participation in preventative gynaecology check-ups and 43% in Pap smear tests within one year and 44% within three years). In the study we could observe better results in women with higher education when it comes to an illness (p < .001), its prevention (p < .001) and risk behaviour (p < .001).Conclusions. The awareness of cervical cancer among women in Slovakia is limited. In the future there is a need to educate and promote awareness of cervical cancer among women to reduce the burden of morbidity and mortality.


2020 ◽  
Author(s):  
Elisha Ngetich ◽  
Irene Nzisa ◽  
Alfred Osoti

AbstractIntroductionCervical cancer is the leading cause of cancer death in women in low- and middle-income countries. In Kenya, cervical cancer incidence and prevalence have been increasing and in 2018 alone, there were 3286 deaths from cervical cancer. Previously, studies on cervical cancer prevention strategies have focused on women above 30 years old. However, as the risk factors for cervical cancer are acquired as early as in the teen years, an understanding of the awareness, uptake and determinants of screening services among college female students will help inform prevention strategies. This study sought to determine the awareness, uptake, determinants and barriers to cervical cancer screening services among colleges students in Kenya.MethodsThis was a multicenter cross-sectional study conducted in eight universities spread all over Kenya. Participants were interviewed using a self-administered structured questionnaire on sociodemographics, reproductive history, awareness on cervical cancer including screening practices, and attitude towards cervical cancer prevention services. Descriptive statistics were summarized using means and standard deviation (SD) for parametric data and median and interquartile range (IQR) for non-parametric data. Univariable and multivariable logistic regression analyses were done to determine odds ratios of factors associated with uptake of cervical cancer screening services. P-value of <0.05 was considered statistically significant.ResultsBetween January 2017 and Sept 2017, we screened 800 and enrolled 600 female colleges students from eight universities in Kenya. In total, 549 of the 600 (92%) participants completed the questionnaire. The median age (IQR) was 21(20,22) years. Nearly two-thirds 338(62.7%) were sexually active, while 54(16%) had concurrent sexual partners. The main form of contraception was oral postcoital emergency pills 123(64.7%). Only 76(14.4%) had screened for cervical cancer, and the commonest approach was a Pap smear 47(61.8%). About one half 40(54.1%) did not like their experience due to pain, discomfort and bleeding. Four out of five participants (439, 80.7%) had poor knowledge on cervical cancer screening. On bivariate analysis, increased level of awareness (odds ratio [OR] 1.08 95% Confidence Interval [CI] 1.03,1.18, p = 0.004), knowledge of someone with cervical cancer(OR 0.43 CI 0.23,0.78 p=0.006) and a perception of self-risk (OR2.6 CI 1.38,4.98 p=0.003) were associated with increased odds of uptake of cervical cancer screening. In the multivariate analysis, high awareness was significantly associated with increased odds of cervical cancer screening (OR 1.12 CI 1.04, 1.20 p=0.002).ConclusionsFemale college students in Kenya had low levels of awareness on cervical cancer and had very low uptake of cervical cancer screening. However, high perception of self-risk and perceived benefit was associated with increased odds of cervical cancer screening.RecommendationsSince female colleges students are generally thought to be more knowledgeable and have better access to information compared to the general population, the low levels of knowledge and uptake of cervical cancer screening, calls for a rethink of strategies that focus on the younger population including those in primary, high school and universities. Such strategies include HPV vaccination and incorporation of cancer prevention in school curriculum.


2021 ◽  
Vol 10 (3) ◽  
pp. 51-61
Author(s):  
Yohannes Mekonen ◽  
Hermon Berhe ◽  
Luam Ghebreab ◽  
Elias Teages

Background: Cervical cancer is one of the leading causes of cancer-related deaths worldwide that affects developing countries and young women in particular. Out of many types of female cancers, cancer of the cervix could be prevented if appropriate medical interventions are taken on time. Pap smear is a means for early detection of premalignant stages and treatment before the disease advances to a late stage. However, its practice remains unsatisfactory in many countries including Eritrea. Objective: The aim of the study was to illustrate knowledge, attitude and level of cervical cancer and Pap smear practice and associated factors among female students of Orotta College of Medicine and Health sciences (OCMHS). Methods: A cross-sectional study was conducted among female undergraduate students in OCMHS enrolled during the academic year 2018-2019. A total of 252 students participated in the study. Piloted, structured questionnaire was used to collect data. Descriptive and inferential statistics were used to assess the distribution and to identify associations between independent and outcome variables respectively. Results: Majority of the students, 171 (68.4%), were 18-21 years old and 159 (63.6%) were second and third year students. One hundred thirty six (54.4%) students had inadequate knowledge and one hundred twenty three (49.2%) had negative attitude towards cervical cancer screening. Only two (0.8%) participants had ever been screened with Pap smear test. Logistic regression analysis showed that age, level of education and year of study were significantly associated with knowledge of cervical cancer and its screening methods. Year of study and knowledge levels were significantly associated with attitude towards cervical cancer screening (Pap smear). Conclusions: The study showed that there is a lack of knowledge of cervical cancer, unfavorable attitude towards screening methods and poor utilization of Pap smear. The study emphasized the importance of creating awareness and increasing knowledge of cervical cancer and Pap smear through numerous health education campaigns and mass media. Hence, it will be vital to integrate cervical cancer preventive measures with other reproductive health care services at all, if not at the highest, levels of health care delivery system.


2021 ◽  
Vol 7 (1) ◽  
pp. 33-39
Author(s):  
Dr. N. Thamarai Selvi ◽  
◽  
Dr. Revathi Shree R ◽  
Dr. Prakashiny S. ◽  
◽  
...  

Introduction: Carcinoma Cervix is common all around the globe and ranked third amidst allmalignancies among women. The cervical mucosa undergoes morphologic variation with age andpractising cytopathologists is aware of these difference to make an accurate diagnosis. This studyaimed to detect abnormal cervical epithelial cell patterns in a rural population and compare lesionsor abnormal cell patterns among different age groups. Materials and Methods: This is a cross-sectional, descriptive study conducted in a tertiary care centre at the Department of Pathology over6 months. 408 women were included in the study. Data were entered in Microsoft Excel andanalyzed in SPSS software. Results: Out of 408 women included in the study, the most commonage group of the presentation was 31 to 40 years (36%), followed by 20 to 30 years (24%). NILM-Inflammatory was the most common finding (50%), followed by NILM (36%). The most commonsymptoms of presentation were Menstrual abnormalities (21%), White discharge and pruritus(18%). Findings in younger women were most commonly NILM-Inflammatory & NILM whereas in thepost-menopausal age group, ASCUS, LSIL & HSIL. Conclusion: All women above 30 years of ageshould undergo routine cervical cancer screening, and should continue screening even in theperimenopausal and postmenopausal age. Most women who visited the gynaecology OPD were notaware of cervical cancer screening. Hence the general population has to be educated about thebenefits of pap smear test through medical camps and awareness programs.


Sign in / Sign up

Export Citation Format

Share Document