scholarly journals Connaissances, Attitudes Et Pratiques En Matiere De Cancer Du Col De L’uterus (Ccu) Chez Les Professionnels De Sante A Parakou Au Benin En 2016

2021 ◽  
Vol 17 (25) ◽  
pp. 290
Author(s):  
Achille Awadé Afoukou Obossou ◽  
Moufalilou Aboubakar ◽  
Mathieu Ogoudjobi ◽  
Sedjro Raoul Atade ◽  
Mahublo Vinadou Vodouhe ◽  
...  

Introduction: En Afrique et dans les pays en développement, le cancer du col de l’utérus représente le 1er cancer chez la femme. Objectifs: Evaluer les connaissances, attitudes et pratiques des professionnels de santé en matière de cancer du col de l’utérus à Parakou en 2016. Cadre et méthode d’étude: Il s’est agi d’une étude transversale descriptive de type connaissance, attitude et pratique (CAP) chez les agents de santé de la ville de Parakou au Nord du Bénin. Elle a couvert une période de 3 mois allant du 1ermars 2016 au 1er juin 2016. Résultats: Au total 133 agents de santé avaient participé à l’étude. L’âge moyen était de 36 ans ± 8 ans avec des extrêmes de 19 ans et 70 ans. Les facteurs de risque étaient connus par 1,5% de la population d’étude. Soixante-six virgule deux pour cent (66,2%) des enquêtés méconnaissaient l’existence de vaccins contre le HPV. La connaissance sur le cancer du col de l’utérus était 71,4%. Pour 98,5% le cancer du col de l’utérus est une affection grave et 81,2% trouvent que le dépistage de ce cancer est mal organisé au Bénin. De façon globale, 27,8% des agents avaient une attitude juste en matière de cancer du col de l’utérus. Soixante-dix-huit virgule neuf pour cent (78,9%) des enquêtés pratiquaient le dépistage de ce cancer. Parmi eux 71,4% pratiquent l’IVA/IVL et 14,3% le FCV mais seulement 1,5% des enquêtés avaient une pratique adéquate face au cancer du col de l’utérus. Au total 5 agents sur les 133 (3,8%) avaient un bon score CAP global. Conclusion: Ces résultats mettent en évidence la nécessité d’une formation continue des professionnels de santé y compris les paramédicaux en matière du cancer du col. Introduction: in Africa and developing countries, cervical cancer is the leading cancer in women. Objectives: Assess knowledge, attitudes and practices of health care professionals as regards cervical cancer in Parakou in 2016. Framework and methodology: This was a descriptive cross-sectional knowledge, attitude and practice (KAP) study among health workers in the city of Parakou in northern Benin. It covered a period of 3 months from March 1, 2016 to June 1, 2016. Results: In total 133 health workers were involved in the survey. The average age was 36 years ± 8 years with extremes of 19 years and 70 years. The risk factors were known by 1.5% of the study population. Sixty-six-point two percent (66.2%) of respondents were unaware of the existence of HPV vaccines. On the whole, they had average knowledge of cervical cancer (71.4%). For 98.5% cervical cancer is a severe disease and 81.2% think that the screening of this cancer is poorly organized in Benin. Overall, only 27.8% of the workers had a right attitude as regards cervical cancer. Seventy-eight-point nine percent (78.9%) of respondents practiced screening for this cancer; 71.4% among them performed VIA/ VILI and 14.3% cervical smear but only 1.5% of the surveyed had a suitable attitude as regards cervical cancer. In total, only 5 workers out of 133 (3.8%) had a good overall KAP score. Conclusion: These results bring to the fore the need for continuing training for healthcare professionals including paramedics as regards cervical cancer.

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.


2020 ◽  
Author(s):  
◽  
Zaitune Nanyunja

Background: Since 2008, the Human Papillomavirus (HPV) vaccination has been routinely recommended for pre-adolescents and adolescent girls in Uganda. The introduction of HPV vaccines represents a step forward in the primary prevention of cervical cancer and other HPV-related malignancies. This study examines the factors affecting the uptake of HPV vaccination among in-school adolescent girls in Wakiso district to generate information that can be used to improve the uptake of such critical services. Methodology: A cross-sectional analytical study was employed. Both quantitative and qualitative data were collected concurrently. Data were collected from secondary schools in Wakiso district, selected using cluster sampling. Semi-structured self-administered questionnaires were used to collect quantitative data while data from mothers in Wakiso were collected using In-depth interviews through group dialogue sessions. Data were analyzed using SPSS 16.0; characteristics of the sample were summarized by descriptive statistics Results: The findings indicate the HPV vaccination uptake rate as low as 9.2% among the In-school adolescent girls in the Wakiso district. 68.5% belonged to the age group 16-19 (older adolescents). 91.2% had already had vaginal sex and 90.4% had ever had any STI. In the bivariate analyses, five factors were presented to be statistically significant with a P<0.05, implying that these factors were associated with HPV vaccination. They included the occupation of the caretaker, education level of the caretaker, perceived susceptibility to HPV infections and cervical cancer, perceived benefits of HPV vaccination, and knowledge attributes regarding HPV and HPV infections. Conclusion: The Ministry of the health of Uganda and partners should offer ample orientation and training to all health workers and encourage them to disseminate information on HPV vaccination to all eligible adolescents and their caretakers in Wakiso district central Uganda.


2019 ◽  
Vol 7 (2) ◽  
pp. 139
Author(s):  
Sutopo Patriajati ◽  
Ayun Sriatmi

Background: As a form of health promotion, Antenatal Education (AE) class is expected to improve the knowledge, attitudes, and practices of mothers facing their pregnancy. Access to antenatal classes for mothers has not been optimal because of the low level of participation. Not all mothers are willing to join antenatal classes for various reasons.Aim: This study aimed at analyzing the determinant factors that influence the mother’s participation in antenatal classes.Method: This study was a quantitative study with a cross-sectional approach. The population was all pregnant women in Semarang City with 140 pregnant mothers as samples from 3 Primary Healthcare Centers including Rowosari, Purwoyoso, and Gayamsari which were selected by using a purposive sampling technique. Data were collected through an interview using a structured questionnaire.Results: The findings showed that only 54.3% of mothers attended the antenatal classes. Knowledge, support from health personnel, facilities, and infrastructure, as well as a history of illness and pregnancy,  affect mothers’ participation in antenatal classes where the support of health workers had the most dominant influence (OR 5.394). The overall influence was 39.2%.Conclusion: The low mothers’ participation in antenatal classes was influenced by the lack of knowledge and support, inadequate facilities as well as the low health status of mothers. Further socialization and engagement across related sectors with strong networking are needed to solve this problem.Keywords:  antenatal education, participation, primary healthcare center.


2019 ◽  
Vol 58 (6) ◽  
pp. 730-736 ◽  
Author(s):  
J Hubber ◽  
A Person ◽  
L Jecha ◽  
D Flodin-Hursh ◽  
J Stiffler ◽  
...  

Abstract Coccidioidomycosis is an emerging infection in Washington State. The epidemiology of the disease in Washington is poorly understood at present; underrecognition and underreporting of coccidioidomycosis is suspected based on reports of only severe disease. We sought to characterize healthcare provider knowledge, attitudes, and practices regarding coccidioidomycosis awareness, diagnosis, and treatment in south-central Washington. We conducted a cross-sectional survey of actively practicing healthcare providers in four counties in south-central Washington, an area recently described as endemic for Coccidioides. Survey results were used to assess awareness of reporting requirements, confidence in ability to diagnose and treat, confidence that knowledge is current, calculated knowledge score, and consideration of risk in patient population. The majority of respondents were unaware of the reporting requirement for coccidioidomycosis in Washington and further unaware that the disease had been reported in the state. Less than a third of survey respondents reported confidence in their ability to diagnose coccidioidomycosis and confidence that their knowledge is current. The majority of respondents never or rarely consider a diagnosis of coccidioidomycosis, and &lt;25% of respondents indicated a working knowledge of serologic tests for the infection. The average knowledge score for respondents was 65%. Previous education, training, or practice regarding coccidioidomycosis was the only identified predictor of confidence and consideration of risk. These data indicate the substantial need for education and training among healthcare providers in south-central Washington and support the concern that a small proportion of existing cases of coccidioidomycosis are reported to the health department.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Sylvain Honoré Woromogo ◽  
Gwladys Guetsé Djeukang ◽  
Félicité Emma Yagata Moussa ◽  
Jesse Saint Saba Antaon ◽  
Kingsley Ngah Kort ◽  
...  

Background. Biomedical waste (BMW) is defined as unwanted materials generated during diagnosis, treatment, operation, immunization, or in research activities including production of biologicals. Healthcare workers are responsible for the proper management of this waste for human safety and for the protection of the environment. Methods. An analytical knowledge, attitude, and practice (KAP) study was carried out at Biyem-Assi District Hospital from June 1st to July 5th, 2018, including 100 health workers from different departments. Variables of interest were knowledge, attitudes, and practices of the respondents. A structured and pretested questionnaire was used for data collection. Data analysis was carried out using software Epi Info version 7.2.2.6. Logistic regression was used to establish the relationship between knowledge, attitudes, and practices. Results. Nurses constituted 32.0% of the participants, and more than half of the participants had 1–4 years of working experience (56.0%). Overall, the level of knowledge was satisfactory at 50.0%, that of attitudes was as unfavorable at 83.0%, and that of practices was as poor at 50.0%. Favorable attitudes were associated to satisfactory level of knowledge (ORa = 5.14 [3.10–8.51] and p=0.005). Good practices were associated to good level of knowledge (ORa = 5.26 [3.17–8.7] and p<0.001) and a favorable attitude (ORa = 7.30 [2.25–23, 71] and p<0.001). Conclusion. The level of knowledge was considered unsatisfactory for half of the staff interviewed. Attitudes were unfavourable at 83.0% and poor practices at 50.0%. Staff with a good level of knowledge were more likely to have favourable attitudes towards BWM. Also, good knowledge and attitude positively influenced the practice with regard to BMW management.


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.


PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0252798
Author(s):  
Akinola Ayoola Fatiregun ◽  
Laura Nic Lochlainn ◽  
Lassané Kaboré ◽  
Modupeola Dosumu ◽  
Elvis Isere ◽  
...  

Background Despite efforts to improve childhood immunization coverage in Nigeria, coverage has remained below the national acceptable level. In December 2019, we conducted an assessment of Missed Opportunities for Vaccination (MOV) in Ondo State, in Southwest Nigeria. The objectives were to determine the magnitude of, explore the reasons for, as well as possible solutions for reducing MOV in the State. Methods This was a cross-sectional study using a mixed-methods approach. We purposively selected 66 health facilities in three local government authorities, with a non-probabilistic sampling of caregivers of children 0–23 months for exit interviews, and health workers for knowledge, attitudes, and practices (KAP) surveys. Data collection was complemented with focus group discussions and in-depth interviews with caregivers and health workers. The proportion of MOV among children with documented vaccination histories were determined and thematic analysis of the qualitative data was carried out. Results 984 caregivers with children aged 0–23 months were interviewed, of which 869 were eligible for inclusion in our analysis. The prevalence of MOV was 32.8%. MOV occurred among 90.8% of children during non-vaccination visits, and 7.3% during vaccination visits. Vaccine doses recommended later in the immunization series were given in a less timely manner. Among 41.0% of health workers, they reported their vaccination knowledge was insufficient. Additionally, 57.5% were concerned about and feared adverse events following immunization. Caregivers were found to have a low awareness about vaccination, and issues related to the organization of the health system were found to contribute towards MOV. Conclusions One in three children experienced a MOV during a health service encounter. Potential interventions to reduce MOV include training of health workers about immunization policies and practices, improving caregivers’ engagement and screening of vaccination documentation by health workers during every health service encounter.


2020 ◽  
pp. 1-3
Author(s):  
Anjili Mathur ◽  
Anum Fatima ◽  
Abhinav Vyas ◽  
Anuradha Meena ◽  
Shruti Priyadarshini

Background: Immunization is the most economic and most efficient solution to prevent children from infectious diseases. Despite launch of several programmes by the government, parents attitude and knowledge towards vaccination is what matters most. Objective:(i) To study immunization related details of children in general population of UHTC. (ii) To counsel mothers regarding immunization. Methodology: A questionnaire based cross sectional study was conducted for 2 month duration (August and September 2020) among 100 mothers who visited general outdoor of a UHTC in Udaipur city.Data was entered in MS Excel and analysed through SPSS. Result: Majority of the mothers were of the age group 21-25 years (56%),educated upto secondary school (49%), were housewives / unemployed (46%) . The source of information for the maximum participants were health workers. Majority chose government set ups for vaccination of their children (91%).Among all, 69% were fully immunized,30% were partially immunized and only 1% were not immunized at all. An overall 38% drop-out rate was seen. The most common reason of non-vaccination was found to be fear of side effects among the parents (37%).Conclusion: Active and comprehensive involvement of sociologists, behavioural scientists and health personnel is very important to produce effective changes in the attitudes and practices regarding immunization of children.


Author(s):  
Kurnia Indriyanti Purnama Sari ◽  
Yufi Aris Lestari ◽  
Titiek Titiek Idayanti ◽  
Widya Widya Anggraeni ◽  
Siti Siti Muthoharoh ◽  
...  

Papsmear test is a means of detecting cervix cancer early that can detect the abnormal change of cervical cells. Papsmear test is actually highly recommended to every woman who has had sexual relation, but in reality many Indonesian women have not undertaken this test. Thus, majority patients come to undertake examination after they develop advanced-stage cervical cancer. This research aimed to find out the relationship between the > 25 year old women’s knowledge on cervical cancer and Papsmear test-undertaking behavior in Obgyn Polyclinic of Bangil Local Hospital of Pasuruan. The research design employed in this study was an analytical design with cross sectional approach. The population of research was all of > 25 year old women in Obgyn Polyclinic of Bangil Local Hospital of Pasuruan, while the sample consisted of 186 respondents, taken using accidental sampling. Data of knowledge was collected using close-ended questionnaire, while that of behavior was collected using observation sheet. Then the data passed through editing, coding, scoring, and tabulating processes and was tested using chi square test. The data was displayed in pie chart form. The result of research showed that 43 (23%) respondents had good knowledge, 40 (22) had adequate knowledge, and 103 (55%) had poor knowledge. In addition, 32 (17%) respondents behaved appropriately and 154 (83%) did so inappropriately.  The result of chi square test showed significance value 0.000 < α = 0.05, indicating that H0 was not supported and H1 was supported. The conclusion of research stated that there was a relationship between the > 25 year old women’s knowledge on cervical cancer and Papsmear test-undertaking behavior in Obgyn Polyclinic of Bangil Local Hospital of Pasuruan. Thus, the author expected government, private, and health workers to provide much more information in many accessible media and to motivate the people to undertake Papsmear test.


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