HEALTH FACILITY AND HUMANRESOURCE FACTORS SUPPORTING UPTAKE OF CERVICAL CANCER SCREENING IN KAKAMEGA COUNTY, KENYA

Main objective was to describehealth facility and human resource related factors supporting uptake of cervical cancer screening in Kakamega County.Design; descriptive cross-sectional study adopting quantitative methods. Setting; Kakamega County within 16 community units in 8 sub counties.Sampling;multistage sampling was used to sample 48 community health volunteers and 16 health facilities.Interviewer administered questionnaire was used to collect data from Community Health Volunteers and the heads of link health facilities.Validity and reliability of questionnaire was ensured through expert review.Analysiswasby use of descriptive statistics. Results;Majority of participants were female (91.7%) aged between 30-50 years (75%), with primary level of education(47%) and had worked for more than five years as Community Health Volunteers (60%). More than 95% ofCommunity Health Volunteers visited clientsâ€™ homeson monthly schedule(77%).Regarding cervical cancer screening,60% of Community Health Volunteers agreed that they were involved in referring women for cervical cancer screening.Almost all(92%)of Community Health Volunteers had not been trained on aspects of cervical cancer screening. Further, 94% of Community Health Volunteers confirmed that cervical cancer screening was part of the health education package they discuss with women. Approximately 81% of health facilities were health centers and offeredcervical cancer screening services weekly (75%).Conclusion;Health facilities offer cervical cancer screening adequately. Community Health Volunteers have established network to reach women but lack capacity to sensitize women on cervical cancer screening. Recommendation: Community Health Volunteersshould be empowered to mobilize women for cervical cancer screening.

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Clinical evaluation of p16 INK4a immunocytology in cervical cancer screening: A population‐based cross‐sectional study from rural China

Cancer Cytopathology ◽

10.1002/cncy.22428 ◽

2021 ◽

Author(s):

Remila Rezhake ◽

Yan Wang ◽

Feng Chen ◽

Shang‐Ying Hu ◽

Xun Zhang ◽

...

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Clinical Evaluation ◽

Rural China ◽

Population Based ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

P16 Ink4a

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Knowledge, attitude and practices on cervical cancer screening among undergraduate female students in University of Gondar, Northwest Ethiopia: an institution based cross sectional study

BMC Public Health ◽

10.1186/s12889-021-10853-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Alem Getaneh ◽

Birhanemeskel Tegene ◽

Teshome Belachew

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Cross Sectional Study ◽

Female Students ◽

Favorable Attitude ◽

Sectional Study ◽

Cross Sectional ◽

Undergraduate Female ◽

The University

Abstract Background Cervical cancer is a major public health problem. In the world, cervical cancer is the fourth most common cancer among women and it is one of the leading causes of cancer mortality in females. It is the second most common women cancer in Ethiopia with almost 6300 new cases and 4884 deaths annually. Despite the high burden of new cases and deaths, there is a scarcity of data on knowledge, attitude and practices (KAP) towards cervical cancer screening among female university students in Ethiopia particularly in the study area. Therefore, the present study was aimed to assess the KAP of undergraduate female students towards cervical cancer screening. Methods An institution based cross-sectional study was conducted in April 2018 at the University of Gondar, College of Medicine and Health Sciences undergraduate female students. Pretested, self-administered questionnaire was used for data collection. Four hundred and three female students were recruited by a simple random sampling method and the data were entered and analyzed using SPSS version 20 statistical packages. Descriptive data analysis was used to report the results. Results More than half of the respondents (59.3.3%) had good knowledge, whereas nearly 67.7% of the respondents had favorable attitude towards cervical cancer. However, less than 1% of the respondents had been screened for cervical cancer. Conclusion Although undergraduate female students had apparently good knowledge and favorable attitude, their practices on cervical cancer screening were quite low. Therefore, the health sectors and the gender streaming office of the university mobilize students to strengthen the uptake the cervical cancer screening practice.

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Cervical cancer screening service utilization and associated factors among HIV positive women attending adult ART clinic in public health facilities, Hawassa town, Ethiopia: a cross-sectional study

BMC Health Services Research ◽

10.1186/s12913-019-4718-5 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 6

Author(s):

Abiyu Ayalew Assefa ◽

Feleke Hailemichael Astawesegn ◽

Bethlehem Eshetu

Keyword(s):

Cervical Cancer ◽

Cancer Screening ◽

Cervical Cancer Screening ◽

Cross Sectional Study ◽

Partner Support ◽

Hiv Positive ◽

Screening Service ◽

Hiv Diagnosis ◽

Cross Sectional ◽

Hiv Positive Women

Abstract Background In Ethiopia, cervical cancer is a public health concern, as it is the second most cause of cancer deaths among reproductive age women and it affects the country’s most vulnerable groups like; rural, poor, and HIV-positive women. Despite the strong evidence that cervical cancer screening results in decreased mortality from this disease, its utilization remains low. Methods An institution-based cross-sectional study was conducted from March 2 to April 1/2019 to assess the level and factors affecting utilization of cervical cancer screening among HIV positive women in Hawassa town. Quantitative data collection methods were used. Data were gathered using a structured and pretested questionnaire. Epi-Info version 7 and SPSS version 23 were used for data entry and analysis respectively. Statistically significant association of variables was determined based on Adjusted Odds ratio with its 95% confidence interval and p-value of ≤0.05. Results Of the 342 women interviewed, 40.1% (95% CI: 35.00, 45.33%) of them were screened. Having a post primary education (AOR = 5.1, 95% CI: 1.8, 14.5), less than 500 cell/mm3 CD4 count (AOR = 2.7, 95% CI: 1.2, 5.9); duration since HIV diagnosis (AOR = 4.2, 95% CI: 2.1, 8.5), partner support (AOR = 4.7, 95% CI: 2.3, 9.4), having knowledge about risk factors (AOR = 2.9 (95% CI: 1.2, 6.9) and having favorable attitude towards cervical cancer and its screening (AOR = 3.7 (95% CI: 1.8, 7.5) were associated with cervical cancer screening utilization. Conclusions The study revealed utilization of cervical cancer screening service was low among HIV positive women. Educational status, duration of HIV diagnosis, partner support, knowledge status about risk factor, CD4 count and attitude towards cervical cancer and its screening were associated with cervical cancer screening utilization. Health care workers need to provide intensive counseling services for all ART care attendants to increase utilization.

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