Knowledge and Practice of Cervical Cancer Screening among Women in Orlu Local Government Area, Imo State, Nigeria.

2019 ◽  
Vol 1 (1) ◽  
pp. 55-65
Author(s):  
Jude Egwurugwu ◽  
S.D. Ejikunle ◽  
E.I. Dike ◽  
M.C. Ohamaeme ◽  
Jude Egwurugwu ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Local Government ◽  
Cervical Cancer Screening ◽  
Cervical Screening ◽  
Local Government Area ◽  
Care Providers ◽  
Imo State ◽  
Study Results ◽  
Knowledge And Practice

Background: Cervical cancer is the 2nd commonest cancer among women worldwide and the most common cancer among women in developing countries like Nigeria. Though preventable by screening for premalignant and early cervical lesions, this is predicated on the knowledge and practice of a cervical screening. Objective: To assess the knowledge and practice of cervical cancer screening among women in Orlu, Local Government Area(LGA) Imo State, Nigeria. Materials & Methods: A community based cross-sectional study with the use of 502 interviewer – administered questionnaires was conducted among women in Orlu LGA of Imo State. All the women in the communities attending the annual August Meeting who consented were recruited for this study. Results: The study showed that the mean age of the respondents was 42±2.8years. Furthermore, 82.3% of respondents attained postsecondary school educational level, 61.8% & 21.1% were multiparous and grand multiparous respectively. Also, 80.5% of respondents have heard about cervical cancer screening. Majority (67.5%) of these respondents heard it from health care providers. There was a positive statistically significant relationship between educational status and the likelihood of having knowledge of cervical cancer screening, (p< 0.01). The level of practice of cervical cancer screening was very low among the respondents(13.5%).Though majority of the respondents have high level of educational attainment this did not reflect their practice of cervical cancer screening. Conclusion: There was high knowledge of cervical cancer and cervical screening modalities among women in Orlu but their practice of cervical cancer screening was very low. There is an urgent need to educate and encourage women on the benefits of cervical cancer screening. Key words: cervical cancer, knowledge, Practice, Orlu women, Screening.

Determinants of Cervical Cancer Screening Uptake among Women in Orlu Local Government Area, Imo State, Nigeria.

2019 ◽  
Vol 2 (1) ◽  
pp. 42-58
Author(s):  
S.D. Ejikunle ◽  
F. Anolue ◽  
M.C. Ohamaeme ◽  
Jude Egwurugwu ◽  
G.I. Eberendu ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Local Government ◽  
Cervical Cancer Screening ◽  
Control Strategies ◽  
Local Government Area ◽  
Effective Control ◽  
Cross Sectional ◽  
Imo State ◽  
Screening Uptake

Background: Cervical cancer is the 2nd commonest cancer among women worldwide and is the leading cause of cancer deaths among women in developing countries. Optimal cervical cancer screening uptake is one of the most cost effective control strategies for the disease. Objectives: To assess the determinants of cervical cancer screening uptake among women in Orlu Local Government Area, Imo State, Nigeria. Materials & Methods: A community based cross-sectional study with the use of 502 interviewer-administered questionnaires was conducted among women in Orlu Local Government Area of Imo State. All the women in the community attending the annual 2018 August meeting were recruited for this study. Results:The study showed that the mean age of the respondents was 42±2.8 years. Furthermore, 82.3% of respondents attained postsecondary school educational level. Also 80.5% of respondents have heard about cervical cancer screening but level of cervical cancer screening uptake was very low among the respondents (13.5%). Significant associations were found between embarrassment, lack of symptoms, lack of physician request, lack of counselling, cost, unavailability of services and cervical cancer screening uptake. Conclusion: Despite the high knowledge of cervical cancer screening among women in Orlu LGA, uptake of cervical cancer screening was low. Enhancing health education and provision of free and widely accessible health screening services may increase uptake among these women. Key words: Cervical cancer, screening, Orlu women, uptake.

scholarly journals “They Should Be Asking Us”: A Qualitative Decisional Needs Assessment for Women Considering Cervical Cancer Screening

2018 ◽  
Vol 5 ◽  
pp. 233339361878363 ◽  
Author(s):  
Brianne Wood ◽  
Virginia L. Russell ◽  
Ziad El-Khatib ◽  
Susan McFaul ◽  
Monica Taljaard ◽  
...  
Keyword(s):  
Health Care ◽  
Cervical Cancer ◽  
Decision Making ◽  
Cancer Screening ◽  
Shared Decision Making ◽  
Cervical Cancer Screening ◽  
Cervical Screening ◽  
Hpv Testing ◽  
Shared Decision ◽  
Care Providers

In this study, we examine from multiple perspectives, women’s shared decision-making needs when considering cervical screening options: Pap testing, in-clinic human papillomavirus (HPV) testing, self-collected HPV testing, or no screening. The Ottawa Decision Support Framework guided the development of the interview schedule. We conducted semi-structured interviews with seven screen-eligible women and five health care professionals (three health care providers and two health system managers). Women did not perceive that cervical screening involves a “decision,” which limited their knowledge of options, risks, and benefits. Women and health professionals emphasized how a trusted primary care provider can support women making a choice among cervical screening modalities. Having all cervical screening options recommended and funded was perceived as an important step to facilitate shared decision making. Supporting women in making preference-based decisions in cervical cancer screening may increase screening among those who do not undergo screening regularly and decrease uptake in women who are over-screened.

scholarly journals Strategies to reach marginalized women for cervical cancer screening: A qualitative study of stakeholder perspectives

2018 ◽  
Vol 25 (1) ◽  
pp. 8 ◽  
Author(s):  
B. Wood ◽  
A. Lofters ◽  
M. Vahabi
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Qualitative Study ◽  
Cervical Cancer Screening ◽  
Health Care Providers ◽  
Cervical Screening ◽  
Primary Care Providers ◽  
Care Providers ◽  
Structured Interviews ◽  
Primary Screening

Background Self-sampling for human papillomavirus (hpv) has the potential to reach marginalized populations that are underserved for cervical cancer screening. However, before implementing an alternative screening strategy such as self-sampling for under- and never-screened women, the key processes, facilitators, and barriers to reform need to be understood.Methods A descriptive qualitative study was conducted that involved semi-structured interviews with Canadian and international cancer screening health care providers and policy-makers. Respondents were purposively selected from a list of thirty stakeholders generated through an environmental scan. The interviews were transcribed verbatim and analyzed using directed content analysis.Results Nineteen stakeholders participated in the interviews. Most respondents thought that self-sampling was an appropriate cervical screening alternative for hard-to-reach populations, as it addressed barriers to cervical screening related to various social determinants of health. All respondents emphasized that transitioning to hpv primary screening would catalyze a policy shift towards self-sampling. Clinician respondents were less enthusiastic about self-sampling strategies since that discouraged women’s appointments with primary care providers, because cervical screening offered an opportunity to discuss other preventive health topics. There also was little consensus between respondents on whether the state of evidence was satisfactory to integrate a self-sampling option into policy, or whether more Canadian research was needed.Conclusion Canadian cervical cancer screening stakeholders should collaborate to identify the knowledge gaps that researchers should address and leverage the existing literature to implement tailored, patient-centred alternative cervical screening strategies. The transition to hpv primary screening would be a key first step in the broad implementation of hpv self-sampling in Canada.

scholarly journals CERVICAL CANCER SCREENING KNOWLEDGE AND UTILISATION AMONG RURAL WOMEN IN IFE EAST LOCAL GOVERNMENT AREA OF OSUN STATE IN NIGERIA

2016 ◽  
Vol 16 (1) ◽  
pp. 145-157
Author(s):  
A.E. Olowokere ◽  
MI.I. Ojo
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Local Government ◽  
Cervical Cancer Screening ◽  
Rural Women ◽  
Pap Smear ◽  
Local Government Area ◽  
Screening Tests ◽  
Convenience Sample ◽  
Pap Smear Screening

Cervical cancer is a deadly disease claiming the lives of many women in developing countries due to late presentation which might be influenced by a lack of knowledge of the disease and its prevention. This descriptive study examined the knowledge of rural women about cervical cancer and its prevention, and their utilisation of Pap smear screening, using a convenience sample of 426 women in Ife East Local Government Area of Osun State, Nigeria. Women voluntarily completed an unstructured questionnaire through trained research assistants. Results showed that women who participated in the study were aware of cervical cancer (77%; n=328) but many (62.9%; n= 268) were unaware of Pap smears as the screening tests for cervical cancer. Although 41.3% (n=176) were knowledgeable about cervical cancer, risk factors and prevention, only 9.4% (n=40) had Pap smear tests done. Health care professionals, especially community health nurses, need to intensify efforts to increase awareness about cervical cancer screening, and encourage women through the different clinics to use these services. The benefits of screening and early diagnosis of cervical cancer should be emphasized to enhance the utilization of cervical cancer screening services.

scholarly journals Awareness and practice regarding cervical cancer screening among women visiting a tertiary hospital of Kathmandu

2019 ◽  
Vol 8 (2) ◽  
pp. 81-86
Author(s):  
Puspa Parajuli ◽  
Narayani Paudel ◽  
Sunita Dahal
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Pap Smear ◽  
Cervical Screening ◽  
National Level ◽  
College Teaching ◽  
Screening Tools ◽  
Cross Sectional ◽  
Knowledge And Practice

Background: Cervical cancer is the leading female cancer in Nepal. Fortunately, it is preventable by detectingprecancerous lesions and by various screening tools for early invasive cancers. Screening can be possible if women are aware of the problem. Despite the existence of effective screening using Pap smear, the uptake of screening is poor.Objectives: The objective of this study was to assess the awareness and practice regarding cervical cancer screening among women visiting tertiary hospital.Methodology: A descriptive cross – sectional study was conducted to assess the awareness and practice regarding cervical cancer screening among women attending in gynaecological outpatient department of Kathmandu Medical College Teaching Hospital. A total of one hundred and fifty two women were selected purposively for the study. Structured questionnaire was designed and data collection was done through face to face interview technique during the period of September to November 2018. The collected data were analyzed by using Statistical Package for Social Science version 20.Results: Among 152 respondents, majority of the respondents (59.2%) were aware that multiple sexual partners is one of the risk factors of cervical cancer. 38.8% were aware that cervical cancer can be prevented by regular cervical screening. Majority of the respondents: 152 (44.7%) had given correct response regarding meaning of cervical cancer screening and 42.8% were aware of Pap smear test for cervical screening. Only 31.6% had performed cervical cancer screening at least once. Overall mean percentage knowledge was 3.08 with SD 0.96.There was weak correlation between knowledge and practice.Conclusion: This study concluded that majority of respondents had inadequate knowledge and practice regarding cervical cancer screening. Thus, cervical cancer screening health camps and awareness program should be conducted at community to national level for women, to increase the level of knowledge and practice regarding cervical cancer screening.

scholarly journals Role of Protein Biomarkers in the Detection of High-Grade Disease in Cervical Cancer Screening Programs

2012 ◽  
Vol 2012 ◽  
pp. 1-11 ◽  
Author(s):  
Charlotte A. Brown ◽  
Johnannes Bogers ◽  
Shaira Sahebali ◽  
Christophe E. Depuydt ◽  
Frans De Prins ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Cervical Screening ◽  
False Negative ◽  
Pap Test ◽  
Developed Countries ◽  
Protein Biomarkers ◽  
Ki 67 ◽  
Screening Programs

Since the Pap test was introduced in the 1940s, there has been an approximately 70% reduction in the incidence of squamous cell cervical cancers in many developed countries by the application of organized and opportunistic screening programs. The efficacy of the Pap test, however, is hampered by high interobserver variability and high false-negative and false-positive rates. The use of biomarkers has demonstrated the ability to overcome these issues, leading to improved positive predictive value of cervical screening results. In addition, the introduction of HPV primary screening programs will necessitate the use of a follow-up test with high specificity to triage the high number of HPV-positive tests. This paper will focus on protein biomarkers currently available for use in cervical cancer screening, which appear to improve the detection of women at greatest risk for developing cervical cancer, including Ki-67,p16INK4a, BD ProEx C, and Cytoactiv HPV L1.

'Have a Pap smear!' – doctors, their clients, and opportunistic cervical cancer screening

2005 ◽  
Vol 16 (3) ◽  
pp. 233-236 ◽  
Author(s):  
L C Chingang ◽  
U Bischof ◽  
G Andall-Brereton ◽  
O Razum
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Pap Smear ◽  
Cervical Screening ◽  
Pap Test ◽  
Community Members ◽  
Middle Income ◽  
Middle Income Countries ◽  
High Incidence

In many middle-income countries with a high incidence of cervical cancer, organized screening programmes with the Pap test are being planned. We assessed the knowledge of, and attitudes towards, cervical screening among 63 doctors and 102 randomly selected community members in Trinidad where screening is still opportunistic. Doctors were well informed about cervical cancer, but not all knew the approximate specificity of the Pap test. Many did not routinely discuss the benefits and disadvantages of screening with their clients. Most women had heard of the Pap test, but only 56% knew its purpose; 25% would not participate in screening, stating reasons such as being in menopause or not having symptoms. More information about the aim of screening and the purpose of the Pap test must be communicated. Doctors need to keep their knowledge on screening up-to-date, and offer counselling that helps women to make an informed decision whether or not to participate in screening.

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