Awareness and utilization of cervical cancer screening services among primary health care providers in Zaria
Accepted: December 26, 2019
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Cervical cancer screening services have led to a significant decrease in the incidence of cervical cancer in countries were such services are implemented as population-based services. Cervical cancer still remains the most commonly diagnosed cancer in several countries in Sub-Saharan Africa and South Eastern Asia. This study explored the awareness, utilization and provision of cervical screening services among Primary Health Care providers in Zaria, Nigeria. A qualitative study was conducted among Primary Health Care providers in Zaria Local Government Area Kaduna State Nigeria. Five Primary Health Care centres were purposively selected for the study. Data was collected using Focus Group discussion method. The data from the discussion sessions were recorded on tape and transcribed verbatim to capture the exact messages. The transcripts were then analysed into themes. Majority of the participants were within 30-39-year age range, 75% were females, 64.3% were Community Health Extension Workers’ and 42.9% had >10 years working experience. The major themes were awareness of cervical cancer, awareness of cervical cancer screening methods, knowledge about cervical cancer screening methods and utilization. Many participants were not well informed about cervical cancer screening methods. Uptake among female participants was also low. In light of these findings, there is a need to train the health personnel in Primary Health Care centres on cervical cancer screening so that they can adequately educate women on cervical cancer screening.
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394–424. DOI: https://doi.org/10.3322/caac.21492
Bray A, Ferley J, Soerjomataram I et al. Torre AJ. Global Cancer Statistics 2018: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA CANCER J CLIN. 2018;0:3–31. DOI: https://doi.org/10.3322/caac.21492
Bhatla N, Aoki D, Sharma DN, Sankaranarayanan R. Cancer of the cervix. Int J Gynecol Obs. 2018;143(Suppl 2):22/36. DOI: https://doi.org/10.1002/ijgo.12611
Bray F, Lortet Tieeulent J, Znacr. Patterns and trends in Human Papilloma Virus related diseases in Central and Eastern Europe and Central Asia. Vaccine. 2013;3:H32. DOI: https://doi.org/10.1016/j.vaccine.2013.02.071
Wabinga HR, S N, PM A, C O, Mbus L, DM P. Trends in the incidence of cancer in kampala, Uganda. 1991-2010. : Int J Cancer. 135:432-439. DOI: https://doi.org/10.1002/ijc.28661
Chokunong E, Borok MZ, Chirenje ZM, Nyakabau AM PD. Trends in the incidence of cancer in black population of Harare, Zimbabwe. 1991-2010. Int J Cancer. 2013;133:721–9.
Kim J, Edmunds W, Goldie S. Modelling cervical cancer prevention in the developed countries. Vaccine. 2008;23:59-62.
Ndikom CM, Ofi BA. Awareness, perception and factors affecting utilization of cervical cancer screening services among women in Ibadan, Nigeria: a qualitative study. Reprod Health [Internet]. 2012;9(1):11-18. DOI: https://doi.org/10.1186/1742-4755-9-11
World Health Organization. Comprehensive Cervical Cancer Control: A Guide to Essential Practice. 2nd ed. WHO Library Cataloguing-inPublication Data. WHO Press, Geneva, Switzerland. 2014. 2014.
Gharoro EP, Ikeanyi EN. An appraisal of the level of awareness and utilization of the Pap smear as a cervical cancer screening test among female health workers in a tertiary health institution. Int J Gynecol Cancer. 2006;16(3):1063–1068. DOI: https://doi.org/10.1136/ijgc-00009577-200605000-00018
Pegu B, Dhima N, Chatervedi J, Sharma S. Nurses Knowledge and attitude regarding cervical cancer screening test among female health workers in a tertiary health institution. Int J Reprod Contraception, Obstet Gynaecol. 2017;6:907-910. DOI: https://doi.org/10.18203/2320-1770.ijrcog20170554
Dulla D, Daka D, N W. Knowledge about Cervical cancer screening and its practice among female health workers in Southern ethiopia. A Cross sectional study. Int J womens Heal. 2017;9:365-372. DOI: https://doi.org/10.2147/IJWH.S132202
Assoumou SZ, Mabika BM, Mbiguino AN, Mouallif M, Khattabi A, Ennaji MM. Awareness and knowledge regarding of cervical cancer, Pap smear screening and human papillomavirus infection in Gabonese women. BMC Womens Health. 2015;15(1):1–7. DOI: https://doi.org/10.1186/s12905-015-0193-2
Singh E, Seth R, Rani V, Srivastava D. Awareness of cervical cancer screening among nursing staff in a tertiary institution in India. J Gynecol Oncol. 2012;23:141-146. DOI: https://doi.org/10.3802/jgo.2012.23.3.141
Awodele O, Adeyomoye A, Awodele D, Awodele I, Dolapo D. A Study on Cervical Cancer Screening Amongst Nurses in Lagos University Teaching Hospital, Lagos, Nigeria. J Cancer Educ. 2011;26(3):497.-504. DOI: https://doi.org/10.1007/s13187-010-0187-6
Oluwole EO, Mohammed AS, Akinyinka MR, Salako O. Cervical Cancer Awareness and Screening Uptake among Rural Women in Lagos, Nigeria. J Community Med Prim Heal Care. 2017;29(1):81–88.
Yahya A, Mande AT. Awareness and Knowledge of cervical cancer and its screening methods among women attending primary health health care centers in Zaria, North Western Nigeria. Trop J Obstet Gynaecol. 2019;36(2):271-275. DOI: https://doi.org/10.4103/TJOG.TJOG_26_19
Ahmed SA, Sabitu K, Idris SH, Rukaiya A. Knowledge, attitude and Practice of cervical cancer among market women in Zaria, Nigeria. Niger Med J. 2013;54(5):316–319. DOI: https://doi.org/10.4103/0300-1652.122337
Eze J, Umeora O, Obuna J, Al E. Cervical cancer awareness and cervical screening uptake at Mater Misericordiae Hospital, Afioko, South East Nigeria. Ann Afr Med. 2012;11:238-243. DOI: https://doi.org/10.4103/1596-3519.102856
Ezem B. Awareness and uptake of cervical cancer screening in Owerri, South Eastern Nigeria. Ann Afr Med. 2007;6:94-98. DOI: https://doi.org/10.4103/1596-3519.55727
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