Knowledge, attitudes and practices among Brazzaville midwives on cervical cancer screening (original) (raw)
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BMC Health Services Research, 2014
Background: Cervical cancer is the most common cancer among women and the leading cause of cancer deaths in women in Côte d'Ivoire. Low resource countries can now prevent this cancer by using HPV vaccine and effective and affordable screening tests. However the implementation of these prevention strategies needs well-trained human resources. Part of the solution could come from midwives by integrating cervical cancer prevention into reproductive health services. The aim of this survey was to assess knowledge, attitudes and practices of midwives towards cervical cancer prevention in Abidjan, Côte d'Ivoire, and to find out factors associated with appropriate knowledge.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: Gynaecological cancers and more particularly those of the cervix cause many victims in our country despite the many prevention tools that exist. The objective of this study was to assess the knowledge, attitudes and practices of providers on cervical cancer in the Emana health area.Methods: To achieve this objective, we conducted a cross-sectional study form the period from April 2nd to June 10th, 2019 in the health facilities of the Emana health area.Results: A total of 64 healthcare providers participated in the study, 03 gynecologists and obstetricians, 10 General practitioners, 30 state-certified nurses, 09 midwives, 12 nursing assistants. The majority of these providers had poor knowledge of the causes of the disease (25%), risk factors (34.4%), and means of prevention (39.1%), especially among state nurses (SRN), midwives, nursing assistants. (87.5%) had good knowledge of the clinical signs of the disease and were almost unanimous on the curability of this disease ...
Knowledges, Attitudes, and Practices on Cervical Cancer Screening by Women in Brazzaville-Congo
IntroductIon Precancerous lesion of the cervix is a benign and asymptomatic epithelial abnormality. However, if untreated, they can progress to invasive cancer. [1] Cervical cancer is the second leading cause of cancer deaths among women in resource-limited countries, Background: Cervical cancer is a serious disease, responsible for more than 311,000 deaths worldwide each year. The objective of the study was to assess the knowledge, attitudes, and practices (KAPs) regarding cervical cancer screening of women aged 25-65. Materials and Methods: This was an analytical KAP study conducted from May 2, 2018, to August 10, 2018, including women aged 25-65 years, attending the gyneco-obstetrics departments of six hospitals in Brazzaville. The variables of interest were sociodemographic and reproductive characteristics, KAPs. Frequencies, central tendency parameters, and odds ratios were calculated using Epi Info 7.2.2.6 software. We used Pearson, Fisher, and Wald statistical tests, with a significance level of 0.05. Results: We interviewed 169 women aged 25-65 years (average 35 [±9.05] years). The majority had an unsatisfactory level of knowledge (70.41%), favorable attitudes (56.21%), and bad practices (43.20%). Factors associated with better knowledge were at least secondary school education (adjusted odds ratio [ORa]: 1.76 [1.02-3.34]) and being employed (ORa: 4.24 [2.60-6.93]). Women with the best knowledge had the best attitudes (ORa: 3.86 [2.38-6.26]) and best practices (ORa: 5.28 [3.08-9.05]). Those with better attitudes had better practices (ORa: 2.94 [1.87-4.61]). Conclusion: Women in Brazzaville lack knowledge about cervical cancer. Better knowledge and attitudes were associated with best practices, hence the need to implement awareness-raising strategies to give greater impetus to the participation of Congolese women in cervical cancer screening.
Central African Journal of Public Health
With the epidemiological transition, cervical cancer is currently a public health problem in Senegal, hence the importance of implementing preventive measures. The objective of the study was to assess the knowledge, attitudes, and practices of female paramedical staff in the district of Tivaouane regarding cervical cancer. This was a descriptive crosssectional study conducted among these personnel in Tivaouane from June to October 2020. It was found that 99.1% of our study population had heard of cervical cancer, 77.2% thought they could define it but only 47.7% gave a good definition. The level of knowledge was 40.7% for the age of detection of cervical cancer, 29.8% for the population at risk, 4.4% for the notion of heredity in the occurrence of cancer, 7.9% for the risk factors and 43.9% for the symptoms. Vaccination and screening were the most commonly known means of prevention. The main source of information was the media (61.06%). The determinants of knowledge were: being a midwife (p = 0.008) and/or having a high level of education (p = 0.001). However, only 55.3% had advised women to undergo cancer screening. Of the agents, 65.8% had been screened. The need for education was 98.2% of the agents. Almost all (96.5%) of the respondents favored routine screening, 84.2% said there was no cure for cervical cancer, and only 4.4% trusted traditional medicine. Training on cervical cancer was provided to only 29.8% of the study population, and 98.2% had expressed a desire for more information on the condition. The level of knowledge of the paramedical staff in the district was insufficient, hence the interest in implementing training on this condition for these staff in order to strengthen their knowledge and skills.
International Journal of Biological and Chemical Sciences
Cervical cancer is the second cause of women cancer in Cameroon. This study was conducted to assess the knowledge on cervical cancer and screening tests among women at two reference hospitals in Yaoundé, which will contribute to reinforce cervical cancer prevention. A cross-sectional study conducted in two reference hospitals in Yaoundé included 523 sexually active women aged 25-65 years. Each consenting woman filled a self-administered questionnaire and data on socio-demographic characteristics, knowledge on cervical cancer and screening tests collected. Data obtained were analysed using descriptive statistics. A total of 508/523(97.1%) participants had heard of cervical cancer. According to 167/523(31.9%) participants, Human papilloma virus was the causative agent. The media was the main source of information as reported by336/523(64.2%) participants. Also 209/523(40.0%) participants had previously been screened and in 135/523(25.8%) cases, the lack of information was the main barriers for screening. We found 490/523(93.7%) participants with poor a knowledge of the disease. Poor knowledge on cervical cancer was observed in this study. Educational programmes and media information should be used to improve women's knowledge and awareness of the disease for a successful cervical cancer screening and prevention.
International Journal of Women's Health, 2017
Background: Cervical cancer remains a major cause of morbidity and mortality among the women in the world. Early screening for cervical cancer is a key intervention in reduction of maternal deaths. Health care workers have a significant contribution to improve cervical cancer screening practice among women. Hence, this study aimed to assess the knowledge and practice of cervical cancer screening among female health care workers in southern Ethiopia. Methods: Institution-based cross-sectional study was conducted during March and April, 2015. All hospitals in Hawassa city administration and Sidama zone were purposively selected. A simple random sampling technique was used to draw the health centers. After proportional allocations to their respective health facilities, a total of 367 female health workers were selected by simple random sampling technique. A structured and pretested questionnaire was used to collect the data. Data were entered to SPSS version 20.0 for further analysis. Logistic regression analyses were used to see the association of different variables. Results: Out of the total respondents, 319 (86.9%) had a good level of knowledge on cervical cancer. Similarly, a majority of them, 329 (89.6%), 321 (87.5%), and 295 (80.4%), knew about the risk factors, symptoms, and outcomes of cervical cancer, respectively. More than two thirds of the respondents, 283 (77.1%), knew that there is a procedure used to detect premalignant cervical lesions and 138 (37.6%) of them mentioned visual inspection with acetic acid as a screening method. In this study, only 42 (11.4%) of the respondents were screened for cervical cancer (confidence interval [CI]: 8.7, 13.9). Being a physician (adjusted odds ratio [AOR] =0.12, 95% CI: 0.02, 0.79) and working in a cervical cancer screening center (AOR =0.14, 95% CI: 0.03, 0.68) had a lower odds of cervical cancer screening practices. Conclusions: Significant numbers of health care workers were knowledgeable on cervical cancer. Cervical cancer screening among health care workers in southern Ethiopia was found to be low. Being a physician and working in a screening center had lower odds of cervical cancer screening practice. In spite of having adequate knowledge on cervical cancer the reasons for low practice of cervical cancer screening among health care workers needs to be investigated.
Background: Cervical cancer is the leading gynecological malignancy in Tanzania accounting 59.1 new cases per 100,000 women (age-standardized to the world population) and mortality of 42.7 deaths per 100,000 (age-standardized to the world population) in 2018. Despite this burden, the cervical cancer screening uptake is not effective. Currently, the proportion of cervical cancer screening is 11% in Tanzania among women but there is limited data of cervical cancer screening uptake among female health care workers especially doctors and nurses whom screening practice among them might influence more screening uptake to the community since they are good messengers for disseminating health information to the community. The aim of this study was to assess the knowledge of cervical cancer, utilization, challenges, and factors associated with cervical cancer screening among female doctors and nurses. Methods: This was a hospital-based analytical cross-sectional study, conducted at Muhimbili ...
BMC Cancer, 2021
Background: Cervical cancer is a leading cancer and cause of premature death among women in Uganda aged 15 to 44 years. To address the increasing burden of cervical cancer in Uganda, the Ministry of Health has adopted several strategies which include public education and advocacy. This study aims to assess knowledge, attitudes, and practice of cervical cancer prevention among health workers employed in rural health centres (HCs) III and IV in the Acholi sub-region of Northern Uganda. Methods: We conducted a cross-sectional survey of nurses, midwives, and clinical officers between February and April 2019 using self-administered questionnaire. We sampled fifty-four HCs III and eight HCs IV. In Uganda, HCs are structured from HC I to HC IV and the health care package provided increases with increasing level of the HC. We used Epidata version 3.1 to create database and analysis was performed using Stata 16. Descriptive and logistic regression analyses were performed. Factors with p-values ≤ 0.05 were considered as predictors of outcome. Results: There were 286 participants who completed the questionnaire: Majority (188, 66%) were females. Nurses were 153 (54%). 141 (75%) female participants self-reported to have been screened for cervical cancer. 171 (60%) participants had adequate knowledge of cervical cancer. 187 (66%) participants had positive attitudes. Participants who indicated not to have ever received training on cervical cancer screening were less likely to have adequate knowledge (AOR = 0.39, 95% CI 0.21-0.71). Participants who indicated not to have ever been trained on cervical cancer screening were less likely to have positive attitudes (AOR = 0.52, 95% CI 0.28-0.97). Conclusion: Health workers from rural HCs in Uganda play crucial role in cervical cancer prevention as they can reach a wider community. Their significance in the prevention of cervical cancer points to the need for Uganda and other sub-Sahara Africa (SSA) countries to establish training to improve their knowledge, attitudes, and practical skills on cervical cancer screening. Furthermore, Uganda government should develop and disseminate guidelines for cervical cancer prevention to rural health workers to promote standardised cervical cancer prevention activities.
2009
BACKGROUND Cervical cancer is the second most common cancer type seen among women in most countries and an important cause of mortality. Although it is a preventable disease, most women living in developing countries cannot reach effective screening programs. It is essential that appropriate education about cervical cancer is provided. OBJECTIVE This experimental field study was performed with the aim of evaluating the efficacy of training given to women about cervical cancer risk factors and primary and secondary prevention precautions. METHODS The research focused on women between 25 and 29 years of age, literate, married and having social security. The study was conducted in the district of Evka 4 Health Care Center between the dates of April to August 2005. The women were given survey forms and questionnaires in order to determine their socio-demographic features and knowledge level about cervical cancer in the course of home visits. They were trained and given a manual at the d...