Knowledge and health system factors influencing utilization of cervical screening services among sex workers in Kiambu County Hotspots, Kenya

Mugai, Faith; Karonjo, Jane; Mutua, Felix Mwendwa; Kamau, Paul; Kausya, John

doi:10.11604/pamj-oh.2020.2.2.21200

Cited by 3 publications

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“…This finding is extremely lower than those found in low- and middle-income countries; for example, 39% in Botswana, 35 25% in Tanzania, 36 and 25% in Kenya. 37 It is also lower than reported in Ethiopia: 10.7% to 19.8% in Mekelle, 32 , 33 8.3% in Dessie, 34 and 21.8% in Addis Ababa and southern Ethiopia. 38 , 39 The possible explanation for this low cervical cancer screening utilization could be due to the low level of awareness, limited access to screening services, socio-cultural, sociodemographic, economic disparities, and lack of specificity of national cancer prevention and control strategies in Ethiopia.…”

Section: Discussionmentioning

confidence: 79%

Cervical Cancer Screening Utilization and Associated Factors Among Women Aged 30 to 49 Years in Dire Dawa, Eastern Ethiopia

et al. 2020

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Background: Cervical cancer is a public health problem and one of the leading causes of death in women worldwide. In Ethiopia, the government expands cervical cancer screening centers and recommends services to age-eligible and high-risk groups of women. However, evidence indicates that the utilization of services among eligible and high-risk women in the country has remained very low, and data are scarce in Dire Dawa. Therefore, this study aimed to assess cervical cancer screening service utilization and associated factors among women aged 30 to 49 years in Dire Dawa, eastern Ethiopia. Methods: A facility-based cross-sectional study was undertaken in Dire Dawa from February 01 to March 01, 2017. Only two facilities provided the screening service in Dire Dawa Administration. Six- hundred and one women aged 30 to 49 years were selected using a systematic sampling method. Data were collected using a pretested face-to-face interview administered questionnaire. Data were entered using EpiData 3.1, and analyzed using the Statistical Package for Social Science Version 21. Multivariable logistic regression was used to examine the factors associated with cervical cancer screening utilization. An adjusted odds ratio (AOR) with a 95% confidence interval (CI) was used, and a p-value <0.05 was considered statistically significant. Results: In this study, the magnitude of cervical cancer screening service utilization was 4.0% (95% CI: 2.5-5.7). The factors associated with cervical cancer screening service utilization were older age (AOR = 4.2; 95% CI:1.3-13.8), attending private health facilities (AOR = 8.9; 95% CI: 2.8-28.0), being employed (AOR = 3.3; 95% CI: 1.3-8.8), visiting the gynecology departments (AOR = 3.8; 95% CI: 1.5-9.8), being knowledgeable (AOR = 4.8; 95% CI: 1.5-15.5), being counseled by health professionals (AOR = 4.1; 95% CI: 1.5-11.3), and user’s of family planning (AOR = 4.9; 95% CI: 1.2-20.0). Conclusion: The magnitude of cervical cancer screening utilization was very low. Hence, to improve the screening service utilization of cervical cancer, a campaign on community awareness, strengthening service linkage among departments, expansion of the centers for cervical cancer screening, and promotion of family planning method utilization are recommended.

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Section: Discussionmentioning

confidence: 79%

Cervical Cancer Screening Utilization and Associated Factors Among Women Aged 30 to 49 Years in Dire Dawa, Eastern Ethiopia

et al. 2020

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“…The research, however, did not look at how strategic planning affected performance; instead, it focused on how mission hospitals adopted it. In the Kitui Central Sub County, government hospitals were the subjects of Kamau's [26] study on institutional elements impacting the implementation of strategic plans. Despite accounting up a respectable percentage of hospital beds in Kenya, the FBIs were not included in this analysis.…”

Section: Statement Of the Problemmentioning

confidence: 99%

Effect of Leadership in Strategic Planning on Performance of Faith Based Health Care Institutions in Meru County, Kenya

Karambu,

Obuba

2023

AJEBA

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The primary objective of this study was to investigate the impact of strategic planning drivers on the performance of faith-based healthcare institutions in Meru County, Kenya. There were four specific objectives: to assess the influence of leadership in strategic planning, environmental scanning, stakeholder involvement, and the strategic planning formulation process on the performance of faith-based healthcare institutions in Meru County, Kenya. The research drew upon the Strategic Fit Theory, Porter's Competitive Advantage Theory, and Institutional Theory. Adopting a descriptive research design, the study targeted 421 employees across 23 faith-based healthcare institutions in Meru County. Using Yamane's formula for categorical data, the study focused on a sample size of 205 respondents. Quantitative data was collected through questionnaires distributed to respondents using a drop-and-pick method, while qualitative data was gathered from hospital administrators using an interview guide. The study employed frequencies, means, and standard deviation to present descriptive results. For inferential statistics, correlation analysis, regression analysis, and analysis of variance were used. The study's results revealed a positive and significant correlation between leadership, environmental scanning, stakeholder involvement, the strategy formulation process, and the organizational performance of faith-based healthcare institutions in Meru County. Regression analysis indicated that strategic planning drivers accounted for 59.5% of the variance in organizational performance. The study found that stakeholder involvement did not exert a significant influence on the performance of faith-based healthcare institutions. As a recommendation, the study suggests that faith-based healthcare institutions should enhance their strategic planning by strengthening collaborations with stakeholders, improving resource mobilization, evaluating threats and opportunities, and involving employees in the strategic planning formulation process. Additionally, the study recommends further research to assess the impact of the internal organizational environment on the performance of faith-based healthcare institutions in other counties in Kenya. Policymakers in faith-based organizations are encouraged to support individual organizations in developing strategic management guidelines that promote regulation and control.

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“…Understanding the level of knowledge and attitude of women on issues related to cervical cancer is a key first step in the development of evidence-based interventions aimed at addressing the low uptake of screening services and heavy cervical cancer disease burden within Kenya. Notably, recent studies assessing cervical cancer knowledge and attitude in Kenya have focused on women aged 25–49 years (most likely due to existing screening guidelines) with limited population-based studies focussed on pre-screening age groups (15–24 years) (Mugai et al, 2020 ; Sakwa et al, 2021 ). Yet, young women aged 15–24 years, represent an ideal target group for behavioural interventions to prevent cervical cancer in Kenya because of their developmental stage and the fact that most are sexually active (Ngune et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Cervical cancer knowledge, awareness and related health behaviours amongst women of reproductive age in Kiambu County, Kenya: a cross-sectional study

Gitonga

Iseme

Mutisya

et al. 2022

Health Psychology and Behavioral Medicine

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Background: Data on cervical cancer knowledge, perceptions, screening practices and other relevant health behaviours among women in rural Kenya is limited. Yet understanding this information is a key first step in developing evidence-based interventions aimed at addressing the low uptake of screening services and heavy cervical cancer disease burden within Kenya. Consequently, our study sought to assess cervical cancer knowledge, attitude, and practice amongst women of reproductive age within Kiambu County, known for a high cervical cancer disease burden. Methods: This was an analytical cross-sectional study undertaken in April 2022. Data was collected using interviewer-administered questionnaires from 472 females randomly selected from within the community. Data analysis included descriptive statistics (mean values, standard deviations, and frequencies) and logistic regression, using STATA version 13. Results: More than 80% of respondents were aware of cervical cancer though only 54% answered at least half of the knowledge questions correctly. Knowledge of HPV was particularly low, likely because 55% of the study sample stated they had never heard of HPV. Though 89% of study participants deemed cervical cancer preventable, more than 60% had an unfavourable attitude towards cervical cancer screening, deeming the process expensive, painful, and embarrassing. In line with the latter observation, only 20% of our sample had ever been screened for cervical cancer and less than half of this group had undergone regular screening. Notably, knowing a place where cervical cancer screening services are provided had the largest increase in odds of being screened (3.94; 95% CI: 1.08–14.37). Fear of tests and outcomes was also noted to be a prime concern amongst our study participants. Conclusion: A clear message from this study is the need to ensure community members are aware of where to access screening services and strategies are implemented to address prevalent fears and negative perceptions. Abbreviations: CHV: Community Health Volunteers; HPV: Human papillomavirus; HIV/AIDS: Human immunodeficiency virus/Acquired immune deficiency syndrome; LEEP: Loop Electrosurgical Excision Procedure; LMICs: Low- and Middle-Income Countries; NCI: National Cancer Institute; NACOSTI: National Commission for Science, Technology, and Innovation; VIA: Visual inspection with acetic acid; VILLI: Visual inspection with Lugol’s iodine; WHO: World Health Organisation

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Knowledge and health system factors influencing utilization of cervical screening services among sex workers in Kiambu County Hotspots, Kenya

Cited by 3 publications

References 0 publications

Cervical Cancer Screening Utilization and Associated Factors Among Women Aged 30 to 49 Years in Dire Dawa, Eastern Ethiopia

Cervical Cancer Screening Utilization and Associated Factors Among Women Aged 30 to 49 Years in Dire Dawa, Eastern Ethiopia

Effect of Leadership in Strategic Planning on Performance of Faith Based Health Care Institutions in Meru County, Kenya

Cervical cancer knowledge, awareness and related health behaviours amongst women of reproductive age in Kiambu County, Kenya: a cross-sectional study

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