Uptake of Cervical Cancer Screening Services and Its Association with Cervical Cancer Awareness and Knowledge Among Women of Reproductive Age in Dodoma, Tanzania: A Cross-Sectional Study

Moshi, Fabiola Vincent; Bago, Musa; Ntwenya, Julius Edward; Mpondo, Bonaventura C. T.; Kibusi, Stephen M.

doi:10.24248/eahrj.v3i2.607

Cited by 5 publications

(6 citation statements)

References 25 publications

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“…We attribute this finding to the availability of screening campaigns and daily VIA clinics at the district hospital, a scenario that is not common in health facilities in the rural areas. A Tanzanian study done by [30] supports this notion as women residing in urban areas were found to be more likely to be knowledgeable about CC than their counterparts who lived in the rural areas. They had affirmed that women in the urban areas had more access to health information through media and they had easy access to the health facilities.…”

Section: Discussionmentioning

confidence: 94%

Socio-demographic determinants of cervical cancer screening uptake among women of child-bearing age in Mangochi, Malawi: a facility-based cross-sectional study

Mpachika-Mfipa¹,

Kululanga

Kazembe

et al. 2022

BMC Cancer

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Background Cervical cancer (CC) is the number one leading cause of death among women in Malawi. However, it is generally viewed as preventable and treatable if diagnosed in an early stage. Despite the burden, Malawi registers low uptake of cervical cancer screening (CCS). This study examined the socio-demographic determinants of CCS uptake among women of child-bearing age (WCBA) in Mangochi district. Methods A cross-sectional quantitative study was conducted in five health facilities. A total of 482 women between the ages of 18–49 participated and were sampled using a multi-stage sampling method. An interviewer administered structured questionnaire was used to collect data from June to July, 2019. Multivariate logistic regression model was used to identify determinants of CCS uptake among WCBA. Results Few respondents (13.1%) had ever done CCS. Compared to respondents in the age-group of 18–24 years, those in the age-groups of 25–35 years and 36–49 years were 2.63 and 3.90 times more likely to undergo CCS (AOR = 2.63, 95% CI 1.30–5.31 and AOR = 3.90, 95% CI 1.62–9.38), respectively. Respondents who practiced Christianity were 2.77 times more likely to undergo CCS than those who practiced Islam (AOR = 2.77, 95% CI 1.23–6.22). Respondents of the Chewa ethnic group were 71% less likely to undergo CCS as compared to those of Yao ethnicity (AOR = 0.29, 95% CI 0.09–0.95). Respondents who lived in semi-urban areas were 2.57 times more likely to go for CCS than those who were village residents (AOR = 2.57, 95% CI 1.19–5.55). Conclusion Our study showed that CCS uptake was low in Mangochi and the results suggested that age, religion, ethnicity and place of residence were determinants of CCS uptake. We recommend that comprehensive health education on CC should specifically target the young women and Muslim women in places where they meet. We call upon the district health authorities to scale up CCS provision in all Antiretroviral Therapy (ART) and outreach clinics to improve CCS uptake among women residing in the villages and those of the Chewa ethnicity. We, further, call upon all CC program implementers to design programs that address the highlighted socio-demographic determinants of CCS uptake among WCBA in the district.

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Section: Discussionmentioning

confidence: 94%

Socio-demographic determinants of cervical cancer screening uptake among women of child-bearing age in Mangochi, Malawi: a facility-based cross-sectional study

Mpachika-Mfipa¹,

Kululanga

Kazembe

et al. 2022

BMC Cancer

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“…When looked at the African continent, very diverse findings were also reported. According to the Tanzania study, only 10.4% of women were knowledgeable about cervical cancer and 7.9% of these were screened [ 36 ] which was very low. Similarly, in Nigeria18.1% of them had good knowledge with 67.8% of them to have a positive attitude to cervical cancer screening [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

“…According to the Tanzania study, only 10.4% of women were knowledgeable about cervical cancer and 7.9% of these were screened [ 36 ] which was very low. Similarly, in Nigeria18.1% of them had good knowledge with 67.8% of them to have a positive attitude to cervical cancer screening [ 37 ]. In Uganda and Burkina-Faso, the two studies reported that only 4.8% and 11.1% of women had been screened for cervical cancer, respectively [ 13 , 14 ].…”

Section: Discussionmentioning

confidence: 99%

Knowledge, attitude and practice of cervical cancer screening among women infected with HIV in Africa: Systematic review and meta-analysis

et al. 2021

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Background To establish successful strategies and increasing the utilization of preventive services, there is a need to explore the extent to which the general female population is aware and use the service for cervical cancer-screening among women infected with HIV in Africa. Available evidences in this regard are controversial and non-conclusive on this potential issue and therefore, we estimated the pooled effect of the proportion of knowledge, attitude and practice of HIV infected African women towards cervical cancer screening to generate evidence for improved prevention strategies. Methods We applied a systematic review and meta-analysis of studies conducted in Africa and reported the proportion of knowledge, attitude and practice towards cervical cancer screening. We searched electronic databases: PubMed/Medline, SCOPUS, ScienceDirect, Web of science, Cumulative Index of Nursing and allied Health Sciences (CINAHL) and Google scholar databases to retrieve papers published in English language till August 2020. We used random-effects model to estimate the pooled effect, and funnel plot to assess publication bias. The registration number of this review study protocol is CRD42020210879. Results In this review, we included eight published papers comprising 2,186 participants. The estimated pooled proportion of knowledge of the participants was 43.0% (95%CI:23.0–64.0) while the pooled estimates of attitudes and practices were 38.0% (95%CI: 1.0–77.0) and 41.0% (95%CI: 4.0–77.0), respectively. The proportion of the outcome variables were extremely heterogeneous across the studies with I2> 98%). Conclusion The pooled estimates of knowledge, attitude and practice were lower than other middle income countries calls for further activities to enhance the uptake of the services and establish successful strategies.

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“…In our study, there no association between the demographic factors and knowledge of risk factors and symptoms, probably because the population was generally uniform with no signi cant differences with regard to their demographic characteristics and knowledge of cervical cancer. This is unlike other studies where low knowledge of risk factors was associated with not being married [25] and low education [26]. In another study the level of education was associated with high knowledge for risk factors while older age was associated with symptom awareness [27].…”

Section: Knowledge On Cervical Cancermentioning

confidence: 57%

Baseline knowledge on risk factors, symptoms and intended behaviour of women and men towards screening and treatment of cervical cancer in rural Uganda: A cross-sectional study

Nakisige,

Fouw,

Nakalembe

et al. 2024

Preprint

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Background Knowledge of risk factors and symptoms of cervical cancer has been found to promote uptake of screening of cervical cancer. Most interventions targeted women without much involvement of men (husbands) who are often decision makers in many low- and middle-income countries. This study aimed at assessing baseline knowledge and intended behaviour of both women and men to enable design specific targeted messages to increase uptake of cervical cancer screening and promote early detection of women with symptoms. Methods This cross-sectional study was conducted in two districts in Western Uganda using the modified African Women Awareness of CANcer (AWACAN) questionnaire. Women aged 30–49 years and their husbands/decision makers were interviewed. Knowledge on risk factors and symptoms, intended behaviour and barriers towards participation in cervical cancer screening and treatment were assessed. Descriptive and logistic regression analyses were done to establish the association between knowledge levels and other factors comparing women to men. Results A total of 724 women and 692 men were enrolled. Of these, 71.0% women and 67.2% men had ever heard of cervical cancer and 8.8% women had ever been screened. Knowledge of risk factors and symptoms of cervical cancer was high and similar for both women and men. Lack of decision making by women was associated with low knowledge of risk factors (X2 = 14.542; p = 0.01), low education (X2 = 36.05, p < 0.01) and older age (x2 = 17.33, p < 0.01). Men had better help seeking behaviour than women (X2 = 64.96, p < 0.01, OR = 0.39, 95% CI: 0.31 - 0.50) and were more confident and skilled in recognising a sign or symptom of cervical cancer (X2 = 27.28, p < 0.01, OR = 0.52, CI (0.40 - 0.67). Conclusion The baseline knowledge for cervical cancer was high in majority of participants and similar in both women and men. Their intended behaviour towards screening was also positive but screening uptake was very low. This study suggests developing messages on multiple interventions to promote screening behaviour in addition to education, consisting of male involvement, women empowerment and making services available, accessible and women friendly.

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Uptake of Cervical Cancer Screening Services and Its Association with Cervical Cancer Awareness and Knowledge Among Women of Reproductive Age in Dodoma, Tanzania: A Cross-Sectional Study

Cited by 5 publications

References 25 publications

Socio-demographic determinants of cervical cancer screening uptake among women of child-bearing age in Mangochi, Malawi: a facility-based cross-sectional study

Socio-demographic determinants of cervical cancer screening uptake among women of child-bearing age in Mangochi, Malawi: a facility-based cross-sectional study

Knowledge, attitude and practice of cervical cancer screening among women infected with HIV in Africa: Systematic review and meta-analysis

Baseline knowledge on risk factors, symptoms and intended behaviour of women and men towards screening and treatment of cervical cancer in rural Uganda: A cross-sectional study

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