Browsing by Author "Solomon,Yeelshaday"
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Item Assessment of Ethical Issues Among Women Attending Cervical Cancer Screening in Public Health Facilities, Addis Ababa, Ethiopia: A Cross- Sectional Study(Addis Ababa University, 2024-10) Solomon,Yeelshaday; Gizaw,Muluken (PhD); Merawi,Fasil(PhD)Background: Cervical cancer is the fourth leading cause of cancer deaths among women, resulting in 350,000 deaths worldwide in 2022. In Ethiopia, it is the second most common cancer, with 8,168 cases reported. Screenings like visual inspection with acetic acid (VIA) are essential for early detection, but challenges related to informed consent, privacy, and confidentiality persists. This study aims to assess key ethical issues in cervical cancer screening practices to enhance these programs. Objectives: To assess ethical issues among women attending cervical cancer screening in public health facilities in Addis Ababa. Method: A cross-sectional study was conducted at selected governmental health centers and referral hospitals, involving 422 women undergoing cervical cancer screening. Data analyzed using SPSS Statistics 27. Descriptive analyses assessed frequencies of privacy, confidentiality, and informed consent issues, while chi-square tests examined relationships among variables. Results: Participants reported high satisfaction, with 97.4% noting positive interactions with health workers and 98.6% receiving clear information. However, 5% experienced privacy concerns during examinations, and 3.3% reported unauthorized information disclosure. Significant associations were found: marital status influenced confidentiality assurance (p = .010), facility type affected confidentiality (p < .001), and both age (p = .005) and employment status (p = .022) impacted information clarity. Conclusion: High satisfaction with cervical cancer screening exists in Addis Ababa, but privacy and confidentiality concerns remain. Recommendation: Enhance ethical practices through improved privacy measures, provider training, and patient involvement; use qualitative research to assess impact.