Maternity and Reproductive Health Nursing

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Browsing Maternity and Reproductive Health Nursing by Subject "cervical cancer, cervical cancer screening, utilization"

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    Cervical Cancer Screening Service Utilization and Associated Factors Among HIV Positive and Women with Unknown Hiv Status in Alamata Generalized Hospital, Tigray,Ethiopia 2018: Comparative Cross Sectional Study
    (Addis Ababa University, 2018-06) G/Selassie Lielt; Deribe Leul (BSc)
    Introduction: Cervical cancer is a cancer develops at the neck of the womb which is due to the abnormal growth of cells that have the ability to invade other parts of the body. With approximately 528,000 new cases occurring each year worldwide. It is the second leading cause of cancer related death and one of the top 20 causes of death in Ethiopia. The disease is about 7.9 times more common in HIV infected women than none infected ones. Cervical cancer screening reduces morbidity and mortality by more than 80%.Cervical cancer screening coverage in Ethiopia is very low which is 1.6% for all women with unknown status and <1% for HIV positive women. Objective: The objective of this study was to assess and compare cervical cancer screening service utilization and associated factors among HIV positive women and unknown HIV status women at Alamata generalized hospital, Tigray Ethiopia 2018. Method: facility based cross sectional study design was conducted from March1 –May15, 2018.A total of 714 women, 357 from HIV positive and 357 from unknown HIV status women come to the hospital was selected by systematic random sampling method. Data was collected by interviewer administered, entered to Epi data version 3.1 and exported to SPSS version 23 for analysis. Bivariate and multivariate logistic regressions were used to identify factors associated with outcome variable. Result: The magnitude of cervical cancer screening service utilization among both groups was very low which was 7.8% for HIV positive and 11.4 % for unknown HIV status women ones and the difference was statistically significant. Factors associated with utilization of cervical CA screening service among HIV positive women groups was parity{AOR=3.87795% CI=(1.264- 11.891)}, knowledge AOR=4.754 95%CI =(1.534-14.738) and perceived susceptibility {AOR=3.898 95% CI=(1.255-12.103)} and among unknown HIV status women groups having multiple sexual partner {AOR=5.058 95%CI=(1.83-13.978)}, knowledge {AOR=4.822 95% CI=(1.172-19.832)}and perceived susceptibility {AOR=3.212 95% CI=(1.129-9.137)} have significant association. Conclusion and recommendation: The prevalence of cervical cancer screening among both groups was very low. Determinant factors among two groups were the same with exception of parity and having history of multiple sexual partners. Responsible bodies should give better attention in awareness creation and knowledge improvement among women.