Utilization of Screening Service on Cervical Cancer and Associated Factors among Female Health Professionals in Addis Ababa, Ethiopia
| dc.contributor.advisor | Shiferaw Negash | |
| dc.contributor.author | Achamyelew Melaku | |
| dc.date.accessioned | 2025-03-20T14:30:48Z | |
| dc.date.available | 2025-03-20T14:30:48Z | |
| dc.date.issued | 2023-07 | |
| dc.description.abstract | Background: Cervical cancer is the most prevalent gynecologic cancer. It is preventable andcurable, as long as it is detected early and managed effectively. Yet it is the fourth most commonform of cancer among women worldwide and second in Ethiopia, with the disease claiming thelives of more than 340 000 women in 2020. Its incidence and burden are high in developing regions, especially in sub-Saharan Africa. The World Health Organization plans to increasevaccination, screening, and treatment of cases to 90%, 70%, and 90%, respectively, indeveloping countries by 2030. Early screening for cervical cancer is a key intervention inreduction of maternal deaths. Health care workers have a significant contribution to improve cervical cancer screening practice among women. Therefore, the aim of this study was to assess magnitude of utilization of cervical cancer screening and associated factors among female healthcare providers in Addis Ababa, Ethiopia. Methods: Institution-based cross-sectional survey was done from June 05- July 05, 2023GC. The data was collected using a structured questionnaire. The questionnaire was checked manuallyfor its completeness, coded, and entered into Epi-Data version 4.6 and analyzed with SPSSversion 25. Descriptive and summary statistics were done. Both bivariate and multivariatelogistic regression analyses were used to determine the association of each independent variablewith the dependent variable. Variables significant in bivariate analysis (P-value≤ 0.25) wereentered into a multivariate logistic regression model to adjust the effects of confounders on theoutcome variable. Odds ratios with their 95% confidence intervals (CIs) were computed toidentify the presence and strength of association, and statistical significance was declared ifP<0.05. Results: The total study participants in our study were 432, of these more than half, 243(56.3%)were nurses. Almost all of the participants know at least one risk factor and one of screening methods. In this study only 19.4 %(n=84/432) and 31.15% (n=57/183) among all participants and targeted age(≥30years) participants have utilized screening service respectively. The main reason that hinders screening service utilization was lack of attention while the promotor factorswere awareness of screening method and physician recommendation. Age, marital status, year ofexperience, working unit, knowledge of cervical cancer etiology, knowing of risk factor, attitude,method of screening and management of cervical cancer were significantly associated withutilization on Multivariable logistic regression. Conclusion and recommendations: Unfortunately, there is low utilization of screening serviceamong participants who were expected to be role model for the community. The top common reasons not utilizing were lack of attention and feeling healthy while those screened were motivated by awareness about screening methods and physician recommendation. Lack of attention is the leading reason among age group of >=30yrs. Due to their unfavorable attitude and lack of adequate knowledge had negative effects on themselves and the vast majority of theirclients. Therefore, the researcher recommends training for participants to increase awareness on screening methods and to increase the uptake of screening services. | |
| dc.identifier.uri | https://etd.aau.edu.et/handle/123456789/5213 | |
| dc.language.iso | en_US | |
| dc.publisher | Addis Ababa University | |
| dc.subject | Utilization of Screening Service | |
| dc.title | Utilization of Screening Service on Cervical Cancer and Associated Factors among Female Health Professionals in Addis Ababa, Ethiopia | |
| dc.type | Thesis |