Acceptability of cervical cancer screening using See and Treat (SAT) approachand determinant factors among women of reproductive age in health centers in Addis Ababa, Ethiopia.
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Date
2017-10
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Abstract
Background: Cervical cancer is one of the leading causes of morbidity and mortality amongst female
cancer worldwide, especially in developingcountries, including Ethiopia. The level of women’s
acceptance of cervical cancer screening and treatment service is low and not well documented in Ethiopia.
The current study sought to assess women’s acceptance about cervical cancer screening and determinant
factors of the service.
Objective: The objective of this study was to assess the acceptability of cervical cancer screening and
treatment of precancerous cervical lesions and determinant factors among Women aged 30–49 years at
selected health centers in Addis Ababa, Ethiopia.
Methodology: A facility based cross sectional study which contain quantitative and qualitative methods
were conducted at 14 public health centers in Addis Ababa, from November, 2016 to October
2017.Totally a sample of 316 women aged 30–49 years were taken for Quantitative study and a single
stage simple random sampling technique was employed to address the study subjects. For the Qualitative
part 12 health professionals who were providing the service were interviewed purposively. Acceptability
of cervical cancer screening and treatment service was measured after the women underwent the
procedure, using women’s Satisfaction on service delivered.Descriptive, Binary and multiple logistic
regressions were employed to determine factors associated with acceptance about cervical cancer
screening and treatment service.The transcribed and translated qualitative data was coded using cut and
paste method of similar item. Then finally the codes were categorized and thematically described.
Result: one hundred forty seven (47%) of the participants accepted cervical cancer screening and
treatment service. Almost half (48.6%) of the participant were not knowledgeable. After adjusting for
covariates, acceptance of cervical cancer screening and treatment service was positively associated with
being governmental employee [(AOR=5.85, 95% C.I:5.85(1.7, 20.0)], women who had history of vaginal
burning [(AOR=4.57, 95% C.I:4.57(1.417,14.76)], information about status of women [ (AOR =
0.06,95% CI: (0.014,0.26)], Delay screening and treatment time [(AOR = 7.6,95% CI: 7.6(2.89,20)],
happy with staff behavior,[(AOR =4.6, 95% CI: 4.6(1.1,19.77)], health education about the service
[(AOR = 2.45, 95% CI: 2.45(1.049,5.74)] , and women who were happy with setup of examination room
[(AOR = 3.96, 95% CI: 3.96(1.32,20.85)] respectively.
Conclusion and Recommendation: This study shows a suboptimal acceptance of cervical cancer
screening and treatment services. Occupational status, test related problem, Lack of health education,
Delay screening and treatment time, setup of examination room and staff behavior were found to be
important determinants. Efforts are needed to increase women’s acceptance and knowledge about the
service. Organization working on cervical cancer should establish a separate service delivery on screening
and treatment program and should highly enhancehealth education and awareness creation program.
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Cervical cancer