Assessment of Willingness and Acceptability of Cervical Cancer Screening among Women Living with HIV/Aids in Selected Public Health Institution of Addis Ababa Ethiopia, June 2014
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2014-06
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Addis Ababa University
Abstract
Background - Cancer is one of the world’s major killer diseases. Cervical cancer is a disease inwhich the cells of the cervix become abnormal and start to grow uncontrollably, forming tumorsand it is the first most common cancer in women living in sub-Saharan Africa, but no more than5% of women in these settings are screened for cervical cancer even once in their lifetimes.Cervical cancer is a preventable disease, however the prognosis of the disease depends on thestage at which the disease is diagnosed and start treated.
Objective – To assess the willingness and acceptability of cervical cancer screening amongwomen living with HIV/AIDS in selected public health institutions of Addis Ababa, Ethiopiafrom December – June, 2014.
Methodology - An institutional based quantitative cross sectional study design supplemented byqualitative in depth interview was conducted to assess willingness and acceptability of cervicalcancer screening among women living with HIV/AIDS. After simple random selection of healthinstitutions, based on patient flow proportional allocation of study units was done to get studyunits from respective health institutions. Data was collected using structured questionnaires.Multivariate logistic analysis method was employed to determine factors significantly associatedwith acceptability.
Result-A total of 322 study subjects were included in this study. Of these 110 (34.2%) heardabout cervical cancer before, 202 (62.7%) were willing to be screened for cervical cancer, butfinally only 80 (24.8%) were accepted the test. This study also identifies the knowledge level ofthe study participants, and only 81 (25.1%) were considered as knowledgeable. Women who listthe first most cause of cervical cancer as viral/HPV were 1.8 times more likely to accept the testthan those who list other than this (AOR: 1.8, 95% CI: 1.011, 3.895, P=0.04).
Conclusion and Recommendation-More than half of the study participants don’t want to undergo the test, and most reason given was due to long waiting time. So the investigatorrecommend disease prevention unit of FMoH to integrating this preventive care service in the existing HIV/AIDS treatment guideline and making the screening service available in majority ofthe public health institutions
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Willingness Cervical cancer Health Institution