Assessment of Factors That Lead to Delay for the Diagnosis and Treatment of Cervical Cancer Among Patients Attending Tikur Anbesa Specialized Hospital Radiotherapy Center Addis Ababa Ethiopia

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Addis Ababa University


Background: Cervical cancer is the second commonest cancer and leading cause of mortality in Ethiopia. The main reason for this is delay, in this study delay as classified in Primary (patient) and secondary (system) on diagnosis and treatment of cervical cancer. Objective: To assess factors that lead to delay for diagnoses and treatment of cervical cancer among patients attending Tikur Anbesa Specialized Hospital Radiotherapy Center Addis Ababa, Ethiopia, 2017. Methods: Descriptive cross-sectional study design was conducted with sample size of 422. Data was entered using Epi data version 3.1 and analyzed by stastical package for social sciences (SPSS). Bivariate and multivariate analysis was carried out to see the association between independent and the outcome variables. Result: In this study 422 women were participated but 12 women were excluded due to incomplete information so the response rate was 410(97.1%). The mean age of women was 50 years (SD ±11.5). Half of the participants were 205(50%) illiterate and 234(66.3%) of them income were <500 Birr. With regard to prevalence of delay, 286(70%) were delay cases as having primary delay (> 90 days) with the reasons 274(80%) of assumed the symptoms heal by itself and 342(83.4%) were due to lack of awareness about cervical cancer. In this study 354(86.3%) were having secondary delay (>30 days) with the reason of 346(84.4%) were long waiting time. Factors that were the predictor of primary delay include; unemployed, low socioeconomic status, traditional hillers, fear and embarrassment at P-value <0.05 and factors that were predictor of secondary delay were advanced stage of cervical cancer during diagnoses, long waiting time and inaccessibility for services at p- value <0.05. Conclusion and recommendations: - In this study high prevalence of primary and secondary delay were noticed. High level of illiteracy, low socioeconomic status, lack of awareness and traditional hillers were factors that lead to primary delay. Absence of a routine screening program, lack of early detection and treatment interventions were accountable for secondary delay. Raising awareness and improving health service should be promoted and advocated to decrease the usual delay of cervical cancer activities. Key words: cervical cancer, diagnosis, treatment, delay, primary, secondary, Ethiopia



Cervical cancer, Diagnosis, Treatment, Delay, Primary