Assessment of Knowledge, Attitudes and Practices on Cervical Cancer Screening among Health Service Providers at Marie Stopes International Ethiopia Centers, 2015

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Addis Abeba Universty


Background and Objective:Cervical Cancer is one of the major non-communicable health problems, largely preventablewith effective screening programmesandhuman papilloma virus (HPV) vaccination to prevent, detect and reduce cervical cancer.The burden of cervical cancer is disproportionately high among the developing countries. The study was conducted to assess Knowledge, Attitude and Practices (KAP) on Cervical Cancer Screening amongHealth Service Providers (HSP) at Marie Stopes International Ethiopia Centers in 2015. Materials and Methods:An exploratorydescriptive cross-sectional study design,both quantitative and qualitative method was employed. Quantitativedata was collected by means of self-administered questionnaire from 190 health service providers and qualitative bymeans of an in-depth interviewfrom five area managers, bothemployed at Marie Stopes International Ethiopia. Result:The mean age of the study participants were 34.7 years. 50% of participants considered cancer of the cervix a public health problem in Ethiopia. They most frequently mentioned multiple sexual partners 52.6%, sexually transmitted infections (STI) 49.7%, smoking 28.1% and sexual intercourse at early age 17.5% as major risk factors; and irregular vaginal bleeding 63.8%, foul smelling vaginal discharge 52.8%, post coital bleeding 39.9% and dyspanurea 38% as major symptoms of cervical cancer.Pap smear was the most popular screening test mentioned by 62.1% andvisual inspection with acetic acid (VIA) or Lugol’s iodine (VILI) by 31.1% of respondents. Participants mentioned recommended women age and screening interval inconsistently. About 66.3% of respondents believed all women should undergo screening for cervical cancer. However, 53.2% of female respondents didn't feel susceptible to cervical cancer, as well as 65.1% had never been screened. Of the male respondents, only 19.8% had partners/ wives who had ever been screened. Conclusions and Recommendations: There is high KAP gap and misconception, towards cervical cancer screening among HSP. Health service providers need to be targeted first for cervical cancer screeningbecause of their essential role in the implementation of any future screening programs and in their educative role with patients. Health service providers need to be trained to provide health education services and are expectedto be a role model to motivate and change others attitude and practices. Key Words: Knowledge,Attitude, Practice, Cervical Cancer, Ethiopia



Knowledge,Attitude, Practice, Cervical Cancer, Ethiopia