Knowledge Attitude and Practice on Cervical Cancer and Screening among Reproductive health Service Clients, Addis Ababa, Ethiopia, 2015
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Date
2015-06
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Addis Abeba Universty
Abstract
Background: worldwide there is an estimated 493,000 annual cases of cervical cancer and
273,500 annual deaths, women in developing countries account for about 85% of both its
morbidity and mortality. To have early screening and early detection, having knowledge is
important. Women with a better knowledge of cervical cancer were more likely to attend cervical
cancer screenings. In Ethiopia practice of cervical cancer screening is below 1%.
Objectives: The objective of this study was to assess the knowledge, Attitude and Practice on
cervical cancer and screening among reproductive health service clients at health centers in
Addis Ababa.
Methodology: A facility based cross sectional study which contain quantitative and qualitative
methods were conducted at 13 public health centers in Addis Ababa, from February to
March2015. Totally 520 samples were taken For Quantitative study and a multi-stage sampling
technique was employed to address the study subjects. Four focused group discussions were
conducted among the clients in the qualitative part. Data was analyzed using descriptive statistics
and logistic regression model was used to identify factors associated with the outcome variable
and the result is presented using the OR with the corresponding 95% CI. The transcribed and
translated qualitative data was coded using Open Code software. Then finally the codes were
categorized and thematically described.
Result: Over all knowledge of cervical cancer was 43.8% and knowledge of cervical cancer
screening were 27% and 56% of participants had positive attitude towards cervical cancer
screening. And over all practice of cervical cancer screening was 3.5%. Being knowledgeable of
cervical cancer (AOR=5.0,95% CI;2.7-3.0) and source of information from health professionals
(AOR= 1.8, 95% CI (1-3.2)) were found to be statistically significant towards knowledge of
cervical cancer screening and Knowing someone diagnosed with cervical cancer (AOR= 2.1, 95
CI (1.2-3.4)) and being knowledgeable of cervical cancer (AOR=3, 95%CI (1.8-5.3)) were
statistically significant predictors for positive attitude towards cervical cancer screening. women
who know someone diagnosed with cervical cancer (AOR= 3.2, 95% CI; 1.0-10.0) and source
of information from health professionals (AOR =3.5, 95%CI; 1.2-10.2) were the significant
determinants of cervical cancer screening practice.
Conclusion and Recommendation: More than half of the participants were not knowledgeable
of cervical cancer and screening, however they had positive attitude. Cervical cancer screening
practice was very low. Lack of knowledge, accessibility of services with affordable price and
absence of gynecological signs were among common perceived barriers for not to undergo
cervical cancer screening practices. Service should be available and accessible with reasonable
price to the clients and health education and awareness creation regarding cervical cancer should
be in place.
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Keywords
Knowledge Attitude and Practice on Cervical Cancer