Cervical cancer is the second most common women cancer worldwide, accounting for 13% of female cancers. It ranks as the second most frequent cancer among women after breast cancer in Sudan as well as other developing countries. This study seeks to assess the knowledge, and the attitude of female staff and students of undergraduate nursing students of Khartoum universities, Sudan, towards cervical cancer prevention.A structured interview questionnaire was used for data collection; the questions were made to capture the objectives of the study. Most of the students (84.0%) were not aware of other screening methods than Pap smear test and the burden of cervical cancer and its prevention (p = 0.000). Approximately half of the respondents (49.9%) have no complete information about the HPV vaccine. However, the other half showed positive attitudes towards HPV vaccination and were eager to recommend HPV vaccine to their family and other members of the community. More than two thirds of respondents exhibited positive attitude and were willing to undergo Pap smear in the future. The study shows that the majority of the participants have poor information about cervical cancer prevention. Education would motivate nurses to participate actively in awareness raising, screening, and management.

Background: Breast cancer is the most common malignancy among adults in Jordan accounting for 39.4% of all newly diagnosed cancers. Jordan is a lower-middle–income country that lacks national screening program. King Hussein Cancer Foundation/Center (KHCF/KHCC) and Jordan Breast Cancer Program had put significant efforts over past years to increase awareness about breast cancer and improve mammography services. They have introduced two mobile mammography units aiming at reaching women in their local communities, in underserved and underprivileged regions. Aim: Describe the experience of making mammography accessible and free of charge to women in rural and remote areas with limited access to mammography services. Methods: Local health educators were trained to recruit women aged 40 years and above to get free screening mammogram in mobile mammography unit. Data collected from five rural areas in Jordan from 2012 until 2017. Total number is 13570 women. Recall was performed at the fixed mammography unit at KHCC and was free of charge until the diagnosis of cancer affirmed or deferred. Results: The highest percentage of women 55.2% (N: 7733) aged 41-50 years. Women aged less than 40 years were recruited due to their breast-related symptoms. It was ethically difficult to refrain imaging symptomatic women in van in remote areas. However, in areas closer to KHCC symptomatic women with no medical insurance were directly referred to KHCC with voucher for free mammogram and workup. Total number of women referred for screening was 13058 (96.2%) and those referred as diagnostic was 512 (3.8%); their mean age was 48.8 and 45 years respectively. Overall recall rate was 29.3% (N: 3822) among screening cases. Cancer detection rate was 0.85% (N: 112) among screened women and 6.8% (N: 35) among diagnostic cases. Number of women who failed to adhere to follow-up procedures was N=1191 (8.8%). It was noticed that family history of cancer correlated with better adherence to complete follow-up procedures. Conclusion: Mobile mammography unit enabled access to screening mammography in rural areas and also encouraged symptomatic women to seek medical advice early. Ensuring financial coverage may have been an additional motivational factor. Follow-up studies may be conducted to compare tumor size differences between screening and diagnostic cases, prognosis and quality of life.