Barriers and Recommendations for a Cervical Cancer Screening Program among Women in Low-resource Settings in Lagos Nigeria: A Qualitative Study

Olubodun, Tope; Balogun, Mobolanle Rasheedat; Odeyemi, KA; Odukoya, Oluwakemi Ololade; Ogunyemi, Adedoyin; Okafor, Oluchi Kanma -; Okafor, Ifeoma P.; Olubodun, Ayodeji Bamidele; Ogundele, Oluwatoyin Olanrewaju Progress; Ogunnowo, Babatunde; Osibogun, Akin

doi:10.20944/preprints202209.0334.v1

Cited by 3 publications

(4 citation statements)

References 35 publications

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“…Findings from this study have revealed good knowledge, poor attitude towards CC screening and vaccination, and a low level of uptake of CC screening and vaccination. This is contrary to the study by Olubodun et al (2019) among women residing in an urban slum in Lagos, Nigeria, where knowledge about cervical cancer screening and vaccination was poor, and attitude was exemplary. This observed difference in knowledge and attitude may be due to the variance in the sociodemographics of the participants in the two studies.…”

Section: Discussion Of Findingscontrasting

confidence: 95%

Cervical Cancer Screening and Vaccination: Profiling Determining Factors Influencing Uptake among Health Workers in Abuja, Nigeria

Awe,

AINA,

Oyedele

et al. 2023

Fountain Journal of Natural and Applied Sciences

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Cervical Cancer (CC) remains one of the leading causes of death among reproductive-age females globally. Screening and vaccination of CC are still low among females, hence the increase in the death toll from the disease. This study investigated the factors influencing the uptake of cervical cancer screening and vaccination among reproductive-age female workers at selected hospitals in Abuja, Nigeria. Using a descriptive quantitative design, self-administered questionnaires were used to gather data from a total of 160 participants. The validity and reliability of the instrument were ensured with a Cronbach Alpha coefficient of 0.899. The collected data were analysed using descriptive and inferential statistics at p <0.05 significance level using Statistical Package for Social Sciences (SPSS) version 24.0. Good knowledge and poor attitudes about cervical cancer screening and vaccination were documented in this study. As reported in this study, identified factors influencing the uptake of CC screening include the cost of screening and vaccination, availability of service, economic status of the individual, and level of education. There was no significant relationship between the level of knowledge of cervical screening and vaccination and the uptake among the participants (p=0.178). Our study suggests that knowledge did not translate into the uptake of cervical cancer screening among study participants. Other factors were responsible. Therefore, multi-dimensional approaches toward addressing limiting factors to the uptake of cervical cancer screening and vaccination should be encouraged. Making screening facilities available and at a subsidised rate may encourage increased uptake. Continuous public health education and enlightenment are also recommended. Keywords: Cervical Cancer, Screening Uptake, Influencing Factors, Reproductive Age Women.

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Section: Discussion Of Findingscontrasting

confidence: 95%

Cervical Cancer Screening and Vaccination: Profiling Determining Factors Influencing Uptake among Health Workers in Abuja, Nigeria

Awe,

AINA,

Oyedele

et al. 2023

Fountain Journal of Natural and Applied Sciences

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“…In a communitybased study in Elmina, Ghana, uptake was only 0.8% [12] and 6% in a Kenyan study [13]. This low uptake of screening services has also been highlighted by studies in Nigeria, ranging from 0% screening as reported by Balogun et al 2012 [14] and Igwilo et al 2012 [15] in Lagos and Edo states respectively, 0.7% screening in another study in Lagos [16], and 5% pap smear uptake by respondents in a Lagos study [17]. Similarly, in a study in Onitsha, a metropolitan city in Anambra, Southeast Nigeria, only 1.8% of respondents had done a cervical screening test [18].…”

Section: Introductionmentioning

confidence: 77%

Knowledge, Attitude, and Practice of Cervical Cancer Among Women of Childbearing Age in Enugu State, Southeast Nigeria

Chidinma¹

2022

TIJPH

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Cervical cancer (CCa) is the fourth most frequent cancer in women worldwide, and the second most common cancer in women living in developing countries. The study was done to determine the knowledge, attitude, and practice of CCa prevention strategies among women of childbearing age in Enugu State, Nigeria. A descriptive cross-sectional study of 450 eligible women in Enugu State who were selected by proportionate stratified random sampling method. Data were collected electronically using KoboCollect app. Chi-square and bivariate logistic regression model for statistical significance association estimates at 95% C I and, P < 0.05 were done. The mean knowledge score was 3.38 ± 5.009 out of 29 points, with only 5.1% of the respondents classified as having good knowledge. Muslims/traditionalists were 9.6 times more likely than Christians to have good CCa knowledge (95% CI OR= 2.037 – 45.394). Respondents with secondary education were 8 times less likely than those with tertiary education to have good CCa knowledge (95% CI OR 0.034 – 0.415). Majority (71.6%) of the respondents were classified as having a good attitude. Respondents with good CCa knowledge were 4.4 times more likely to have right CCa prevention attitude compared to those with poor knowledge (95% CI OR= 0.053 – 0.985). 3.8% and 8.2% of the respondents have ever screened for CCa and received HPV immunization respectively. Although the knowledge and practice were very low, the CCa prevention attitude was good. Therefore, we recommend targeted awareness and enlightenment of the public about CCa to achieve optimal timely detection and treatment. Keywords: Cervical Cancer (CCa); Enugu State, KAP, Women of Childbearing Age; Southeast; Nigeria.

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“…Human Papillomavirus (HPV) and HPV vaccines across different population segments. In Nigeria, these gaps were observed among high school students, men, women residing in urban slums, urban and rural areas [6,9,10,18,19]. This widespread lack of awareness and inadequate knowledge across diverse groups calls for concerted efforts to bridge the informational gap across population groups.…”

Section: Our Study's Findings On Knowledge Resonated With Previous Re...mentioning

confidence: 99%

“…Mothers play a pivotal role in this context, as their understanding and beliefs about HPV and its vaccines significantly impact the vaccination choices for their children. However, despite instances where there's a strong willingness to vaccinate, the actual uptake of the HPV vaccine often remains low [9].…”

Section: Introductionmentioning

confidence: 99%

Untitled

2023

Archives of Infect Diseases & Therapy

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Background: The Human Papillomavirus (HPV) poses a significant challenge to global public health due to its association with various cancers and genital warts. The global burden of HPV-related diseases disproportionately affects developing countries. Despite high HPV prevalence, its association with cervical cancer remains low; and vaccination stands as a key preventive tool. The study aims to explore mothers' knowledge and attitudes regarding HPV and its vaccine and also, to identify factors influencing vaccine uptake among their children in a rural community. Methods:A community-based cross-sectional analytical design using cluster sampling technique to enrol 430 mothers from a rural community in Imo State, Nigeria from 5th November to 10th December 2022. A structured questionnaire was used and bivariate and multivariate analyses were performed at a significance level, p≤ 0.05.Results: HPV vaccine uptake was 11% with the majority of the mothers exhibiting poor knowledge (73%) and inappropriate attitude (42%) towards HPV and its vaccines. Nevertheless, more than one third of the mothers displayed a high level of willingness to administer the HPV vaccine to their children (37%). However, vaccine uptake appeared to be significantly associated with the mother's level of knowledge, attitude and willingness to administer the vaccine (p<0.001). Similarly, vaccine uptake appeared to be significantly associated with the mother's age group (p<0.001), the mother's religion (p=0.008), the mother's educational level (p<0.001) and the mother's monthly income (p=0.01). Similarly, their husband's educational level (p<0.001) and Occupation (p=0.001) also appeared to be significantly associated with HPV vaccine uptake. Furthermore, mothers between the ages of [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] p=0.002), catholic (aOR: 2.66; p=0.009), earning a higher income (aOR: 2.37; p=0.029) and whose husbands were civil servants (aOR: 5.96; p=0.025) were significantly more likely to have administered HPV vaccine to their children. Conclusion:The study underscores the urgency for tailored interventions to improve HPV vaccination uptake. The interventions should address knowledge gaps, promote positive attitudes, dispel misconceptions, and overcome barriers hindering vaccination. These interventions should encompass more than focusing solely on mothers; they should involve broader engagement with families and communities, where mothers play a central and anchoring role.

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Barriers and Recommendations for a Cervical Cancer Screening Program among Women in Low-resource Settings in Lagos Nigeria: A Qualitative Study

Cited by 3 publications

References 35 publications

Cervical Cancer Screening and Vaccination: Profiling Determining Factors Influencing Uptake among Health Workers in Abuja, Nigeria

Cervical Cancer Screening and Vaccination: Profiling Determining Factors Influencing Uptake among Health Workers in Abuja, Nigeria

Knowledge, Attitude, and Practice of Cervical Cancer Among Women of Childbearing Age in Enugu State, Southeast Nigeria

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