Cervical Cancer Screening Uptake and Determinant Factors Among Women in Ambo Town, Western Oromia, Ethiopia: Community based Cross Sectional Study

Abstract

Background: Cervical cancer is one of the principal causes of cancer death among women worldwide. It is the second most common cancer and the leading cause of cancer-related death in Ethiopian women; about 77.6% of women died of 6,294 new cases reported in 2019. Early screening for cervical cancer has substantial advantage to reduce the incidence, morbidity, and mortality attributed to cervical cancer. So far, there are limited evidence on the level of cervical cancer screening uptake and its determinant in low- and middle-income countries including Ethiopia. Consequently, the current study aimed to assess the level of cervical cancer screening uptake and its determinant among women of Ambo town, western Oromia, Ethiopia.Methods: A community-based cross-sectional study was conducted among 422 women aged 20-65years. Systematic random sampling was employed to recruit the eligible women from randomly selected sub-districts found in Ambo town. Interviewer-administered questionnaire was used to collect the data. Epi info was used for data entry and management from which it was exported to SPSS version 25 for detailed analysis. Variables in binary logistic regression with a p-value <0.25 were candidate for multivariable logistic regression. Estimates were presented using odds ratios (ORs) with 95% CI. Statistical Significance was declared at p value<0.05.Results: In the present study 392 women were participated giving a response rate of 93%. Overall, 63% of the respondents were known the availability of cervical cancer screening service. Only 8.7% (34) of the study participants were received cervical cancer screening in their lifetime. Being in the age group of 30-39 years (AOR=3.2; 95% CI [1.22, 8.36]) and 40-49years (AOR=4.8; 95% CI [1.42, 16.41]), having cervical cancer related discussion with health care provider (AOR=3.5; 95% CI [1.17, 10.7]), and knowing availability cervical cancer screening service (AOR=2.8; 95% CI [1.03, 7.87]) were significantly associated with uptake of cervical cancer screening. Conclusion: In this study, cervical cancer screening uptake is very low. The study also highlighted important factors that affect uptake of cervical cancer screening service. Therefore, this study result call urgent interventions by all stockholders to increase cervical cancer service uptake through continues promotions and by securing its availability and accessibility for all eligible women at all levels.

Construction of Nursing Practice Model in Case Management of Concurrent Chemotherapy and Radiochemotherapy Treatment in Cervical Cancer

“…We learned that there were certain differences in depression and anxiety before and after the intervention, but the degree of depression and anxiety in the experimental group was significantly greater than that in the control group. Therefore, this study puts forward the following suggestions for the next step of case management nursing practice: ① case management nurses should pay more attention to patients' mental health and rehabilitation needs, encourage patients to express their inner feelings, and solve patients' problems in time by coordinating various relationships [15,16]. ② In the practice of case management, case management nurses should not only teach their family members disease-related knowledge and skills but also pay attention to communication with their family members, fully understand their physical and mental needs, and provide targeted psychological and social support [17][18][19][20].…”

Exploring perception of rural women's towards cervical cancer and its screening in Sadi Chanka district, West Ethiopia: A qualitative study.

“…The participants thought that they were not susceptible to cervical cancer disease and that the screening service was not necessary. A similar nding from Wolaita zone showed that women did not need to go to health institution for take of health care unless they have sign, symptoms and complication of the disease (12) and Ambo town (14). The investigators found that a woman's who had accepted cervical cancer screening service mostly had after the disease was complicated.…”