Knowledge towards cervical cancer screening and associated factors among urban health extension workers at Addis Ababa, Ethiopia: facility based cross-sectional survey

Abstract

Background Cervical cancer is preventable and remains a leading cause of avoidable death among women in the world. In a developing country, the knowledge of screening for cervical cancer behavior still very low. However, little is known about the knowledge towards cervical cancer screening of urban health extension workers in Ethiopia. This study aimed to assess knowledge towards cervical cancer screening and associated factors among urban health extension workers in Addis Ababa, Ethiopia, 2020. Methods In this cross-sectional study, 312 urban health extension workers completed the survey in the Amharic language. Data collected using a structured questionnaire in a face-to-face interview. Descriptive and logistic regression analyses were conducted using SPSS version 26. Results The mean age of the urban health extension workers was 20.41 ± 3.73 years and 55.1% were married. The majority of the participants (75.6%) had diploma educational level, and 38.1% of them had 1–2 years of work experience. More than half (51.6%) of the participants had poor knowledge about cervical cancer screening. Participants with work experience of 5–6 years (AOR = 4.32: 95% CI = 1.71,10.94) and those who had a monthly income of 5000–10,000 ETB (AOR = 3.75: 95% CI = 1.49,9.41) and greater than > 10,000 ETB (AOR = 3.08: 95% CI =1.06, 8.98) were positively associated with knowledge towards cervical cancer screening among urban health extension workers, p-value< 0.05. Conclusion This study indicated that the knowledge towards cervical cancer screening of urban health extension workers was inadequate. Urban health extension workers’ work experiences and monthly income were found to be independent predictors of the knowledge towards cervical cancer screening of respondents. Therefore, urban health extension workers with low work experiences and those with small monthly income could be targeted for cervical cancer screening information and training interventions.

Knowledge, practice of cervical cancer screening and associated factors among women police members of Addis Ababa police commission Ethiopia

“…Those who had been screened for cervical cancer were more likely than those who had not. Regarding the practice of cervical cancer the study showed 18.4% participants screened for cervical cancer this is greater the previous studies done among women globally 13.26% [ 12 ], in Nepal and Tanzania 13.6% and 14.3% respectively [ 15 , 16 ], Ethiopia 2.9% [ 8 ] and study in Addis Ababa 3.5% [ 8 ]. The difference is due to time, location difference, availability of health facility and availability of screening service near to participant and knowledge of participants.…”

“…Further, in 2015 with in Addis Ababa, 27.7% women had adequate knowledge of cervical cancer screening [ 8 ]. On the other hand, on urban health extension workers studied, 48.4% had good knowledge about cervical cancer screening [ 12 ]. The difference may be due to access for health facilities and availability of technology, time gap of the study, and different in educational statue of participants.…”

“…The sample size for cervical cancer screening was calculated using a single population proportion formula with a 95% confidence level, 5% margin of error, and 42.7% population proportion [ 12 ]. The total sample consisted of 376 female police officers.…”

Assessment of HPV Knowledge and Awareness among Students and Staff at IBB University, Niger State, Nigeria: Implications for Health Education and Prevention

“…Data collection instruments used for this study consisted of the demographic survey and other forms to measure knowledge and awareness of HPV. The following forms were adapted to measure the knowledge and awareness of HPV: HPV Infection Awareness Questions [ 21 ], HPV Infection Knowledge Questions (Scale) [ 21 , 22 ], HPV Vaccine Knowledge Questions (Scale) [ 21 , 23 ] and Cervical Cancer Awareness on OC Pills [ 24 , 25 , 26 ]. The data instrument was adapted for use in the study settings.…”

Factors associated with uptake of human papillomavirus vaccination among adolescent girls in Mettu town, southwest Ethiopia: a school-based cross-sectional study

“…In Ethiopia, cervical cancer ranks as the second cause of cancer death, next to breast cancer, and is common among women aged 35–44 years old 11. More than 4648 women are diagnosed with cervical cancer each year, among them 3235 die annually 6.…”