The role of health education on cervical cancer screening uptake at selected health centers in Addis Ababa

Abstract

Introduction Cervical cancer is one of the most common causes of morbidity and mortality among women in developing countries including Ethiopia. Unlike other types of cancers, the grave outcomes of cervical cancer could be prevented if detected at its early stage. However, in Ethiopia, awareness about the disease and the availability of screening and treatment services is limited. This study aims to determine the role of health education on cervical cancer screening uptake in selected health facilities in Addis Ababa. Methods Two-pronged clustered randomized controlled trial was conducted in 2018 at eight public health centers that provide cervical cancer screening services using visual inspection with acetic acid (VIA) in Addis Ababa, Ethiopia. Each of the eight health centers were randomly assigned to serve as either an intervention or a control center. A two-pronged clustered randomized controlled trial was conducted in eight public health care centers. All the selected facilities provided cervical cancer screening services using visual inspection with acetic acid (VIA). Four health centers were randomly assigned to the intervention and control arms. The study participants were women aged 30-49 years who sought care at maternal and child health clinics but who had never been screened for cervical cancer. In the intervention health centers, all eligible women received one-to-one health education and educational brochures about cervical cancer and cervical cancer screening. In the control health centers, participants received standard care. Baseline data were collected at recruitment and follow-up data were collected two months after the baseline. For the follow-up data collection, participants (both in the intervention and control arms) were interviewed over the phone to check whether they were screened for cervical cancer. Result From the 2,140 women who participated in the study, 215 (10%) screened for cervical cancer, where 152(71%) were from the intervention health centers. Seventy-four percent of

The impact of education intervention on awareness of cervical cancer and barriers to HPV vaccination among Saudi pregnant women

“…A similar impact of the education intervention was reported among Ghanaian women by a study that found that knowledge of cervical cancer and its screening test was significantly higher among women educated on cervical cancer than women without cervical cancer education (Ebu et al, 2019). The same findings were also reported by studies from Ethiopia and India (Abu et al, 2020;Thahirabanuibrahim & Logaraj, 2021).…”

“…This underlines the significant role of education in raising awareness that could help in early cervical cancer detection and prevention of late diagnosis and related complications, including deaths. This could encourage women to go for screening without waiting for symptoms since it was found that one of the reasons for not being screened early is the symptom absence (Abu et al, 2020). Therefore, this should be considered when establishing screening programs in Saudi Arabia, and appropriate measures should be taken to educate the population.…”

Cervical cancer screening status and implementation challenges: Report from selected states of India

“…50 Our study revealed that in India efforts to promote screening under other existing health programs, via media or through the involvement of local NGOs is generally absent, although it would be an effective way to promote awareness about cervical cancer. 51 Collaborations with programs for school health, reproductive health, and family planning could also be envisaged to promote cervical cancer screening. The same applies to the broader education sector and local self-help groups, where village leaders can help to increase the credibility of the program.…”

Early Detection of Cervical Cancer by Visual Inspection with Acetic Acid (VIA)

“…Pemeriksaan dengan inspeksi visual dengan asam asetat (VIA) (Pinder et al, 2020), diikuti dengan pengobatan segera pada perempuan IVA-positif (pendekatan skrining dan pengobatan) dapat mengurangi jumlah kunjungan klinik dan secara signifikan meningkatkan kepatuhan pengobatan (Basu et al, 2018;Maza et al, 2017;WHO, 2013). Program skrining dengan IVA telah terbukti berhasil untuk mendiagnosis positif dan pengobatan lebih awal untuk lesi pra kanker (Abu et al, 2020;Wentzensen & Tamara, 2018). Oleh karena itu, implementasi IVA adalah intervensi yang menjanjikan yang akan membantu mengendalikan penyakit.…”