Factors Associated with Utilisation of Cervical Cancer Screening Services among Women Aged 25-49 in Bushenyi District
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Date
2023-03
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Kampala International University
Abstract
Background: Cervical cancer is a public health concern worldwide among women. In Africa, Uganda, cervical cancer incidence rates is at 54.8 per 100,000 per year (Nakisige et al., 2020) Despite the interventions by Ministry of Health, the screening coverage is still very low and this has been attributed to associated factors (Ndejjo et al., 2016). This study aimed to identify factors associated with utilization of cervical cancer screening services among women aged 25 - 49 years in Bushenyi-Ishaka municipality and Kizinda-Kigoma town council, western Uganda.
Methods: A descriptive cross-sectional study design was employed and questionnaires were used to collect data from women of reproductive age that consented from May 15 to July 30 2022. A total of 392 women were included in the study. The respondents were selected from Bushenyi-Ishaka Municipality and Kizinda–Kigoma town council, western Uganda following systematic sampling with an interval frame of 5.
Results: We found that the utilization of cervical cancer screening services was very low as only (15.1%) in the female population. This study indicated there is good knowledge on cervical cancer among the study population however, observed low utilization among the studied population. The results showed that residents from Kizinda-Kigoma Town Council were two times less likely to utilize cervical screening services compared to residents of Ishaka Bushenyi Municipality significantly at p<0.050; cOR=2.33, 95% CI (0.763-4.400). The study also showed that women aged 25-34 years were two times less likely to utilize cervical screening services compared to those aged 45-49 years significantly at p<0.040; cOR=2.234, 95% CI (0.13-11.93). Women who were divorced were five times less likely to utilize cervical cancer screening services compared to the single significantly at p<0.001, cOR=5.11, 95% CI (2.31-29.3). Also, women with no formal education were five times less likely to utilize cervical cancer screening services compared to those with formal education significantly at p<0.001, cOR=5.31, 95%CI [1.16-16.66]. The knowledge of cervical cancer screening in this study was high (>90%) of the studied population.
Conclusion: Advocacy for Cervical cancer screening, increased awareness and Gynecological consultations result in women undergoing screening. Therefore, more sensitization on cervical cancer prevention and male support towards this cause should be provided to women.
Description
A research Report submitted in partial fulfillment of the requirements for the award of the degree of Master of Public Health of Kampala International University