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    Prevalence of precancerous lesions and other cervical abnormalities among internally displaced women in Benue State Nigeria
    (Pan African Medical Journal(PAMJ), 2024) Ngwibete, A.; Ogunbode, O.; Swende, L. T.; Agbada, M. M.; Omigbodun, A.
    Introduction: visual inspection is a low-cost screening strategy that can be used to prevent cervical cancer in women. These techniques can improve screening health outcomes for internally displaced women (IDW) who have poor sexual and reproductive health and rights' behaviors and outcomes. This study aimed to determine the prevalence of precancerous lesions and other clinical features using a visual inspection with acetic acid (VIA) technique during a cervical cancer screening campaign in two internally displaced people (IDP) camps in Benue State, Nigeria. Methods: this was a cross-sectional study of 166 IDW who voluntarily participated in the study during a VIA cervical cancer screening campaign in two IDP camps in Benue State, Nigeria the screening was done by a group of qualified and trained healthcare workers and data was collected using a structured, pretested questionnaire. Results: a total of 99(60%) of the women had a first sexual experience at 16 years, while 78(47%) had more than 5 full-term pregnancies. Although only 72(43.4%) of the women acknowledged having more than one sexual partner, over 70% of the women stated that their sexual partner had another sexual partner. The prevalence of precancerous lesions among women was 10.8%. Smoking(p=0.003), age at menarche (p≤ 0.001) and sexual behaviors (p=0.009, p=0.004) were factors that had a statistically significant relationship with the presence of a precancerous lesion among the IDW. The study also highlights the high rate (95%) of cervicitis among the women and the relatively high rate (5.4%) of leukoplakia. Conclusion: the majority of IDW had sociodemographic and lifestyle characteristics that predisposed them to developing cervical cancer More targeted interventions aimed at improving the sociodemographic and lifestyle characteristics of IDW are recommended. In addition, there is a need to create awareness about cervical cancer among IDW and make screening available in camp facilities for early detection and management.
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    Determinants of cervical cancer screening uptake among women attending selected family planning clinics in Ibadan, Oyo State, Nigeria.
    (2020) Ndikom, C. M.; Ajibade, A. B.; Oluwasola, T. A. O.
    Background: Cervical cancer screening (CCS) continuously has low awareness and is poorly utilized in developing countries despite higher incidence of cervical cancer (CC). Increasing incidence of CC has been associated with late reporting of symptoms, ignorance about the disease, and its preventive measures. This study was conducted to further investigate the determinants of CCS uptake among women attending selected family planning clinics in Ibadan, Nigeria. Materials and Methods: Adopting a cross‑sectional design, 205 consenting respondents attending family planning clinics were interviewed using an interviewer‑administered questionnaire. The data collected were analyzed using Statistical Package for the Social Sciences version 21. The hypotheses were tested using Chi‑square, odds ratio, and logistic regression at P < 0.05. Results: The mean age of the respondents was 33 ± 8 years; 176 (85.9%) were married and 72 (35.1%) had tertiary education. Although 71% of the respondents were aware of CC, only 37.1% had good knowledge and 16.1% had previously utilized CCS. About two‑thirds (68.8%) of the respondents were willing to uptake CCS, except for perceived barriers such as lack of understanding of the disease and inadequate information about the services coupled with limited availability of the CCS services. There was a significant association between uptake of CCS and knowledge (χ2 = 17.944, P < 0.001), education (χ2 = 7.724, P < 0.024), and income (χ2 = 32.22, P < 0.001). On logistic regression, the uptake CCS remained influenced mainly by income of >40,000 Naira (OR = 5.355, CI = 1.678–17.083) and knowledge (OR = 3.112, CI = 1.247–7.768). Conclusion: Family planning clinics are readily available centers for increasing the knowledge base of the women on the need for regular CCS. This needs to be duly incorporated into our routine services.