scholarly works

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Author: search.filters.author.Ndikom C. M.Subject: search.filters.subject.knowledge

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    Knowledge and Cervical Cervical Cancer Screening Self-efficacy in Jema’a Local Government Area of Kaduna State, Nigeria.
    (West African College of Nursing, 2023) Adams K.; Ndikom C. M.; Ogunmodede, E. O.; Akomolede E. O.; Peter Z. B.
    Background: Cervical Cancer (CC) is the second most common cancer among women in Nigeria. The women present at the late stage of the disease with no history of screening. Poor knowledge of CC has been reported which could have implications on screening uptake. The study assessed knowledge and cervical cancer screening self-efficacy among women in Jema'a LGA of Kaduna State. Methodology: A descriptive cross-sectional design was utilized and 382 women were selected using systematic random sampling. Data were collected using structured questionnaire. Data were analyzed using descriptive and inferential statistics- Chi-square test at 0.05 level of significance. Results: 167(43.7%) of the respondents had good knowledge on CC. Majority, 315 (82.5%) had high self-efficacy scores. Uptake was low as 227(59.4%) of the respondents had never been screened. There was a significant association between educational level and knowledge of CC screening (X-58.01; p=0.000), religion and self-efficacy (X= 7.873; p=0.020), education level and self-efficacy on CC screening (X-6.980; p=0.008). Conclusion: The women's knowledge and uptake of cervical cancer screening was poor; however, the respondents' self- efficacy was high. There is need for educational interventions to increase knowledge of cervical cancer screening and to make screening services available and accessible to enhance uptake.
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    Cervical Cancer and Human Papillomavirus Vaccine Knowledge, Utilisation, Prevention Educational Interventions and Policy Response in Nigeria: A Scoping Review
    (SAGE Publications, 2022) John-Akinola Y. O.; Ndikom C. M.; Oluwasanu M. M.; Adebisi T.; Odukoya O.
    Purpose: This review evaluated the knowledge, utilisation, prevention education, and policy response across the six geo political regions of Nigeria to inform national efforts for the prevention and control of cervical cancer. Methods: A keyword-based systematic search was conducted in PubMed/MEDLINE (NCBI), Google Scholar, and AJOL electronic databases, including a manual scan of papers, journals and websites to identify relevant peer-reviewed studies. Articles were screened and assessed for eligibility. Results: Many (158) articles were downloaded and after duplicates were removed, 110 articles were included in the final analysis. These were made up of qualitative, quantitative (cross-sectional), intervention and policy studies. Studies have generally reported poor knowledge and awareness of cervical cancer screening but those carried out in urban areas demonstrated a slightly higher level of awareness of Human Papilloma Virus (HPV) vaccine, HPV vaccination uptake and utilization of cervical cancer preventive services than the rural studies. The studies did not show strong government support or policies in relation to cervical cancer control. Conclusion: Knowledge and uptake of cervical cancer preventive services across diverse groups in Nigeria remain poor. These could be linked to socio-cultural factors, the lack of an organised cervical cancer screening programme and low financial resource pool for cervical cancer prevention. Therefore, it is necessary to increase government, donor prioritisation and political support in order to ensure increased investment and commitment to cervical cancer elimination in Nigeria.