Nursing
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Item Willingness to Utilize Cervical Cancer Screening Services Among, Antenatal Clinic Attendees in Selected Hospitals in Ibadan, Nigeria(SciTechnol, 2014) Ndikom, C. M.; Ofi, B. A.; Omokhodion, F."Introduction: Women of childbearing age who are sexually active are at risk of Cervical Cancer (CC), since they may have been exposed to Human Papilloma Virus. Majority of the women with invasive cervical cancer were never screened for this disease which is known to be a major cause of cancer deaths among women, especially in developing nations. This study sought to determine willingness to utilize Cervical Cancer Screening Services (CCSS) among Antenatal Clinic (ANC) attendees in Ibadan, Nigeria. Methods: This cross-sectional study was conducted in selected hospitals in Ibadan. Systematic random sampling was used to select 846 women attending ANC in the Hospitals. Data were collected from the respondents using validated structured questionnaire. Data were analysed using Statistical Package for Social Sciences (SPSS) and hypotheses were tested using Chi-square test at P≤0.05. Results: The women’s mean age was 27.9 ± 5.8 years. Majority, 94.8% were married, 49.1% had secondary school education and 64.2% were traders. Also, majority (68.0%) earned less than 10,000 naira/ month. Awareness of CC was quite low as 84.4% had never heard of cervical cancer while only 15.6% were aware of it. Over 73.6% of the women were willing to utilize CCS services but Uptake of CCS was 2.1%. Perceived hindrances to uptake were non-availability of CCS services, lack of information on CCS and cost of services among others. There was a significant association between awareness and willingness to utilize CCS services (P=0.000) as well as educational level and willingness to undergo screening (P =0.019). There was no significant association between age and willingness to utilize CCS services (P=0.834). Conclusion: There was high level of willingness but utilization of Cervical Cancer Screening Services was low among the women. There is need to provide more information on cervical cancer screening as well as make the services available at reduced cost.Item Awareness, perception and factors affecting utilization of cervical cancer screening services among women in Ibadan, Nigeria(BioMed Central, 2012) Ndikom, C. M.; Ofi, B. A.Background: Over the years awareness and uptake of cervical cancer screening services has remained poor in developing countries. Problems associated with cervical cancer incidence include late reporting, ignorance and cultural issues relating to cervical cancer screening. This study sought to explore the awareness, perception and utilization of cervical cancer screening among women in Ibadan as well as factors that influence utilization. Method: This is a qualitative study that utilized Eight Focus Group Discussions to collect information from women in selected health facilities in Ibadan, South West, Nigeria. The 82 participants were purposely recruited from women attending Antenatal clinics in 4 secondary and 4 primary health care facilities after approval was received from the Institutional Review Board in charge of the facilities. The focus group discussions were tape recorded and transcribed verbatim. The transcripts were analyzed into themes. Findings: The study provided qualitative information on the awareness, perception of the utilization of cervical cancer screening services among women in Ibadan. Participants were mainly married women (92.7%), mean age =27.6, SD =4.5, mainly traders (39%) and from Yoruba ethnic backgrounds (87.8%) and had secondary education (39%). The respondents reported not being aware of cervical cancer and were not utilizing the services. Though they did not know what cervical cancer screening entailed or the screening methods, they still believed that it is important since like for other diseases will help in early detection and treatment. The participants were eager to get more information from nurses on cervical cancer about cervical cancer screening. The major factors identified by the women that influence screening utilization were ignorance, Illiteracy, belief in not being at risk, having many contending issues, nonchalant attitude to their health, financial constraint and fear of having a positive result. Conclusion: There is an urgent need for more enlightenment about cervical cancer especially by health workers. Also, cervical cancer services should be made available at very affordable cost so that women can easily access the services in order to reduce incidence of invasive cancer.