Nursing

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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.
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    Effects of educational intervention on women’s knowledge and uptake of cervical cancer screening in selected hospitals in Ibadan, Nigeria
    (Taylor & Francis, 2017) Ndikom, C. M.; Ofi, B. A.; Omokhodion, F. O.; Adedokun, B. O.
    This study evaluated the effects of an educational intervention (El) on women's knowledge and uptake of cervical cancer screening (CCS) services. A quasi-experimental study, conducted in the antenatal clinics of eight hospitals in Ibadan, Nigeria. The hospitals were randomly clustered into four in intervention group (IG) and four in control group (CG), and 846 women were selected in the two groups using Systematic random sampling at baseline and post-intervention (PI). Data were collected using a structured questionnaire. The women in the IG received educational intervention provided by hospital nurses who were exposed to an educational programme previously. Data were analysed using descriptive statistics and x2 at p <0.05. The mean age for women was 28 years ±5.8. The respondents' awareness of CC at baseline was IG: 12.9% and CG: 18.2% but this increased to 71.5% in IG and 22.1% in CG with net intervention effect (NIE) of 54.7% (p <0.0001), knowledge of the causative organism (NIE <37%, p < 0.0001), sexual intercourse as mode of transmission (NIE 53.7%, p<0.001). Screening for early detection of cervical cancer (NIE 75.6%, p < 0.001), awareness of where to receive screening (NIE 64.1%, p < 0.001). There was only a very slight increase in uptake of CCS from 1.4% at baseline to 3.6% in the IG and 2.1 to 2.3% in the CG. Over, 53.5% said unavailability of services was a major hindrance to their screening uptake. Cervical cancer screening knowledge improved in the intervention group but uptake only improved slightly with the intervention. Educational intervention is a useful tool for improving knowledge of Cervical Cancer Screening.
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    Knowledge and Uptake of Cervical Cancer Screening Services among Nurses in Ibadan, Oyo State
    (College of Health Sciences, Obafemi Awolowo University, 2013) Ndikom, C. M.; Ofi, B. A.
    Introduction: Cervical cancer is the second most frequent cancer among women in Nigeria. It is one of the leading causes of cancer related death among women in developing countries. However, uptake of cervical screening is reported to be low even among health workers. Objective: The objective of this study was to determine the knowledge and uptake of cervical screening among nurses. A cross-sectional self-administered questionnaire-based survey for 175 nurses in eight selected health facilities in Ibadan was carried out. Results: The results showed respondents' knowledge of cervical cancer as being fair. Uptake of cervical cancer screening was poor, as 126 (80.0%) of the respondents had never been screened. Also, 78 (44.6%) of them had never given information on cervical cancer to women. In addition, 108 (72.0%) of the respondents stated that the screening service was not available in their centre. There was no significant relationship between knowledge and uptake of cervical cancer screening, (p=0.88). Conclusion: Despite the fair knowledge of cervical cancer and its prevention by nurses, their cervical cancer preventive practices were poor. Nurses should be mandated to play their disease prevention role by sensitizing women on the need for screening; and that screening service should be made available in all facilities.