AWARENESS AND KNOWLEDGE OF CERVICAL CANCER AND UTILISATION OF ITS SCREENING SERVICES AMONG FEMALE HEALTHCARE PROVIDERS IN PRIMARY HEALTH CARE CENTRES IN SOKOTO METROPOLI
2 Department of Community Health, Usmanu Danfodiyo University, Sokoto, Sokoto State, Nigeria.
3 Department of Community Medicine, Ahmadu Bello University Teaching Hospital, Zaria, Kaduna State, Nigeria.
* Corresponding author: bilqise2@gmail.com
Abstract
Introduction: Cervical cancer (CaCx) is the most common genital tract malignancy among women in Sokoto State. Lack of awareness about CaCx among health care workers is among the factors that contribute to the high burden in developing countries. This study assessed the awareness and knowledge of CaCx and the utilization of its screening services among female healthcare providers in primary healthcare centres (PHCs) in Sokoto metropolis.
Methods: A cross-sectional study was conducted among 170 female healthcare providers in PHCs in Sokoto Metropolis. A multistage sampling method was used to select the respondents. Data was collected using a 32-item interviewer-administered questionnaire and analyzed with the Statistical Package for Social Sciences version 25.0.
Results: More than half (95, 55.8%) of the respondents were aged at least 31 years with a mean of 34 ±8.4 years. The majority 159 (93.5%) of the respondents had heard of CaCx. The knowledge of CaCx 108 (63.5%) and its screening services 137 (80.6%) were poor. The uptake of CaCx screening services was very poor 7 (4.1%). Factors associated with uptake were age at first childbirth, years of work experience, recent attendance of training, knowledge of CaCx, awareness and knowledge of CaCx screening.
Conclusion: There was poor knowledge of CaCx and its screening services and very poor utilisation of CaCx screening services despite good awareness of CaCx. It is recommended that the Sokoto State Primary Health Care Development Agency organizes seminars on CaCx and its screening to improve the knowledge and uptake of the services in primary healthcare providers.
Keywords
References
- National Cancer Institute, Schiffman MH. Human Papilloma Virus Epidemiology in Nigeria. 2020. Available from: https://clinicaltrials.gov/ct2/show/NCT00804466 [Accessed 28 November, 2021].
- Sigfrid L, Murphy G, Haldane V, Chuah FLH, Ong SE, Cervero-Liceras F, et al. Integrating cervical cancer with HIV healthcare services: A systematic review. PLoS One. 2017; 12(7): 1-26.
- Nnadi DC, Singh S, Ahmed Y, Siddique S, Bilal S. Histo-pathological Features of Genital Tract Malignancies as Seen in a Tertiary Health Center in North-Western Nigeria: A 10-year Review. Ann Med Health Sci Res. 2014; 4(Suppl 3): S213-7.
- Onowhakpor AO, Omuemu VO, Osagie OL, Odili CG. Awareness of HPV vaccination: knowledge, Attitude and uptake among female medical and dental students in a tertiary institution in Benin City, Nigeria. Journal of Community Medicine and Primary Healthcare. 2016; 28(2): 101-8.
- Baloch Z, Yasmeen N, Li Y, Zhang W, Lu H, Wu X, et al. Knowledge and Awareness of Cervical Cancer, Human Papillomavirus (HPV), and HPV Vaccine Among HPV-Infected Chinese Women. Med Sci Monit. 2017; 23(23): 4269-74.
- Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2021; 0(0): 1-41.
- Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018; 68(6): 394-424.
- Bruni L, Albero G, Serrano B, Mena M, Gómez D, Muñoz J, et al. Human Papillomavirus and Related Diseases Report Summary 2019. Spain: ICO/IARC Information Centre on HPV and Cancer; 2019.
- Akinfenwa AT, Monsur TA. Burden of cervical cancer in Northern Nigeria. Tropical Journal of Obstetrics and Gynaecology. 2018; 35(1): 25-8.
- Abidoun OA, Fatungase OR, Olu-Abiodun OO, Idowu-Ajiboye BA, Awosile JO. An assessment of women's awareness and knowledge about cervical cancer and screening and the barriers to cervical screening in Ogun State, Nigeria. IOSR Journal of Dental and Medical Sciences. 2013; 10(3): 52-8.
- Abubakar BG. Awareness of cervical cancer screening services and uptake of free liquid-based cytology test among brothel-based female sex workers in Sokoto State, Nigeria. International Journal of Medical and Medical Sciences. 2023; 15(1): 1-12.
- Oche MO, Kaoje UM, Gana G, Ango JT. Cancer of the cervix and cervical screening: Current attitude and practices of female health workers in Sokoto, Nigeria. International Journal of Medicine and Medical Sciences. 2013; 5(10): 106-9.
- Okolie EA, Barker D, Nnyanzi LA, Anjorin S, Aluga D, Nwadike BI. Factors influencing cervical cancer screening practice among female health workers in Nigeria: A systematic review (Rebokem). 2022; 5(5): e1514.
- Ebu NI, Amissah-Essel S, Asiedu C, Akaba S, Pereko KA. Impact of health education intervention on knowledge and perception of cervical cancer and screening for women in Ghana. BMC Public Health. 2019; 19(1): 1505.
- Anyebe EE, Opaluwa SA, Muktar HM, Philip F. Knowledge and practice of cervical cancer screening amongst nurses in Ahmadu Bello University Teaching Hospital Zaria. Research on Humanities and Social Sciences. 2014; 27(4): 33-41.
- Odenusi AO, Oladoyin VO, Asuzu MC. Uptake of cervical cancer screening services and its determinants between health and non-health workers in Ibadan, south-Western Nigeria. Afr J Med Sci. 2020; 49: 11.
- Nnadi DC, Nwobodo EI, Ekele BA, Sahabi SM. Screening for Cervical Cancer: A review of outcome among infertile women in a tertiary hospital in North-Western Nigeria. Annals of Medical and Health Sciences Research. 2014; 4(3): 383-7.
- Abubakar BG, Oche MO, Isah BA, Raji IA, Ango JT, Okafoagu NC, et al. Predictors of Knowledge and Perception of Family Planning Among Men in Urban Areas in Northwestern Nigeria. Nigerian Journal of Medicine. 2021; 30(3): 237-46.
- Na'uzo AM, Tukur D, Sufiyan MB, Stephen AA, Ajayi I, Bamgboye E, et al. Adherence to malaria rapid diagnostic test result among healthcare workers in Sokoto metropolis, Nigeria. Malaria journal. 2020; 19(2): 1-9.
- Ibrahim T. Research Methodology and Dissertation Writing for Health & Allied Health Professionals. 1st ed. Abuja, Nigeria. Cress Global Link Limited. 2009: 2.
- Omotunde OI, Ademola AM. Knowledge, perception and cervical cancer screening practices among female nurses working in healthcare facilities in Lagos State, Nigeria. International Journal of Public Health and Pharmacology. 2021; 1(1): 74-92.
- Owolabi BA, Adejumo PO. Utilization of Cervical Cancer Screening Service Among Nurses in Ekiti State, Nigeria. Cancer Research Journal. 2021; 9(1): 71-7.
- Ezeama MC, Enwerejj, E.E. Awareness of Cervical Cancer Screening Tests Among Women of Child Bearing age in the Rural Area of Awo-Omamma, Imo State, Nigeria. International Journal of Health Statistics. 2020; 1(1): 1-6.
- Getaneh A, Tegegne B, Belachew T. Knowledge attitude and practices on cervical cancer screening among undergraduate female students in university of Gondar, Northwest Ethiopia. BMC Public Health. 2021; 21(775): 1-9.
- Hassan M, Awosan JK. Knowledge of human Papilloma virus infection and practices regarding human Papilloma virus vaccination among female healthcare professionals in Sokoto, Nigeria. International journal of scientific study. 2018; 6(5): 62-9.
- Ezeome IV, Ezugworie J. Male acceptance of HPV vaccine for family members in Enugu, South Eastern Nigeria. Journal of vaccine and vaccination. 2021; 19(10): 7215-21.
- De Prez V, Jolidon V, Willems B, Cullati S, Burton-Jegros C, Bracke P. Cervical cancer screening in Belgium and Switzerland: Trends and social inequalities. European Journal of Public health. 2021; 30(3): 1083-102.
- ICO/IARC Information Centre on HPV and Cancer. United States of America Human Papillomavirus and Related Cancers: 2021 Fact Sheet 2021.
- Asante KS, Mohammed AG, Delle AA, Mumuni AN. Cervical cancer knowledge and screening among schooling and uneducated females within Tamale, Ghana. Journal of advances in medicine and medical research. 2019; 29(1): 1-15.
Abubakar, B. G., Kaoje, A. U., Garba, A. Y., Mukhtar, K., Bauchi, N. R. S., & Babandi, Z. S. (2025). AWARENESS AND KNOWLEDGE OF CERVICAL CANCER AND UTILISATION OF ITS SCREENING SERVICES AMONG FEMALE HEALTHCARE PROVIDERS IN PRIMARY HEALTH CARE CENTRES IN SOKOTO METROPOLI. Nigerian Journal of Oncology, 1(1), 12-29. https://doi.org/10.67579/njo.2025.8gd5p31q
B. G. Abubakar, A. U. Kaoje, A. Y. Garba, K. Mukhtar, N. R. S. Bauchi, and Z. S. Babandi, "AWARENESS AND KNOWLEDGE OF CERVICAL CANCER AND UTILISATION OF ITS SCREENING SERVICES AMONG FEMALE HEALTHCARE PROVIDERS IN PRIMARY HEALTH CARE CENTRES IN SOKOTO METROPOLI," Nigerian Journal of Oncology, vol. 1, no. 1, pp. 12-29, January 2025. doi: 10.67579/njo.2025.8gd5p31q