Factors Influencing Utilization of Cervical Cancer Screening Services among Women 20 Years or More Attending KIU-Teaching Hospital in Ishaka Bushenyi

Musubika Judith

Faculty of Clinical Medicine and Dentistry Kampala International University Western Campus Uganda

ABSTRACT

Worldwide, cervical cancer strikes almost half a million women every year and is fatal in approximately half of these cases, particularly those in developing countries where screening programs are not well established with over 493,000 new cases of cervical cancer occurring each year among women, and 274,000 women dying of the disease annually. This study was designed to determine factors influencing the utilization of cervical screening services among women over 20 years attending KIUTH, Ishaka Bushenyi, Western Uganda. A descriptive cross-sectional study among 70 women 20 years or more attending KIUTH in Bushenyi district was sampled randomly and using a self-administered questionnaire, data was collected, coded, entered, and analyzed using IBM SPSS version 20; presented in frequency and percentage charts and tables and P-Values where necessary. According to the study findings, 70% had ever screened for cervical cancer. Using Pap smear (51.4%), VIA (37.1%) and Histology (11.4%). The majority 56(80.0%) had ever heard about cervical cancer. Mostly 39(55.7%) acquired their information from Health workers and to a considerable extent 20(28.6%) from media 55(78.6%) for expensiveness as the main hindrance. 52.4% not screened were not aware of the availability of the services. Nonetheless, 42(85.7%) among the screened agreed that the services were available but this was not statistically significant. A significant effect was noted with health workers’ sensitization about STIs 44(89.8%); 33(67.3%) further agreed that services cover cancer (cervical) prevention offering professional advice 42(85.7%). Once counseled, 33(82.5%) agreed that cervical cancer could be prevented. The utilization level stands at a good position with up to 70% screening mostly using pap smear. On an individual level; Health workers and media increases awareness and thus utilization. Statistically, health facilities/workers could further empower the utilization of cervical cancer screening through sensitization, counseling, and guidance concerning utilization. However, affordability, safety, and accessibility of such services and misinformation remain a hindrance to the utilization of cervical cancer screening services.

Keywords: Cervical cancer, Women, Cervical screening, Pap smear.

CITE AS: Musubika Judith (2024). Factors Influencing Utilization of Cervical Cancer Screening Services among Women 20 Years or More Attending KIU-Teaching Hospital in Ishaka Bushenyi. NEWPORT INTERNATIONAL JOURNAL OF RESEARCH IN MEDICAL SCIENCES,5(1):118-128.