Health Journal - Send Orders for Reprints to [email protected] 451 The Open Public Health Journal Content list available at

Health Journal - Send Orders for Reprints to...

This preview shows page 1 - 3 out of 13 pages.

Send Orders for Reprints to [email protected] 451 1874-9445/18 2018 Bentham Open The Open Public Health Journal Content list available at: DOI: 10.2174/1874944501811010451, 2018, 11 , 451-463 RESEARCH ARTICLE Utilization of Cervical Cancer Screening Services among Women in Vhembe District, South Africa: A Cross-Sectional Study Elisa N. Vhuromu 1 , Daniel T. Goon 2 , Maria S. Maputle 1 , Rachel T. Lebese 1,* and Benedine U. Okafor 2 1 Department of Advanced Nursing Science, University of Venda, Thohoyandou, South Africa 2 Department of Nursing Science, University of Fort Hare, East London, South Africa Received: June 10, 2018 Revised: October 11, 2018 Accepted: October 16, 2018 Abstract: Aim: Screening for early detection and treatment of cervical cancer is a cornerstone of prevention. The purpose of this study was to assess the awareness in women about the utilization of cervical cancer screening services in Vhembe District, South Africa. Methods: This cross-sectional study involved a random selection of 500 women aged 20-59 years in Vhembe District, Limpopo Province, South Africa. Data was collected via a self-structured questionnaire on the demographic variables, provision, utilization and awareness of cervical cancer screening services. Results: The majority of the participants agreed to have cervical cancer screening services in their clinics (79.2%), and never had a Pap smear (58.6%). Most women would not go for cervical cancer screening, mainly because of a lack of facilities (30.0%), fear of pain (24.4%), and embarrassment (15.2%). Most participants indicated that Pap smear test meant scraping the cervix to detect abnormal cancerous cells (39.2%) and 34.2% did not know a Pap smear. Majority of the participants indicated Pap smears should be done every 10 years (65.8%); Pap smears could detect cervical cancer earlier (66.8%), and had heard about cervical cancer (71.6%). The majority of the participants considered cervical cancer as a serious problem to warrant considerable attention (59.4%); and some perceived cervical cancer as transmittable through multiple sexual partners (22.2%). The majority of the participants were aware of a vaccine against cervical cancer for girls at school (69.0%), and it was indicated that government should use health education to encourage women to attend cervical screening services (51.6%). Conclusion: Despite the free availability of cervical cancer screening services and awareness, the utilization of cervical cancer screening services is low. There is a need to intensify cervical screening health talks and campaigns, and to provide alternative accessible options for screening services for women in rural areas. Keywords: Cervical cancer, Screening services, Utilization, Intervention strategy, Pap smear test, South Africa. 1. INTRODUCTION Globally, cervical cancer, a public health problem is the second most common cancer among women, with an estimated 528, 000 new cases and 266,000 deaths among women each year [1]. It is estimated that yearly , between * Address correspondence to this author at the School of Health Sciences, University of Venda, Thohoyandou, South Africa, 0950; E-mail: [email protected]
452

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture