Socio-Demographic Characteristics Influencing Uptake of Screening for Cervical Cancer in Women Aged 18-49 Years in Imenti North Sub-county, Meru County, Kenya
Science Journal of Public Health
Volume 4, Issue 2, March 2016, Pages: 94-99
Received: Jan. 13, 2016;
Accepted: Feb. 12, 2016;
Published: Mar. 4, 2016
Views 4214 Downloads 132
Mutuma Agnes Muthoni, Medical Training College, Meru, Kenya
Otieno George Ochieng, School of Public Health, Kenyatta University, Nairobi, Kenya
Kei Robert Mburugu, School of Public Health, Moi University, Eldoret, Kenya
Ndege Samson, School of Public Health, Moi University, Eldoret, Kenya
Ndwiga Taratisio, School of Public Health, Moi University, Eldoret, Kenya
Gacheri Rose, Santao Media College, Nairobi, Kenya
Follow on us
Background: Cervical cancer continues to kill approximately 274,883 women globally every year, despite robust programs for the prevention and control of the disease. Kenya has an uptake of cervical cancer screening (3.2%) compared to the National Cervical Cancer Prevention program target of 70%. The purpose of this study was to determine the socio-demographic characteristics influencing uptake of cervical cancer screening in Imenti North Sub-County. Methods: This was institution-based descriptive cross- sectional study conducted among 422 randomly selected women aged 18-49 years attending general outpatient clinics in health facilities of Imenti North Sub-County, Kenya. Health Facilities were stratified based on functional levels to include county referral, health centers and dispensaries. Data was collected using interviewer administered questionnaire Characteristics influencing uptake of cervical cancer screening were analyzed using chi-square test and logistic regression to determine predictors for cervical cancer screening. Results: The study found out that the level of uptake for cervical cancer screening by the respondents was 15.2%. However, the level of the uptake was lowest among women aged 18-25 (4.4%) and women with primary level of education (11.6%). In addition, the study found significant association between uptake and age (p-value<0.001). Other significant socio-demographic characteristics include marital status and level of education. Women in age category 42-49 years were 6 times more likely to be screened compared to women aged 18-25 years (p-value=0.022). Conclusion and recommendations: The level of uptake for cervical cancer screening by the respondents was 15.2%. The main determinants of uptake of screening were age, marital status, occupation, and high level of education. It was recommended that Health Managers should conduct refresher seminars for health workers, increase facilities offering screening services and intensify community health education in order to increase uptake of cervical cancer screening.
Cervical Cancer, Women of Reproductive Age, Socio-Demographic Characteristics, Uptake of Cervical Cancer Screening
To cite this article
Mutuma Agnes Muthoni,
Otieno George Ochieng,
Kei Robert Mburugu,
Socio-Demographic Characteristics Influencing Uptake of Screening for Cervical Cancer in Women Aged 18-49 Years in Imenti North Sub-county, Meru County, Kenya, Science Journal of Public Health.
Vol. 4, No. 2,
2016, pp. 94-99.
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Bray, F., Ren, J.-S., Masuyer, E., & Ferlay, J. (2013). Global estimates of cancer prevalence for 27 sites in the adult population in 2008. International Journal of Cancer, 132(5), 1133–1145. http://doi.org/10.1002/ijc.27711.
Parkin, D. M., J. Ferlay, M. Hamdi-Cherif, F. Sitas, J. O. Thomas, H. Wabinga, and S. L. Whelan. 2003. Cancer in Africa—Epidemiology and Prevention. IARC Scientific Publications 153. Lyons: IARC Press.
Nairobi Cancer Registry-NCR (2006); Cancer Incidence Report, Nairobi 2000-2002. Available from http://www.africacancer.org/downloads/cancer%20incidence%20Report-KEMRI.pdf [accessed on 20/07/2010].
Sherris, J., Herdman, C., & Elias, C. (2001). Cervical cancer in the developing world. Western Journal of Medicine, 175(4), 231–233.
MOH: Ministry of Health: Review of the 2004–2008 reproductive health research agenda proposed 2010–2014 research agenda. 2010. WHO/ICO information Centre on HPV and Cervical cancer (2011). HPV and related cancers in Kenya summary report Retrieved on 31 January 2011 Online at www.who.int/hpvcentre.
WHO/ICO: Human Papilloma Virus and related cancers in Kenya. In ICO Information Centre on HPV and Cancer. Geneva: 2010. http://www.hpvcentre.net/statistics/reports/KEN_FS.pdf (Accessed 31/07/2015).
Gichangi, P., Estambale, B., Bwayo, J., Rogo, K., Ojwang, S., Opiyo, A., & Temmerman, M. (2003). Knowledge and practice about cervical cancer and Pap smear testing among patients at Kenyatta National Hospital, Nairobi, Kenya. International Journal of Gynecological Cancer: Official Journal of the International Gynecological Cancer Society, 13(6), 827–833.
Were, E., Nyaberi, Z., & Buziba, N. (2011). Perceptions of risk and barriers to cervical cancer screening at Moi Teaching and Referral Hospital (MTRH), Eldoret, Kenya. African Health Sciences, 11(1), 58–64.
MOH, 2013, Meru County Referral Hospital annual report, https://hiskenya.org [accessed on 20/5/2013].
MOH, 2012, National Cervical Cancer Prevention Program, Strategic Plan 2012-2015, http://www.iedea-ea.org/joomla/attachments/article/304/National%20Cervical%20Cancer%20Prevention%20Plan%20FINALFeb%202012.pdf.
Cochran, W. G. (1977). Sampling techniques (3rd ed.). New York: John Wiley & Sons.
Yamane T. Statistics, An Introductory Analysis. 2nd ed. New York: Harper and Row, 1967.
Nene, B., Jayant, K., Arrossi, S., Shastri, S., Budukh, A., Hingmire, S., Sankaranarayanan, R. (2007). Determinants of women’s participation in cervical cancer screening trial, Maharashtra, India. Bulletin of the World Health Organization, 85(4), 264–272. doi: 10.2471/BLT.06.031195.
Frida S Lyimo, T. N. B. (2012). Demographic, knowledge, attitudinal, and accessibility factors associated with uptake of cervical cancer screening among women in a rural district of Tanzania: three public policy implications. BMC Public Health, 12, 22. doi: 10.1186/1471-2458-12-22.