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      Awareness of HPV and cervical cancer prevention among Cameroonian healthcare workers

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          Abstract

          Background

          Cervical cancer, although largely preventable, remains the most common cause of cancer mortality among women in low-resource countries.

          The objective of this study was to assess knowledge and awareness of cervical cancer prevention among Cameroonian healthcare workers.

          Methods

          A cross-sectional self-administered questionnaire in 5 parts with 46 items regarding cervical cancer etiology and prevention was addressed to healthcare workers in six hospitals of Yaoundé, Cameroon. The investigators enlisted heads of nursing and midwifery to distribute questionnaires to their staff, recruited doctors individually, in hospitals and during conferences and distributed questionnaires to students in Yaoundé University Hospital and Medical School. Eight hundred and fifty questionnaires were distributed, 401 collected. Data were analyzed with SPSS version 16.0. Chi-square tests were used and P-values < 0.05 were considered significant.

          Results

          Mean age of respondents was 38 years (range 20-71 years). Most participants were aware that cervical cancer is a major public health concern (86%), were able to identify the most important etiological factors (58%) and believed that screening may prevent cervical cancer (90%) and may be performed by Pap test (84%). However, less than half considered VIA or HPV tests screening tests (38 and 47%, respectively). Knowledge about cancer etiology and screening was lowest among nurse/midwives.

          Conclusion

          Knowledge of cervical cancer and prevention by screening showed several gaps and important misconceptions regarding screening methods.

          Creating awareness among healthcare workers on risk factors and current methods for cervical cancer screening is a necessary step towards implementing effective prevention programs.

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          Most cited references13

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          Knowledge, attitudes and practices on cervical cancer screening among the medical workers of Mulago Hospital, Uganda

          Background Cervical cancer is the commonest cancer of women in Uganda. Over 80% of women diagnosed in Mulago national referral and teaching hospital, the biggest hospital in Uganda, have advanced disease. Pap smear screening, on opportunistic rather than systematic basis, is offered free in the gynaecological outpatients clinic and the postnatal/family planning clinics. Medical students in the third and final clerkships are expected to learn the techniques of screening. Objectives of this study were to describe knowledge on cervical cancer, attitudes and practices towards cervical cancer screening among the medical workers of Mulago hospital. Methods In a descriptive cross-sectional study, a weighted sample of 310 medical workers including nurses, doctors and final year medical students were interviewed using a self-administered questionnaire. We measured knowledge about cervical cancer: (risk factors, eligibility for screening and screening techniques), attitudes towards cervical cancer screening and practices regarding screening. Results Response rate was 92% (285). Of these, 93% considered cancer of the cervix a public health problem and knowledge about Pap smear was 83% among respondents. Less than 40% knew risk factors for cervical cancer, eligibility for and screening interval. Of the female respondents, 65% didn't feel susceptible to cervical cancer and 81% had never been screened. Of the male respondents, only 26% had partners who had ever been screened. Only 14% of the final year medical students felt skilled enough to use a vaginal speculum and 87% had never performed a pap smear. Conclusion Despite knowledge of the gravity of cervical cancer and prevention by screening using a Pap smear, attitudes and practices towards screening were negative. The medical workers who should be responsible for opportunistic screening of women they care for are not keen on getting screened themselves. There is need to explain/understand the cause of these attitudes and practices and identify possible interventions to change them. Medical students leave medical school without adequate skills to be able to effectively screen women for cervical cancer wherever they go to practice. Medical students and nurses training curricula needs review to incorporate practical skills on cervical cancer screening.
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            HPV and cervical cancer in the 2007 report.

            (2007)
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              The attitude and knowledge of cervical cancer by Cameroonian women; a clinical survey conducted in Maroua, the capital of Far North Province of Cameroon.

              This study was conducted to assess the knowledge, attitudes, and assumption of cervical cancer by women living in Maroua, the capital of the Far North Province of Cameroon. In a 1-month period, 171 women were surveyed as to their socioeconomic status, sexual habits, prior knowledge of cervical cancer, its prevention, and their attitudes toward cervical cancer. Of 171 women, 48 (28%) had prior knowledge of cervical cancer; they were classified as the "aware group" compared with 123 of 171 (72%) women who were uninformed about cervical cancer and they were classified as the "unaware group" (UG). The UG of women tended to be single mothers, illiterate, housewives, and had their first child before the age of 20 (P < 0.005). Despite the awareness of cervical cancer by 28% of women, only a minority of them, 4 of 48 (8.3%), underwent a preventative screening test. Only 71 of 171 (41.5%) women stated that they would be having a screening test in the future. The awareness of cervical cancer by women in Cameroon is still inadequate. Thus, to avoid deaths from cervical cancer, a curable and preventable disease, the need of an aggressive campaign to make Cameroonian women aware of cervical cancer and its prevention is needed.
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                Author and article information

                Journal
                BMC Womens Health
                BMC Women's Health
                BioMed Central
                1472-6874
                2011
                18 October 2011
                : 11
                : 45
                Affiliations
                [1 ]Geneva University School of Medicine, rue Michel-Servet, 1211 Genève, Switzerland
                [2 ]Yaoundé University Faculty of Medicine, Mfoundi, Yaoundé, Cameroon
                [3 ]Department of Obstetrics, Division of Development, Geneva University Hospitals, bld de la Cluse, 1211 Genève, Switzerland
                [4 ]Yaoundé Gyneco-Obstetric and Pediatric Hospital, BP 4362, Yaoundé, Cameroon
                [5 ]Department of Gynecology, Surgical Gynecologic Oncology Unit, Geneva University Hospitals, bld de la Cluse, 1211 Genève, Switzerland
                Article
                1472-6874-11-45
                10.1186/1472-6874-11-45
                3219551
                22008186
                eac14cbd-dad7-4738-b67f-cf80a4fe3e9a
                Copyright ©2011 McCarey et al; licensee BioMed Central Ltd.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 10 June 2011
                : 18 October 2011
                Categories
                Research Article

                Obstetrics & Gynecology
                Obstetrics & Gynecology

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