Nursing

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Browsing Nursing by Subject "Cervical Cancer"

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    Factors Affecting Cervical Cancer Screening among Women Below 25 Years in Kithare Area, Tharaka Nithi County, Kenya
    (Scientific Research Publishing, 2021) Ngari, Mugambi, D.; Nyamiaka, Machwara, S.; Mukami, Fridah, M.
    Cervical cancer is the most common neoplasm among women globally affecting approximately 500,000 women with 275,000 succumbing to the disease every year. The prevalence of cervical cancer is disproportionately high in sub-Saharan Africa where the screening rate is low. The study sought to assess the factors affecting cervical cancer screening among women aged 15 - 25 years in Kithare area Tharaka Nithi County. The study was a descriptive cross-sectional study and interviewer administered questionnaires were used to capture the level of knowledge, individual perspectives, attitude and barriers influencing cervical cancer screening. This study was conducted between August and September 2018 with the sample size being 80 respondents. From the findings a significant number of women had two or more sexual partners. The level of knowledge on cervical cancer was significantly low as (55%, n = 44) were aware about the disease, (45%, n = 36) had the correct knowledge when to seek screening, (40%, n = 32) knew the correct interval for attending screening and only (18.7%, n = 15) had been screened before. Reasons for seeking screening for the 18.7% were to know their health status, due to abnormal discharge or as a result of bleeding. (86.3%, n = 69) believed that screening was helpful with reasons being; for early detection of the disease, to know the health status, to prevent infertility and death. (13.7%, n = 11) believed that screening was not helpful with reasons being; the procedure is uncomfortable, painful, it leads to a low self-esteem, fear of wrong results and the diagnosis of cancer. Barriers citied to cervical cancer screening were; inadequate knowledge, negative attitude towards screening, lack of the screening services and cost of services. The knowledge and practice of cervical cancer screening was inadequate. More education on screening should be provided to reduce the misconceptions involved. Provision of free services and more participation in education and sensitization from the healthcare providers should also be done.
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    Patient-Related Factors Influencing Uptake of Cervical Cancer Screening Services among Outpatient HIV-Positive Women at PCEA Chogoria Hospital, Tharaka-Nithi, Keny
    (Open Access Library Journal, 2023-02-27) Peter Nyakimwa Mong’are* , Lucy Kawira Gitonga, Eugene Sundays Mukhwana
    Cancer of the cervix is the leading gynecological malignancy in women and the most prevalent cancer among HIV-positive women. HIV-positive women have up to six times higher risk of contracting cervical cancer as compared to HIV-negative women. The World Health Organization (WHO) recommends that sexually active girls and women should start screening for cervical cancer as soon as they are diagnosed with HIV. However, studies conducted in most developing countries, including Kenya, have established a low uptake of CCS services among this population. The purpose of this study was to determine patient-related factors influencing cervical cancer screening (CCS) uptake among women living with HIV (WLHIV) in PCEA Chogoria Hospital, Tha raka-Nithi County, Kenya. A cross-sectional descriptive survey design was used. A total of 130 WLHIV were recruited into the study using convenient sampling technique. Data was collected using a semi-structured questionnaire and was analyzed using both descriptive statistics and inferential statistics. Chi-square tests were used to establish the association between patient-related factors and screening for cervical cancer. The findings of the study revealed that 79% of the WLHIV had screened for cervical cancer. Most of the WLHIV screened for cervical cancer as a personal initiative or after recommendation by a health care worker. Patient-related factors such as level of education, age, marital status, partner support, and religion significantly (p < 0.05) influ enced the likelihood of the WLHIV screening for cervical cancer. The study recommends that health care workers should continually initiate and support CCS to WLHIV because this modality appeared to greatly increase the uptake of CCS. Moreover, health care workers should encourage partner support for CCS. Policy formulators can use the information as a guide in formulating policies that will enhance uptake of CCS among WLHIV