Awareness about cervical cancers among health workers in Shimla district, Himachal Pradesh, India

Vikas Fotedar, Shailee Fotedar, Purnima Thakur, Mukesh Sharma, Aman Sharma


Background: Cervical cancer, although largely preventable, remains the most common cause of cancer mortality among women in low-resource countries. Aim of this study was to assess knowledge and awareness of cervical cancer prevention among health workers in Shimla district, Himachal Pradesh.

Methods: A cross sectional study was conducted among multipurpose health care workers (both males and females) in Shimla district, Himachal Pradesh. A self-administered close ended questionnaire was used. The questionnaire, consisted of two parts. The first part comprised of questions relating to demographic data and the second part had questions on knowledge about cervical cancers. The data was analyzed using the statistical analysis program SPSS version 16.0.  Tests used were Chi square, t test and ANOVA. A p-values <0.05 were considered  statistically significant.

Results: Out of 122 subjects, there were 45 (36.9%) males and 77 (63.1%) females. The mean knowledge percent of the population was 55.9+16.4. Among the age groups it was highest for the age group of 21-30 years (62.5+23.6) and lowest for the age group of 51-60 years (53.6+16.4). Knowledge about risk factors was correctly reported by 44.3% of population. Who should be screened for cervical cancers was reported correctly by 29.5% and at what interval screening should be done was reported by 14.8%.

Conclusions: Half of the population had moderate overall knowledge about cervical cancers, but the knowledge about risk factors and screening eligibility and screening interval was inadequate. So, education programs should be arranged for the health workers in order to prevent cervical cancers.


Cervical cancer, Health worker and knowledge

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WHO/ICO. Information Centre on HPV and Cervical Cancer: HPV and ervical cancer in the 2007 report. Vaccine. 2007;25(Suppl 3):C1-230.

Government of India - World Health Organization Collaboration Programme 2004-2005. Guidelines for cervical cancer screening programme;2006.

Annual Reports. Himachal Pradesh: Regional Cancer Centre; 1998-2008:116-418.

World Health Organization. Cervical cancer screening in developing countries. Report of a WHO consultation. Geneva, WHO Press;2002.

Mahlck G, Jonsson H, Lenner P. Pap smear screening and changes in cervical cancer mortality in Sweden. Int J Gynecol Obstet. 1994;44(3):267-272.

Elovainio L, Nieminen P, Miller B. Impact of cancer screening on women’s health. Int J Gynecol Obstet. 1997;58(1):137-147.

New Delhi: 2012. Available at [Last cited on 2013 Aug 17]. District Level Demographics Statistical Information 2012 [monograph on the internet]

Alali A, Salem M, Elmahdi H, Alkubaisi N, Alwahedi Z, Taher M. Knowledge, attitudes and practices regarding cervical cancer screening among Female health care workers in primary healthcare in Qatar. Middle East J Fam Medic. 2016;14(8):2-15.

Ertem G. Awareness of cervical cancer risk factors and screening behaviour among nurses in a rural region of Turkey. Asian Pac J Cancer Preven. 2009;10:735-8.

Kress CM, Sharling L, Owen-Smith AA, Desalegn D, Blumberg HM, Goedken J. Knowledge, attitudes, and practices regarding cervical cancer and screening among Ethiopian health care workers. Int J Women's Health. 2015;7:765.

Tessaro I, Herman C. Changes in Public Health Nurses’ knowledge and perception of counseling and clinical skills for breast and cervical cancer control. Cancer Nursing. 2000;23:401-5.

Shekhar S, Sharma C, Thakur S, Raina N. Cervical cancer screening: knowledge, attitude and practices among nursing staff in a tertiary level teaching institution of rural India. Asian Pac J Cancer Prev. 2013;14(6):3641-5.

Singh E, Seth S, Rani V, Srivastava DK. Awareness of cervical cancer screening among nursing staff in a tertiary institution of rural India. J Gynecol Oncol. 2012;23(3):141-6.

Nganwai P, Truadpon P, Inpa C, Sangpetngam B, Mekjarasnapa M, Apirakarn M et al. Knowledge, attitudes and practices vis-a-vis cervical cancer among registered nurses at the Faculty of Medicine, KhonKaen University, Thailand. Asian Pac J Cancer Prev. 2008;9:15-8.