Awareness and practices of cervical cancer screening among women in Rajnandgaon district, central India: health education is the need of the hour

Authors

  • Meena Armo Department of Obstetrics and Gynecology, BRLSABV Memorial Government Medical College Rajnandgaon, Chhattisgarh, India
  • Vimal Khunte Department of Obstetrics and Gynecology, BRLSABV Memorial Government Medical College Rajnandgaon, Chhattisgarh, India
  • Siddhi Sainik Department of Obstetrics and Gynecology, BRLSABV Memorial Government Medical College Rajnandgaon, Chhattisgarh, India
  • Rohini Kanniga G. Department of Obstetrics and Gynecology, BRLSABV Memorial Government Medical College Rajnandgaon, Chhattisgarh, India
  • Nandani Jatwar Department of Obstetrics and Gynecology, BRLSABV Memorial Government Medical College Rajnandgaon, Chhattisgarh, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20190971

Keywords:

Awareness, Cervical cancer, Practice, Screening tests

Abstract

Background: Cervical cancer is a leading cause of morbidity and mortality among rural women in India. Early screening has been shown to be the most effective measure to prevent the disease. However, lack of awareness, lack of infrastructure, social stigma and fear are barriers to cervical cancer screening. The study was undertaken to assess the knowledge and practice among rural women regarding cervical cancer and screening tests with the aim of helping health professionals to revise policies and practices.

Methods: It was a cross-sectional questionnaire-based study, conducted from January 2018 to September 2018 in the Department of Obstetrics and Gynecology at Government Medical College Rajnandgaon. A tertiary care hospital located in the southwest Chhattisgarh. A total of 506 women aged 21-65 years were included and assessed. Qualitative data were presented as frequencies and percentages by using SPSS version 21.

Results: Of the total 506 respondents, 15.41 % had heard of cervical cancer, while 8.1% about cervical cancer screening. Unfortunately, only 1.2% women were ever been screened by Pap test. Although importance of screening had been thoroughly explained to the respondents, despite the fact only 57.1% showed willingness to undergo cervical cancer screening in the future. However, 63.9%women having gynecological complains were significantly associated with better attitude towards future cervical cancer screening than women without having gynaecological complains.

Conclusions: Awareness and practice of the screening for cervical cancer was very poor in the rural population as well as in health care providers. Hence intensive health education is the need of the hour to change the scenario.

References

Stewart Bernard W, Wild Christopher P. World Cancer Report 2014. Lyon: International Agency for Research on Cancer/World Health Organization.

WHO guidelines for screening and treatment of precancerous lesions for cervical cancer prevention. Geneva: World Health Organization; 2013. WHO Guidelines Approved by the Guidelines Review Committee.

National guideline for cervical cancer screening programme. Department of Health, Available at http://screening.iarc.fr/doc/SAcervical-cancer.pdf.

Jeronimo J, Castle PE, Temin S, Denny L, Gupta V, Kim JJ, Luciani S, Murokora D, Ngoma T, Qiao Y, Quinn M. Secondary prevention of cervical cancer: ASCO resource-stratified clinical practice guideline. J Global Oncology. 2016;3(5):635-57.

FOGSI GCPR Screening and Treatment of Preinvasive Lesions of Cervix and HPV Vaccination ,fogsi Gynaecologic Oncology Committee. Available at https://www.fogsi.org/wp-content/uploads/2018/01/fogsi-gcpr-smplc-cervix-hpv-vaccinatio.

Krishnan S, Madson E, Porterfield D, Varghese B. Advancing cervical cancer prevention in India: insights from research and programs. Available at https://www.researchgate.net/publication/321538727_Cervical_Cancer_Screening_in_India.

Mittra I, Mishra GA, Singh S, Aranke S, Notani P, Badwe R, et al. A cluster randomized, controlled trial of breast and cervix cancer screening in Mumbai, India: methodology and interim results after three rounds of screening. Int J Cancer.2010. 126(4):976-84.

District-wise health care infrastructure in india, Rural Health Statistics -2018, https://mohfw.gov.in/documents/staistic.

Khunte V, Armo M, Gahne R, Sisodiya A ,Verma S. Hysterectomy: still a treatment of choice for pelvic pathologies in rural India Int J Reprod Contracept Obstet Gynecol. 2018;7(2):536-541

Roy B, Tang TS. Cervical cancer screening in Kolkata, India: beliefs and predictors of cervical cancer screening among women attending a women’s health clinic in Kolkata, India. J Cancer Educ 2008;23(4):253-9.

Chaudhuri S, Dutt R, Goswami S, Roychowdhury J. Awareness about cervical cancer screening among reproductive aged women attending gynaecology outpatient department in ESI PGIMSR and ESIC Medical College and Hospital, Joka, Kolkata. Int J Comm Med Public Health. 2017;4(4):1319-23

Siddharthar J, Rajkumar B, Deivasigamani K. Knowledge, awareness and prevention of cervical cancer among women attending a tertiary care hospital in Puducherry, India. J Clin Diagn Res. 2014;8(6):OC01-3.

Aswathy S, Quereshi MA, Kurian B, Leelamoni K. Cervical cancer screening: current knowledge and practice among women in a rural population of Kerala, India. Indian J Med Res. 2012;136(2):205-10.

Sambath S, Chandrasekaran M. Knowledge, awareness and prevention of cervical cancer among women attending a rural based tertiary care centre, Theni, South India .Int J Reprod Contracept Obst Gynecol. 2018:7(2):608-611)

Shrestha J, Saha R, Tripathi N. Knowledge, attitude and practice regarding cervical cancer screening amongst women visiting tertiary centre in Kathmandu, Nepal. Nepal J Med Sci. 2013;2(2):85-90.

Ferdous J1, Islam S, Marzen T. Attitude and practice of cervical cancer screening among the women of Bangladesh.Mymensingh Med J. 2014;23(4):695-702.

Liu T, Li S, Ratcliffe J, Chen G. Assessing knowledge and attitudes towards cervical cancer screening among rural women in Eastern China. Int J Environment Res Public Health. 2017;14(9):967.

Nigar A. Awareness of cervical cancer risk factors and screening methods among women attending a tertiary hospital in Lucknow, India Int J Reprod Contracept Obstet Gynecol. 2017;6(12):5592-5.

Asthana S, Labani S. Factors associated with attitudes of rural women toward cervical cancer screening. Indian journal of community medicine: official publication of Indian Assoc Prevent Social Med. 2013;38(4):246.

Das B, Gupta K, Ranjan R, Singh M. Knowledge, attitude and practice of cervical cancer screening in women visiting a tertiary care hospital of Delhi. Indian J Cancer. 2014;51(3):319-23.

Mitra S. Study of the risk factors for cancer cervix in a specialty hospital in Kolkata. J Com Med. 2009;5:1-5.

Roychaudhuri S. Sociodemographic & behavioural risk factors for cervical cancer & knowledge in urban areas of North Bengal, India. Asian Pac J cancer. 2012,13(4):1093-6.

Priyanka R et al Relationship Between Smokeless Tobacco and Cervical Premalignant and Malignant Lesions Among the Patients Screened for Cervical Cancer in the Health Promotion Clinic, Noida Journal of global oncology, Am Society Clinic Oncol J.2018;4(2).

Sharma C, Sharma M, Raina R, Soni A, Chander B, Verma S. Gynecological diseases in rural India: a critical appraisal of indications and route of surgery along with histopathology correlation of 922 women undergoing major gynecological surgery. J Midlife Health. 2014;5(2):55-61.

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Published

2019-03-26

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Original Research Articles