Knowledge, attitudes and practices of cervical cancer screening by health care providers in the Emana health area: Yaounde-Cameroon

Fouedjio Jeanne Hortence, Mawamba Sonfack Sophie, Wandji Brigitte, Fouelifack Ymélé Florent, Nangue Charlette, Ngaroua ., Kemfang Ngowa Jean Dupont


Background: Gynaecological cancers and more particularly those of the cervix cause many victims in our country despite the many prevention tools that exist. The objective of this study was to assess the knowledge, attitudes and practices of providers on cervical cancer in the Emana health area.

Methods: To achieve this objective, we conducted a cross-sectional study form the period from April 2nd to June 10th, 2019 in the health facilities of the Emana health area.

Results: A total of 64 healthcare providers participated in the study, 03 gynecologists and obstetricians, 10 General practitioners, 30 state-certified nurses, 09 midwives, 12 nursing assistants. The majority of these providers had poor knowledge of the causes of the disease (25%), risk factors (34.4%), and means of prevention (39.1%), especially among state nurses (SRN), midwives, nursing assistants. (87.5%) had good knowledge of the clinical signs of the disease and were almost unanimous on the curability of this disease when discovered early (78.1%). The severity of the cancer was perceived by all; however, the practice of screening was low (10.9%). As for their personal screening practices, 73.1% (38/52) of female staff had never been screened.

Conclusions: Even though the participants perceive the grave nature of the cervical cancer, the subsequent attitude and screening practices remain poor. The possible barrier to this is the insufficient continuous training and recycling of the health personnel. Emphasis should be laid on the methods of prevention of cervical cancer in the curricula of nurses and midwives in Cameroon.


Attitudes, Care providers, Knowledge, Practices, Screening

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Organization Mondiale de la Santé. Dernières satisfies mandibles sur le cancer. Communiqué presse N° 223 du Centre international de recherche sur le cancer. CIRC. 2013:1-3.

Bouassa RM, Prazuck T, Lethu T, Meye J, Bélec L. Cervical cancer in sub-Saharan Africa: an emerging and preventable disease associated with human oncogenic papillomaviruses. Trop Med Health. 2017;27(1):16-22.

Tebeu PM, Sandjong DI, Nkele N, Fokoua S, Achu P, Kouam L. Pre-cancerous cervical lesions in rural areas: cross-sectional study. Med Af N. 2005;51:27-31.

Mbakop A, Essame Oyono JL. Ngbangako MC. Abondo A. Current epidemiology of cancers in Cameroon (Central Africa). Bulletin Cancer. 1992;79(11):1101-4.

Mbakop A, Yomi J, Yankeum J, Nkegoum B, Sone AM. Bulletin du cancer, Cancer localization in men and women aged over 50 in Cameroon. Bulletin du Cancer. 1997;84(12):1119-22.

Mantovani F, Massimi P, Banks L. The human papillomavirus E6 protein units contribution to malignant progression. Onc. 2001;20:7874-87.

Ngomo-Klutsch MJ, Belembaogo E, Diallo I. Clear cell adenocarcinoma of the cervix: a rare and aggressive form. Carcinol Prat Afrique. 2002;4:22-3.

Tebeu PM, Major AL, Rapiti E. The attitude and knowledge of cervical cancer by Cameroonian women; a clinical survey conducted in Maroua, the capital of Far North Province of Cameroon. Inter J Gynecol Cancer. 2007;18(4):761-5.

McCarey C. Pirek D. Tebeu PM. Boulvain M. Doh AS, Petignat P. Awareness of HPV and cervical cancer prevention among Cameroonian healthcare workers. BMC Womens Health. 2011;11:45.

Wamai RG, Ayissi CA, Oduwo G. Awareness, knowledge and beliefs about HPV, cervical cancer and HPV vaccines among nurses in Cameroon: An exploratory study. Inter J Nurs Stud. 2013;7489(12):00462-2.

Lurie N, Margolis KL, McGovern PG, Mink PJ, Slater JS. Why do patients of female physicians have higher rates of breast cancer and cervical cancer screening? J Gen Inter Med. 1997;12:34-43.

Kouamou EI. Knowledge, attitudes and practices of healthcare providers in BAMAKO related to cervical and breast cancer. Thesis Med. BAMAKO. Université de BAMAKO. 2005:100.

Mutyaba T, Mmiro FA, Weiderpass E. Knowledge, attitudes and practices on cervical cancer screening among the medical workers of Mulago Hospital, Uganda. BMC Med Educat. 2006;6(1):13.

Sando Z, Fouogue TJ, Fouelifack YF, Fouedjio JH, Mboudou ET, Essame OJ. L. Profile of gynecological and breast cancers in Yaoundé-Cameroon. Pan African Med J. 2014;17(28):1-10.

Tchounga BK, Jaquet A, Coffie PA, Horo A, Sauvaget C, Adoubi I, et al. Cervical cancer prevention in reproductive health services: knowledge, attitudes and practices of midwives in Côte d’Ivoire, West Africa. BMC Health Serv Res. 2014;14:165.

Nilaweera R, Perera S, Paranagama N, Anushyanthan AS. Knowledge and practices on breast and cervical cancer screening methods among female health care workers: A Sri Lanka experience. Asian Pac J Cancer Prevent. 2012;13:1193-6.