Knowledge on Cervical Cancer Services and Associated Risk Factors by Health Workers in the Eastern Cape Province

Globally, cancer is a leading cause of death, with cervical cancer ranking second among all cancers. Its adversity impacts not only individuals but also families, societies, and governments. The quality of services, as informed by the knowledge and adequacy of the health workers, plays an important...

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Main Authors: Ziphelele Ncane, Monwabisi Faleni, Guillermo Pulido-Estrada, Teke R. Apalata, Sikhumbuzo A. Mabunda, Wezile Chitha, Sibusiso Cyprian Nomatshila
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/11/3/325
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author Ziphelele Ncane
Monwabisi Faleni
Guillermo Pulido-Estrada
Teke R. Apalata
Sikhumbuzo A. Mabunda
Wezile Chitha
Sibusiso Cyprian Nomatshila
author_facet Ziphelele Ncane
Monwabisi Faleni
Guillermo Pulido-Estrada
Teke R. Apalata
Sikhumbuzo A. Mabunda
Wezile Chitha
Sibusiso Cyprian Nomatshila
author_sort Ziphelele Ncane
collection DOAJ
description Globally, cancer is a leading cause of death, with cervical cancer ranking second among all cancers. Its adversity impacts not only individuals but also families, societies, and governments. The quality of services, as informed by the knowledge and adequacy of the health workers, plays an important role in both prevention, diagnosis, and management of the disease. A cross-sectional study among 108 purposively selected health workers in rural health facilities in the Eastern Cape province was conducted to assess knowledge on cervical cancer and associated risk factors through the use of validated structured questionnaires. The Statistical Package for Social Sciences was used for analysis, with a 95% confidence interval and a <i>p</i>-value of 0.05 considered significant. A total of 91.7% of the 108 participants were female, and 25% were over the age of 50. A total of 88% and 85.2% indicated sexually transmitted disease and human immunodeficiency virus as major risk factors, respectively. The HPV, pap smear, and vaccination age were known by 64.8%, and vaccine availability was known by 71.3%. Only 40.7% of workers were trained on cervical screening, and 35.2% were trained on the interpretation of pap smear results. An overall knowledge score of 53% was obtained, with more experienced clinicians scoring lower grades. This study identified inadequacies in essential knowledge for successful implementation of cervical cancer services and found that extensive training was needed.
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spelling doaj.art-fbbd0c37770947f18b6d3b2669de81c22023-11-16T16:43:43ZengMDPI AGHealthcare2227-90322023-01-0111332510.3390/healthcare11030325Knowledge on Cervical Cancer Services and Associated Risk Factors by Health Workers in the Eastern Cape ProvinceZiphelele Ncane0Monwabisi Faleni1Guillermo Pulido-Estrada2Teke R. Apalata3Sikhumbuzo A. Mabunda4Wezile Chitha5Sibusiso Cyprian Nomatshila6Department of Public Health, Walter Sisulu University, Mthatha 5117, South AfricaDepartment of Public Health, Walter Sisulu University, Mthatha 5117, South AfricaDepartment of Public Health, Walter Sisulu University, Mthatha 5117, South AfricaDepartment of Laboratory Medicine, Walter Sisulu University, Mthatha 5117, South AfricaGeorge Institute for Global Health, University of New South Wales, Sydney 2033, AustraliaHealth System Enablement and Innovation Unit, University of the Witwatersrand, Centurion 0157, South AfricaDepartment of Public Health, Walter Sisulu University, Mthatha 5117, South AfricaGlobally, cancer is a leading cause of death, with cervical cancer ranking second among all cancers. Its adversity impacts not only individuals but also families, societies, and governments. The quality of services, as informed by the knowledge and adequacy of the health workers, plays an important role in both prevention, diagnosis, and management of the disease. A cross-sectional study among 108 purposively selected health workers in rural health facilities in the Eastern Cape province was conducted to assess knowledge on cervical cancer and associated risk factors through the use of validated structured questionnaires. The Statistical Package for Social Sciences was used for analysis, with a 95% confidence interval and a <i>p</i>-value of 0.05 considered significant. A total of 91.7% of the 108 participants were female, and 25% were over the age of 50. A total of 88% and 85.2% indicated sexually transmitted disease and human immunodeficiency virus as major risk factors, respectively. The HPV, pap smear, and vaccination age were known by 64.8%, and vaccine availability was known by 71.3%. Only 40.7% of workers were trained on cervical screening, and 35.2% were trained on the interpretation of pap smear results. An overall knowledge score of 53% was obtained, with more experienced clinicians scoring lower grades. This study identified inadequacies in essential knowledge for successful implementation of cervical cancer services and found that extensive training was needed.https://www.mdpi.com/2227-9032/11/3/325cervical cancerpap smearscreeningrisk factorsknowledge
spellingShingle Ziphelele Ncane
Monwabisi Faleni
Guillermo Pulido-Estrada
Teke R. Apalata
Sikhumbuzo A. Mabunda
Wezile Chitha
Sibusiso Cyprian Nomatshila
Knowledge on Cervical Cancer Services and Associated Risk Factors by Health Workers in the Eastern Cape Province
Healthcare
cervical cancer
pap smear
screening
risk factors
knowledge
title Knowledge on Cervical Cancer Services and Associated Risk Factors by Health Workers in the Eastern Cape Province
title_full Knowledge on Cervical Cancer Services and Associated Risk Factors by Health Workers in the Eastern Cape Province
title_fullStr Knowledge on Cervical Cancer Services and Associated Risk Factors by Health Workers in the Eastern Cape Province
title_full_unstemmed Knowledge on Cervical Cancer Services and Associated Risk Factors by Health Workers in the Eastern Cape Province
title_short Knowledge on Cervical Cancer Services and Associated Risk Factors by Health Workers in the Eastern Cape Province
title_sort knowledge on cervical cancer services and associated risk factors by health workers in the eastern cape province
topic cervical cancer
pap smear
screening
risk factors
knowledge
url https://www.mdpi.com/2227-9032/11/3/325
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