TY - JOUR
T1 - Determinants of uptake of cervical cancer screening services at a no-cost reproductive health clinic managed by nurse-midwives
AU - Osingada, Charles P.
AU - Ninsiima, Gloria
AU - Chalo, Rose N.
AU - Muliira, Joshua K.
AU - Ngabirano, Tom
N1 - Publisher Copyright:
© 2015 Wolters Kluwer Health, Inc.
PY - 2015/5/7
Y1 - 2015/5/7
N2 - The incidence of cervical cancer (CC) has been rising in sub-Saharan Africa, and health authorities in this region have responded by increasing the availability of cheap or no-cost CC screening services (CCSS), public health education, and others. However, the efforts have not yet resulted into the expected uptake of CCSS. Objective: The aim of this study was to examine the determinants of uptake of CCSS at a no-cost reproductive health clinic managed by nurse-midwives. Methods: A descriptive design and a structured interview questionnaire were used to collect data from 236 women attending the reproductive health clinic. Logistic regression statistics were used to examine the determinants of uptake of CCSS. Results: The mean age of participants was 28.7 years, and only 29% had received CC screening. The significant determinants of uptake of CCSS were concern about the gender of the healthcare professional (HCP) (odds ratio [OR], 5.03; P =.001), age older than 25 years (OR, 3.09; P =.005), contraceptive use (OR, 0.28; P =.02), encouragement by HCPs (OR, 0.16; P =.00), and perceived quality of CCSS (OR, 0.08; P =.00). Conclusions: Gender of the HCP and encouragement or reminders by the HCP influence uptake of CCSS. Because nurse-midwives have successfully led strategies to promote other integrated reproductive health services, they can also play a key role in enhancing uptake of CCSS in resource-poor settings.
AB - The incidence of cervical cancer (CC) has been rising in sub-Saharan Africa, and health authorities in this region have responded by increasing the availability of cheap or no-cost CC screening services (CCSS), public health education, and others. However, the efforts have not yet resulted into the expected uptake of CCSS. Objective: The aim of this study was to examine the determinants of uptake of CCSS at a no-cost reproductive health clinic managed by nurse-midwives. Methods: A descriptive design and a structured interview questionnaire were used to collect data from 236 women attending the reproductive health clinic. Logistic regression statistics were used to examine the determinants of uptake of CCSS. Results: The mean age of participants was 28.7 years, and only 29% had received CC screening. The significant determinants of uptake of CCSS were concern about the gender of the healthcare professional (HCP) (odds ratio [OR], 5.03; P =.001), age older than 25 years (OR, 3.09; P =.005), contraceptive use (OR, 0.28; P =.02), encouragement by HCPs (OR, 0.16; P =.00), and perceived quality of CCSS (OR, 0.08; P =.00). Conclusions: Gender of the HCP and encouragement or reminders by the HCP influence uptake of CCSS. Because nurse-midwives have successfully led strategies to promote other integrated reproductive health services, they can also play a key role in enhancing uptake of CCSS in resource-poor settings.
KW - Cervical cancer
KW - Determinants
KW - Early detection of cancer
KW - Nurse-midwives
KW - Preventive care
KW - Screening
KW - Uganda
KW - Uptake
UR - http://www.scopus.com/inward/record.url?scp=84929031847&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84929031847&partnerID=8YFLogxK
U2 - 10.1097/NCC.0000000000000156
DO - 10.1097/NCC.0000000000000156
M3 - Article
C2 - 24831038
AN - SCOPUS:84929031847
SN - 0162-220X
VL - 38
SP - 177
EP - 184
JO - Cancer Nursing
JF - Cancer Nursing
IS - 3
ER -