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FACTORS AFFECTING UPTAKE OF CERVICAL CANCER SCREENING AMONG WOMEN IN NAKASONGOLA DISTRICT, UGANDA

FACTORS AFFECTING UPTAKE OF CERVICAL CANCER SCREENING AMONG WOMEN IN NAKASONGOLA DISTRICT, UGANDA. AFENET Scientific Conference Authors: John Kamulegeya , J Bukenya, F Makumbi. Background. Cervical cancer is leading cancer among women in Uganda Incidence rate 40.7/100,000

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FACTORS AFFECTING UPTAKE OF CERVICAL CANCER SCREENING AMONG WOMEN IN NAKASONGOLA DISTRICT, UGANDA

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  1. FACTORS AFFECTING UPTAKE OF CERVICAL CANCER SCREENING AMONG WOMEN IN NAKASONGOLA DISTRICT, UGANDA AFENET Scientific Conference Authors: John Kamulegeya, J Bukenya, F Makumbi

  2. Background • Cervical cancer is leading cancer among women in Uganda • Incidence rate 40.7/100,000 • 80% of patients at Mulago National Hospital, present with advanced disease • Screening significantly reduce morbidity and mortality • Free cervical screening using VIA at static/ outreach • Only 52%of program target realized in 2012 • Reasons for low uptake not known

  3. Study Objectives • To determine the uptake of cervical cancer screening among women aged 25-49 years, district-wide • To establish factors associated with uptake of cervical cancer screening

  4. Methodology 1 • A cross-sectional community survey, March-May 2012 • Interviewed 526 women, 4 focus group discussions, 8 key informant interviews Inclusion criteria • Women aged 25- 49 years • Resident in Nakasongola district for 6+ months Exclusion criteria • Very ill and unable to participate in the interview. • History of total hysterectomy at least 3 years prior to the study

  5. Methodology 2 • Multistage cluster sampling, randomly selecting participants from sampled household • Uptake ascertained as proportion of screened between Feb. 2009 - Feb. 2012 • Associated factors obtained by logistic regression • Odds ratios (OR) , 95%CI used as measure of association

  6. Results 1- Uptake • Only 14.6% (77/526) of the women reported ever screening for cervical cancer. • Majority of screening, 79.2% ( 61/77) conducted within the district • Only 6.5%(5 /77) of ever screened, had two or more screenings • Willingness to adhere to next screening appointment was almost universal, 97.4% (75 /77)

  7. Results-2 Social Demographic Factors

  8. Results-3 Factors associated with Uptake

  9. . Study Limitation • Response bias Conclusion • Uptake of Cervical cancer screening in Nakasongola district is very low, 14.6% • Factors associated with poor uptake: • Low knowledge of CaCX screening • Embarrassment about screening • Low risk perceptions

  10. Recommendations • Improve women's knowledge about cervical cancer screening • Sensitize women on importance of screening even when free of signs • Expand screening services

  11. Acknowledgements • Makerere University School of Public Health(MakSPH) • Nakasongola District Local Government • FETP, Uganda • Family Health Research and Development Center (FHRDC)- MakSPH • Ndejje University

  12. Thank you for your attention!

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