Cargando…

Characteristics of Women Seeking Cervical Cancer Cytology Screening in a Private Health Facility

Background and Objectives: Over 80% of cervical cancer cases in sub-Saharan Africa are detected at late stages, predominantly due to the lack or inaccessibility of prevention services. Public health facilities in Ethiopia offer free cervical cancer screening for eligible women. Besides the public he...

Descripción completa

Detalles Bibliográficos
Autores principales: Ashenafi, Tizita, Stroetmann, Clara Y., Getachew, Sefonias, Addissie, Adamu, Kantelhardt, Eva J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10534838/
https://www.ncbi.nlm.nih.gov/pubmed/37763743
http://dx.doi.org/10.3390/medicina59091624
_version_ 1785112488469069824
author Ashenafi, Tizita
Stroetmann, Clara Y.
Getachew, Sefonias
Addissie, Adamu
Kantelhardt, Eva J.
author_facet Ashenafi, Tizita
Stroetmann, Clara Y.
Getachew, Sefonias
Addissie, Adamu
Kantelhardt, Eva J.
author_sort Ashenafi, Tizita
collection PubMed
description Background and Objectives: Over 80% of cervical cancer cases in sub-Saharan Africa are detected at late stages, predominantly due to the lack or inaccessibility of prevention services. Public health facilities in Ethiopia offer free cervical cancer screening for eligible women. Besides the public health facilities, private providers also offer a variety of screening services at the patients’ expense. As the overall cervical cancer screening uptake in Ethiopia is still far below the 90% WHO target, coordination between all actors of the health system is key. This includes a close cooperation between the public and private sectors to combine the advantages of both to the benefit of all patients as well as media campaigns and community involvement to promote the self-initiation of screening. Materials and Methods: To gain insights into the utilization of cervical cancer screening in the private health sector, we conducted an institution-based cross-sectional study at Arsho medical laboratories in Addis Ababa. Every woman who came there for cervical cancer screening between 1 May and 30 June 2020 was asked to participate in a questionnaire-based, face-to-face interview about their socio-demographic background, cervical cancer screening experience and self-initiation of screening. A total of 274 women participated in the interviews. We further assessed the reproductive status of the patients, their risk factors for cervical cancer, source of information about the screening and barriers to cervical cancer screening. Results: The ages of the participants ranged between 20–49 years. The majority (over 70%) were married. A total of 37.6% reported self-initiating the screening. More than three-quarters of all interviewed women reported mostly using the private health care sector for all kinds of health services. Conclusions: While the Ethiopian government efforts on scaling up cervical cancer screening focus mainly on public health facilities, the private sector often does not get as much attention from policy makers. Efforts should be made to extend the government’s interest in cervical cancer screening and implementation research to the private healthcare sector.
format Online
Article
Text
id pubmed-10534838
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-105348382023-09-29 Characteristics of Women Seeking Cervical Cancer Cytology Screening in a Private Health Facility Ashenafi, Tizita Stroetmann, Clara Y. Getachew, Sefonias Addissie, Adamu Kantelhardt, Eva J. Medicina (Kaunas) Article Background and Objectives: Over 80% of cervical cancer cases in sub-Saharan Africa are detected at late stages, predominantly due to the lack or inaccessibility of prevention services. Public health facilities in Ethiopia offer free cervical cancer screening for eligible women. Besides the public health facilities, private providers also offer a variety of screening services at the patients’ expense. As the overall cervical cancer screening uptake in Ethiopia is still far below the 90% WHO target, coordination between all actors of the health system is key. This includes a close cooperation between the public and private sectors to combine the advantages of both to the benefit of all patients as well as media campaigns and community involvement to promote the self-initiation of screening. Materials and Methods: To gain insights into the utilization of cervical cancer screening in the private health sector, we conducted an institution-based cross-sectional study at Arsho medical laboratories in Addis Ababa. Every woman who came there for cervical cancer screening between 1 May and 30 June 2020 was asked to participate in a questionnaire-based, face-to-face interview about their socio-demographic background, cervical cancer screening experience and self-initiation of screening. A total of 274 women participated in the interviews. We further assessed the reproductive status of the patients, their risk factors for cervical cancer, source of information about the screening and barriers to cervical cancer screening. Results: The ages of the participants ranged between 20–49 years. The majority (over 70%) were married. A total of 37.6% reported self-initiating the screening. More than three-quarters of all interviewed women reported mostly using the private health care sector for all kinds of health services. Conclusions: While the Ethiopian government efforts on scaling up cervical cancer screening focus mainly on public health facilities, the private sector often does not get as much attention from policy makers. Efforts should be made to extend the government’s interest in cervical cancer screening and implementation research to the private healthcare sector. MDPI 2023-09-08 /pmc/articles/PMC10534838/ /pubmed/37763743 http://dx.doi.org/10.3390/medicina59091624 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ashenafi, Tizita
Stroetmann, Clara Y.
Getachew, Sefonias
Addissie, Adamu
Kantelhardt, Eva J.
Characteristics of Women Seeking Cervical Cancer Cytology Screening in a Private Health Facility
title Characteristics of Women Seeking Cervical Cancer Cytology Screening in a Private Health Facility
title_full Characteristics of Women Seeking Cervical Cancer Cytology Screening in a Private Health Facility
title_fullStr Characteristics of Women Seeking Cervical Cancer Cytology Screening in a Private Health Facility
title_full_unstemmed Characteristics of Women Seeking Cervical Cancer Cytology Screening in a Private Health Facility
title_short Characteristics of Women Seeking Cervical Cancer Cytology Screening in a Private Health Facility
title_sort characteristics of women seeking cervical cancer cytology screening in a private health facility
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10534838/
https://www.ncbi.nlm.nih.gov/pubmed/37763743
http://dx.doi.org/10.3390/medicina59091624
work_keys_str_mv AT ashenafitizita characteristicsofwomenseekingcervicalcancercytologyscreeninginaprivatehealthfacility
AT stroetmannclaray characteristicsofwomenseekingcervicalcancercytologyscreeninginaprivatehealthfacility
AT getachewsefonias characteristicsofwomenseekingcervicalcancercytologyscreeninginaprivatehealthfacility
AT addissieadamu characteristicsofwomenseekingcervicalcancercytologyscreeninginaprivatehealthfacility
AT kantelhardtevaj characteristicsofwomenseekingcervicalcancercytologyscreeninginaprivatehealthfacility