Knowledge, Attitude and Practice of Gynecologists at Public Teaching Hospitals in Sana'a City Towards Cervical Cancer Screening, -Yemen, 2020

Authors

  • Dr. Kawkab Mohammed Al-Haddad Department of Community and Family Medicine, Faculty of Medicine and Health Sciences, Sana'a University, Sana'a, Yemen
  • Dr. Maryam Ba-Break University of Leeds, Leeds, England
  • Dr. Khaled Al-Jamrah Epidemiologist, Ministry of Public Health and Population, Sana’a, Yemen
  • Dr. Mohammed Al Amad Epidemiologist, Ministry of Public Health and Population, Sana’a, Yemen

DOI:

https://doi.org/10.53555/hsn.v7i5.1591

Keywords:

Knowledge, Attitude, Practices, Cervical cancer, Gynecologists, Yemen.

Abstract

Background: Cervical cancer is the fourth most prevalent cancer among women causing 250, 0000 annual deaths worldwide. The available data, although limited, indicates that 8.5 million Yemeni women are at risk of developing cervical cancer and most cases are diagnosed at late stages causing deaths from this illness which could be prevented through screening. There is limited evidence about the awareness of health staff in Yemen about the importance, eligibility criteria, role and availability of cervical cancer screening as well as their attitude toward it and their utilization of this service either for themselves or their patients.

The aim: To assess the knowledge, attitude, and practice (KAP) of gynecologists toward cervical cancer screening as well as barriers of implementing this screening service in Yemen.

Methods:

All physicians who provide gynecology and obstetrics care at the four main public teaching hospitals in Sana’a city were targeted in this cross-sectional study. The data was collected using a validated self-administered questionnaire.

Findings:

Gynecologists in the main public teaching hospitals in the capital of Yemen have a satisfactory knowledge of importance of screening of cervical cancer and positive attitude toward this service. However, their awareness and positive attitude are not well-reflected in the utilization of cervical cancer services, either for themselves or their patients. Barriers of using cervical cancer services include unawareness and misconceptions of gynecologists.

Conclusion:

The identified gap in gynecologists’ KAP and barriers should be addressed to enhance the neglected cervical cancer screening in Yemen toward better control of this serious preventable disease.

Downloads

Download data is not yet available.

References

1. Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, et al. Human papillomavirus and related diseases in the world. ICO information Centre on HPV and Cancer (HPV information Centre). 2015;23.
2. Denny L. Cervical cancer prevention: new opportunities for primary and secondary prevention in the 21st century. International Journal of Gynecology & Obstetrics. 2012;119:S80-S4.
3. Vu M, Yu J, Awolude OA, Chuang L. Cervical cancer worldwide. Current problems in cancer. 2018;42(5):457-65.
4. Hull R, Mbele M, Makhafola T, Hicks C, Wang SM, Reis RM, et al. Cervical cancer in low and middle‑income countries. Oncology Letters. 2020;20(3):2058-74.
5. Bruni L AG, Serrano B, Mena M, Gómez D, Muñoz J, Bosch FX, de Sanjosé S. Human Papillomavirus and Related Diseases in Yemen. Summary Report 17 June 2019 [online] avilable at https://hpvcentre.net/statistics/reports/YEM.pdf. Accessed [15/12/2020].
6. Gupta R, Gupta S, Mehrotra R, Sodhani P. Cervical cancer screening in resource-constrained countries: current status and future directions. Asian Pacific Journal of Cancer Prevention: APJCP. 2017;18(6):1461.
7. Gultekin M, Ramirez PT, Broutet N, Hutubessy R. World Health Organization call for action to eliminate cervical cancer globally. BMJ Specialist Journals; 2020.
8. Dulla D, Daka D, Wakgari N. Knowledge about cervical cancer screening and its practice among female health care workers in southern Ethiopia: a cross-sectional study. International journal of women's health. 2017;9:365.
9. Islam RM, Billah B, Hossain MN, Oldroyd J. Barriers to cervical cancer and breast cancer screening uptake in low-income and middle-income countries: a systematic review. Asian Pacific journal of cancer prevention: APJCP. 2017;18(7):1751.
10. Lim JN, Ojo AA. Barriers to utilisation of cervical cancer screening in Sub Sahara Africa: a systematic review. European journal of cancer care. 2017;26(1):e12444.
11. Han H-R, Huh B, Kim MT, Kim J, Nguyen T. Development and validation of the assessment of health literacy in breast and cervical cancer screening. Journal of health communication. 2014;19(sup2):267-84.
12. Joshi A, Kale S, Chandel S, Pal DK. Likert scale: Explored and explained. . Current Journal of Applied Science and Technology. 2015 396-403.
13. Gichangi P, Estambale B, Bwayo J, Rogo K, Ojwang S, Opiyo A, et al. Knowledge and practice about cervical cancer and Pap smear testing among patients at Kenyatta National Hospital, Nairobi, Kenya. International Journal of Gynecologic Cancer. 2003;13 (6)(6):827-33.
14. Shrestha AD, Neupane D, Vedsted P, Kallestrup P. Cervical cancer prevalence, incidence and mortality in low and middle income countries: a systematic review. Asian Pacific journal of cancer prevention: APJCP. 2018;19(2):319.
15. Ferdous J, Khatun S, Ferdous NE, Sharmin F, Akhter L, Keya KA. Attitude and practice of cervical cancer screening among the female doctors of Bangabandhu sheikh Mujib Medical University. Bangladesh Medical Journal. 2016;45 (2)(2):66-71.
16. Sait KH. Knowledge, attitudes, and practices regarding cervical cancer screening among physicians in the Western Region of Saudi Arabia. Saudi Med J. 2011;32(11):1155-60.
17. Bansal AB, Pakhare AP, Kapoor N, Mehrotra R, Kokane AM. Knowledge, attitude, and practices related to cervical cancer among adult women: A hospital-based cross-sectional study. Journal of natural science, biology, and medicine. 2015;6(2):324.
18. Arevian M, Noureddine S, Kabakian T. A survey of knowledge, attitude, and practice of cervical screening among Lebanese/Armenian women. Nursing Outlook. 1997;45(1):16-22.
19. Alali A, Salem M, Elmahdi H, Alkubaisi N, Alwahedi Z, Taher M, et al. Knowledge, attitudes and practices regarding cervical cancer screening among female health care workers in primary healthcare in Qatar. World Family Medicine Journal: Incorporating the Middle East Journal of Family Medicine. 2016;99(3660):1-12.
20. Ertem G. Awareness of cervical cancer risk factors and screening behaviour among nurses in a rural region of Turkey. Asian Pac J Cancer Prev. 2009;10 (5)(5):735-8.
21. 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 services research. 2014;14(1):165.
22. Shekhar S, Sharma C, Thakur S, Raina N. Cervical cancer screening: knowledge, attitude and practices among nursing staff in a tertiary level teaching institution of rural India. Asian Pac J Cancer Prev. 2013;14 (5)(6):3641-5.
23. Urasa M, Darj E. Knowledge of cervical cancer and screening practices of nurses at a regional hospital in Tanzania. African health sciences. 2011;11 (1)(1):48–57.
24. Lataifeh I, Amarin Z, Khader Y. A survey of the knowledge and attitude of Jordanian obstetricians and gynaecologists to cervical cancer screening. Journal of Obstetrics and Gynaecology. 2009;29(8):757-60.
25. Swapnajaswanth M, Suman G, Suryanarayana S, Murthy N. Perception and practices on screening and vaccination for carcinoma cervix among female healthcare professional in tertiary care hospitals in Bangalore, India. Asian Pacific Journal of Cancer Prevention. 2014;15(15):6095-8.
26. Gakidou E, Nordhagen S, Obermeyer Z. Coverage of cervical cancer screening in 57 countries: low average levels and large inequalities. PLoS Med. 2008;5(6):e132.
27. Akinyemiju TF. Socio-economic and health access determinants of breast and cervical cancer screening in low-income countries: analysis of the World Health Survey. PloS one. 2012;7(11):e48834.
28. Asonganyi E, Vaghasia M, Rodrigues C, Phadtare A, Ford A, Pietrobon R, et al. Factors affecting compliance with clinical practice guidelines for pap smear screening among healthcare providers in africa: systematic review and meta-summary of 2045 individuals. PloS one. 2013;8 (9)(9):e72712.
29. Ekine A, West O, Gani O. Awareness of female health workers and non health workers on cervical cancer and cervical cancer screening: south–south, Nigeria. Int J Med Sci Clin Inventions. 2015;2 (2)(2):713-25.
30. Anantharaman V, Sudharshini S, Chitra A. A cross-sectional study on knowledge, attitude, and practice on cervical cancer and screening among female health care providers of Chennai corporation,. Journal of Academy of Medical Sciences. 2013;2 (4)(4):124-8.
31. Abbas I, Rashied AM. Barriers for UptakingThePap Smear among Nurse–Midwives in BaghdadCity Hospitals. kufa Journal for Nursing sciences. 2014;4(3):11-22.
32. Ayinde O, Omigbodun A. Knowledge, attitude and practices related to prevention of cancer of the cervix among female health workers in Ibadan. Journal of Obstetrics and Gynaecology. 2003;23 (1)(1):59-62.
33. Kress CM, Sharling L, Owen-Smith AA, Desalegn D, Blumberg HM, Goedken J. Knowledge, attitudes, and practices regarding cervical cancer and screening among Ethiopian health care workers. International journal of women's health. 2015;7:765.
34. Najdi A, Benaicha N, El Fakir S, Tachfouti N, Berraho M. Awareness of Cervical Cancer Risk Factors, Screening Practices and Attitudes among Nurses in a Primary Health Care Setting of Morocco: A Cross-Sectional Study Journal of Cancer Science and Clinical Oncology 2016;3 (2):15-0.
35. Heena H, Durrani S, AlFayyad I, Riaz M, Tabasim R, Parvez G, et al. Knowledge, attitudes, and practices towards cervical cancer and screening amongst female healthcare professionals: A cross-sectional study. Journal of oncology. 2019;2019:1-9.

Downloads

Published

2021-05-31

How to Cite

Al-Haddad , K. M. ., Ba-Break, M., Al-Jamrah , K. ., & Al Amad, M. . (2021). Knowledge, Attitude and Practice of Gynecologists at Public Teaching Hospitals in Sana’a City Towards Cervical Cancer Screening, -Yemen, 2020. International Journal For Research In Health Sciences And Nursing, 7(5), 01–10. https://doi.org/10.53555/hsn.v7i5.1591