Cervical cancer screening services targeting adult women in Cross River State, Nigeria

Margaret I. Akpan, Antor O. Ndep, Bernadine N. Ekpenyong, Inemesit A. Akpan, Abasiofon I. Akpan, Lilian E. Eyam, Regina E. Ella, Ekanem E. Ekanem


This study employed a randomized controlled trial to investigate the rate of cervical cancer screening among adult women in Cross River State, Nigeria. For the collection of data, a semi-structured questionnaire was used. The women underwent a health education intervention; they were divided into an experimental group with incentives and one without, as well as a control group. At baseline, only 120 (19.6%) of women had adequate knowledge, 139(22.7%) knew Human Papiloma Virus (HPV) is sexually transmitted, 289(47.1%) knew that HPV causes cervical cancer and 46 (7.6%) had been screened. The intervention yielded a net gain of 14.2 in knowledge and 16.0 points in attitude. There was a 60.3% net gain in uptake screening post intervention. McNemar chi-square yielded a statistically significant difference in knowledge (p<0.05), attitude (p<0.05) and uptake (p<0.05) in the intervention groups compared to the control groups. Recommendations include mobile screening centers and Income-based subsidized tests. (Afr J Reprod Health 2023; 27 [4]: 34-42).

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