FACTORS ASSOCIATED WITH UTILIZATION OF CERVICAL CANCER SCREENING SERVICES AMONG FEMALE NURSES WORKING AT HOMABAY COUNTY TEACHING AND REFERRAL HOSPITAL, HOMABAY COUNTY, KENYA
Abstract
Background: Cervical cancer screening is an important service aimed at early detection of cancer. However, factors associated with service utilization tend to vary even among health care providers. A better understanding of the issues that abound would inform strategies to improve the uptake of screening services
Objective: To determine factors associated with utilization of cervical cancer screening services among female nurses at Homabay County Hospital in Kenya
Methodology: A cross-sectional descriptive study with a sample size of 116 female nurses. The researcher employed a simple random sampling technique. Utilization of cervical cancer screening and sociodemographic factors were gathered in the face-to-face interview structured questionnaire. Analyses done by Statistical Package for Social Science software version 25. Proportions and percentages for descriptive statistics. Binary logistic regression to determine factors associated to cervical cancer utilization on adjusted odds ratio with a 95% CI and p value < 0.05.
Results: Of the 106 respondents, (60%, n=99) participated in the study. Forty-three (43.4%, n=43) were aged 31-40 years. Christians were (87.9%, n=87) while (86.9%, n=86) had more than one sexual partners. Of respondents 85 (85.5%, n=85) were multiparous. Majority (68.7%, n=68) had work experience more than 7 years with (31.3%, n=31) having 1- 4 years. In all cervical cancer screening utilization among the female nurses was 63.64% while the WHO target is 70%. Multi parity and department of work were the factors significantly associated to cervical cancer
screening services utilization. Multi parity (AOR = 7.5, 95% CI = 1.75-32.00, p = 0.006). Inpatient department. (AOR = 3.1, 95% CI = 1.22-7.69, p = 0.017) respectively.
Conclusion: This study showed that utilization of cervical cancer screening
services was below the WHO target. This calls for developing effective cervical cancer screening uptake among nurses