Uptake of pre cervical cancer screening service and associated factors among women aged 30-49 years in Finote Selam town northwest Ethiopia

Abstract

Background: Pre cervical cancer screening is one of cervical cancer prevention strategies. Screening service in Finote Selam general hospital has been started since April 2016, however, there is no evidence on cervical cancer screening uptake in the study area. Thus determining screening uptake is essential for programme effectiveness. Objectives: The aim of this study was to assess uptake of pre cervical cancer screening and associated factors among women aged 30-49 year in Finote Selam northwest Ethiopia. Methods: A community based cross-sectional study was conducted from March 30, 2017- April 15.2017 among 1152 participants. A cluster sampling technique was used to requite the desired sample size. The data were enter Epi-Info version 7 and exported to SPSS version 20 for analysis. Binary logistic regression model was fitted to identify factors associated with the uptake of pre cervical cancer screening. Odds ratio with 95 % confidence interval was used to identify strength and direction of association between outcome and covariates. Results: In this study a total of 1137 out of 1152 women aged 30-49 years were participated representing a response rate of 98.7%. The uptake of pre cervical cancer screening was 34(3%) with 95% CI 2-4.2. In the final model of analysis women had ≥ 5 pregnancy history was 80% (AOR=0.2, 95%CI: 0.004-0.7) less likely than who hand no any history of pregnancy to had uptake of screening service. Participant with history of sexually transmitted disease 12 (AOR=12, 95% CI: 4.3-24)times more likely to uptake screening service as compared with who and no history of sexually transmitted disease. Women who had awareness on pre cervical cancer screening was 16(AOR=16, 95% CI: 1.5-18) times more likely to uptake screening service as compared who had no awareness. Conclusion and recommendation: Uptake of pre cervical cancer screening is low in the study area. Women had history of pregnancy ≥ 5 negatively associated with uptake of screening and history of sexually transmitted disease, awareness on screening service and favorable attitude towards screening positively associated with uptake of pre cervical cancer screening. Providing information to the women about cervical cancer screening and service availability near they lived is warranted.