Assessment Of Willingness And Acceptability Of Cervical Cancer Screening Among Women Living With Hivaids In Selected Public Health Institution Of Addis Ababa Ethiopia June 2014

Background - Cancer is one of the world’s major killer diseases. Cervical cancer is a disease inrnwhich the cells of the cervix become abnormal and start to grow uncontrollably, forming tumorsrnand it is the first most common cancer in women living in sub-Saharan Africa, but no more thanrn5% of women in these settings are screened for cervical cancer even once in their lifetimes.rnCervical cancer is a preventable disease, however the prognosis of the disease depends on thernstage at which the disease is diagnosed and start treated.rnObjective – To assess the willingness and acceptability of cervical cancer screening amongrnwomen living with HIV/AIDS in selected public health institutions of Addis Ababa, Ethiopiarnfrom December – June, 2014.rnMethodology - An institutional based quantitative cross sectional study design supplemented byrnqualitative in depth interview was conducted to assess willingness and acceptability of cervicalrncancer screening among women living with HIV/AIDS. After simple random selection of healthrninstitutions, based on patient flow proportional allocation of study units was done to get studyrnunits from respective health institutions. Data was collected using structured questionnaires.rnMultivariate logistic analysis method was employed to determine factors significantly associatedrnwith acceptability.rnResult-A total of 322 study subjects were included in this study. Of these 110 (34.2%) heardrnabout cervical cancer before, 202 (62.7%) were willing to be screened for cervical cancer, butrnfinally only 80 (24.8%) were accepted the test. This study also identifies the knowledge level ofrnthe study participants, and only 81 (25.1%) were considered as knowledgeable. Women who listrnthe first most cause of cervical cancer as viral/HPV were 1.8 times more likely to accept the testrnthan those who list other than this (AOR: 1.8, 95% CI: 1.011, 3.895, P=0.04).rnConclusion and Recommendation-More than half of the study participants don’t want tornundergo the test, and most reason given was due to long waiting time. So the investigatorrnrecommend disease prevention unit of FMoH to integrating this preventive care service in thernexisting HIV/AIDS treatment guideline and making the screening service available in majority ofrnthe public health institutions

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