Acceptability Of Cervical Cancer Screening Using See And Treat (sat) Approachand Determinant Factors Among Women Of Reproductive Age In Health Centers In Addis Ababa Ethiopia.

Background: Cervical cancer is one of the leading causes of morbidity and mortality amongst femalerncancer worldwide, especially in developingcountries, including Ethiopia. The level of women’srnacceptance of cervical cancer screening and treatment service is low and not well documented in Ethiopia.rnThe current study sought to assess women’s acceptance about cervical cancer screening and determinantrnfactors of the service.rnObjective: The objective of this study was to assess the acceptability of cervical cancer screening andrntreatment of precancerous cervical lesions and determinant factors among Women aged 30–49 years atrnselected health centers in Addis Ababa, Ethiopia.rnMethodology: A facility based cross sectional study which contain quantitative and qualitative methodsrnwere conducted at 14 public health centers in Addis Ababa, from November, 2016 to Octoberrn2017.Totally a sample of 316 women aged 30–49 years were taken for Quantitative study and a singlernstage simple random sampling technique was employed to address the study subjects. For the Qualitativernpart 12 health professionals who were providing the service were interviewed purposively. Acceptabilityrnof cervical cancer screening and treatment service was measured after the women underwent thernprocedure, using women’s Satisfaction on service delivered.Descriptive, Binary and multiple logisticrnregressions were employed to determine factors associated with acceptance about cervical cancerrnscreening and treatment service.The transcribed and translated qualitative data was coded using cut andrnpaste method of similar item. Then finally the codes were categorized and thematically described.rnResult: one hundred forty seven (47%) of the participants accepted cervical cancer screening andrntreatment service. Almost half (48.6%) of the participant were not knowledgeable. After adjusting forrncovariates, acceptance of cervical cancer screening and treatment service was positively associated withrnbeing governmental employee [(AOR=5.85, 95% C.I:5.85(1.7, 20.0)], women who had history of vaginalrnburning [(AOR=4.57, 95% C.I:4.57(1.417,14.76)], information about status of women [ (AOR =rn0.06,95% CI: (0.014,0.26)], Delay screening and treatment time [(AOR = 7.6,95% CI: 7.6(2.89,20)],rnhappy with staff behavior,[(AOR =4.6, 95% CI: 4.6(1.1,19.77)], health education about the servicern[(AOR = 2.45, 95% CI: 2.45(1.049,5.74)] , and women who were happy with setup of examination roomrn[(AOR = 3.96, 95% CI: 3.96(1.32,20.85)] respectively.rnConclusion and Recommendation: This study shows a suboptimal acceptance of cervical cancerrnscreening and treatment services. Occupational status, test related problem, Lack of health education,rnDelay screening and treatment time, setup of examination room and staff behavior were found to bernimportant determinants. Efforts are needed to increase women’s acceptance and knowledge about thernservice. Organization working on cervical cancer should establish a separate service delivery on screeningrnand treatment program and should highly enhancehealth education and awareness creation program.

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