Awareness of carcinoma cervix in nursing personnel of a tertiary care institute, Mumbai, India

Authors

  • Pooja K. Bandekar Department of Obstetrics and Gynecology, Seth G.S. Medical College and Nowrosjee Wadia Maternity Hospital, Mumbai, Maharashtra, India
  • Prashant B. Kale Department of Obstetrics and Gynecology, Seth G.S. Medical College and Nowrosjee Wadia Maternity Hospital, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20175546

Keywords:

Cervical cancer, Knowledge, Nursing staff, Pap test, Screening

Abstract

Background: Carcinoma cervix is the second most common cancer of women all over the world and commonest cancer among Indian women. Awareness about cervical cancer and its prevention low amongst Indian women. The Pap test is a simple cost-effective technique for screening to help early diagnosis of cervical cancer. Nursing staff should be made aware of cervical cancer, so that they can spread the knowledge to the general public. Objectives of present study were to assess the knowledge level regarding symptoms, risk factors, prevention and screening of cervical carcinoma among nursing staff and to find out the behaviour of respondents regarding prevention and screening of cervical carcinoma

Methods: A cross-sectional interview-based survey regarding knowledge of cervical carcinoma was conducted among the nursing staff of a tertiary care institutes of Mumbai.A structured questionnaire with multiple choices was used as a tool for data collection. Provision for open-ended responses was also made in the questionnaire. 100 nurses participated in the current study. Data was entered in Microsoft Excel. SPSS statistical software was used to generate statistical parameters like proportion, mean, standard deviation, etc. The test of significance used was the Z test and a P value of <0.05 was considered as the level of significance.

Results: We lack an organized opportunistic screening program for cervical cancer in India. Data indicates a slow, but steady, decline in the incidence of cervical cancer. However, the rates are still too high, particularly in the rural areas. It is extremely essential to screen eligible women when they come to health units for other services. Studies have shown it is possible to train nurses to screen for cervical cancer. Attitudes that screening is to be done by doctors or gynaecologists only needs to change. The survey revealed that the hospital played a limited role as a source of information on Pap smear. This calls for a re-orientation of nurses, paramedicals and health workers and a need for introduction of simpler cervical cancer screening methods such as visual inspections that are more sustainable

Conclusions: Awareness about cervical cancer has to be improved. Education of the nursing personel will strongly contribute to strengthen cervical cancer screening programs. Nursing staff can and should educate the masses to help increase health awareness in women.

References

Laikangbam P, Sengupta S, Bhattacharya P, Duttagupta C, Dhabali Singh T, Verma Y, et al. A comparative profile of the prevalence and age distribution of human papillomavirus type 16/18 infections among three states of India with focus on northeast India. Int J Gynecol Cancer. 2007 Jan 1;17(1):107-17.

World Health Organization International Agency for Research on Cancer. International Agency for Research on Cancer. IARC Monographs on the evaluation of carcinogenic risks to humans. Human Papillomavirus (Lyon: International Agency for Research on Cancer). 2007;90.

Bharadwaj M, Hussain S, Nasare V, Das BC HPV and HPV vaccination: issues in developing countries Indian J Med Res. 2009;130:327-33.

PATH and National AIDS Research Institute. Shaping a Strategy to Introduce HPV Vaccines in India: Results from the HPV Vaccines. Evidence for Impact Project (Seattle, WA: PATH). Available at http://screening.iarc.fr/doc/PATH_FRTS_India.pdf

Mattheij I, Pollock AM, Brhlikova P. Do cervical cancer data justify HPV vaccination in India? Epidemiological data sources and comprehensiveness. J R Soc Med. 2012;105:250-262.

Bingham A, Drake JK, LaMontagne DS. Sociocultural issues in the introduction of human papillomavirus vaccine in low-resource settings Arch Pediatr Adolesc Med. 2009;163:455-61.

Nganwai P, Truadpon P, Inpa C, Sangpetngam B, Mekjarasnapa M, Apirakarn M et al. Knowledge, attitudes and practices vis-a-vis cervical cancer among registered nurses at the Faculty of Medicine, Khon Kaen University, Thailand. Asian Pac J Cancer Prev. 2008;9:15-18.

Anya SE, Oshi DC, Nwosu SO, Anya AE. Knowledge, attitude and practice of female health professionals regarding cervical cancer and Pap smear Niger J Med. 2005;14(3):283-6.

Ali SF, Ayub S, Manzoor NF, Azim S, Afif M, Akhtar N et al. Knowledge and awareness about cervical cancer and its prevention amongst interns and nursing staff in Tertiary Care Hospitals in Karachi, Pakistan. PloS One. 2010 Jun 10;5(6):e11059.

McCarey C, Pirek D, Tebeu PM, Boulvain M, Doh AS, Petignat P. Awareness of HPV and cervical cancer prevention among Cameroonian healthcare workers. BMC Women's Health. 2011 Oct 18;11(1):45.

Mutyaba T, Mmiro FA, Weiderpass E. Knowledge, attitudes and practices on cervical cancer screening among the medical workers of Mulago Hospital, Uganda. BMC Medical Education. 2006 Dec 1;6(1):13.

Udigwe GO. Knowledge, attitude and practice of cervical cancer screening (pap smear) among female nurses in Nnewi, South Eastern Nigeria Niger J Clin Pract. 2006;9(1):40-3.

Sankaranarayanan R, Budukh AM, Rajkumar R. Effective screening programmes for cervical cancer in low- and middle-income developing countries. Bull World Health Organ. 2001;79:954-62.

Chirenje ZM, Chipato T, Kasule J, Rusakaniko S. Visual inspection of the cervix as a primary means of cervical cancer screening: results of a pilot study. Cent Afr J Med. 1999;45:30-3.

Cronje HS, Parham GP, Cooreman BF, de Beer A, Divall P, Bam RH. A comparison of four screening methods for cervical neoplasia in a developing country. Am J Obstet Gynecol. 2003;188:395-400.

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Published

2017-12-25

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Original Research Articles