Determinants of uptake of cervical cancer screening services at a no-cost reproductive health clinic managed by nurse-midwives

Charles P. Osingada, Gloria Ninsiima, Rose N. Chalo, Joshua K. Muliira, Tom Ngabirano

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

The incidence of cervical cancer (CC) has been rising in sub-Saharan Africa, and health authorities in this region have responded by increasing the availability of cheap or no-cost CC screening services (CCSS), public health education, and others. However, the efforts have not yet resulted into the expected uptake of CCSS. Objective: The aim of this study was to examine the determinants of uptake of CCSS at a no-cost reproductive health clinic managed by nurse-midwives. Methods: A descriptive design and a structured interview questionnaire were used to collect data from 236 women attending the reproductive health clinic. Logistic regression statistics were used to examine the determinants of uptake of CCSS. Results: The mean age of participants was 28.7 years, and only 29% had received CC screening. The significant determinants of uptake of CCSS were concern about the gender of the healthcare professional (HCP) (odds ratio [OR], 5.03; P =.001), age older than 25 years (OR, 3.09; P =.005), contraceptive use (OR, 0.28; P =.02), encouragement by HCPs (OR, 0.16; P =.00), and perceived quality of CCSS (OR, 0.08; P =.00). Conclusions: Gender of the HCP and encouragement or reminders by the HCP influence uptake of CCSS. Because nurse-midwives have successfully led strategies to promote other integrated reproductive health services, they can also play a key role in enhancing uptake of CCSS in resource-poor settings.

Original languageEnglish
Pages (from-to)177-184
Number of pages8
JournalCancer Nursing
Volume38
Issue number3
DOIs
Publication statusPublished - May 7 2015

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Nurse Midwives
Reproductive Health
Early Detection of Cancer
Uterine Cervical Neoplasms
Odds Ratio
Costs and Cost Analysis
Delivery of Health Care
Reproductive Health Services
Africa South of the Sahara
Contraceptive Agents
Health Education
Logistic Models
Interviews
Incidence
Health

Keywords

  • Cervical cancer
  • Determinants
  • Early detection of cancer
  • Nurse-midwives
  • Preventive care
  • Screening
  • Uganda
  • Uptake

ASJC Scopus subject areas

  • Oncology
  • Oncology(nursing)

Cite this

Determinants of uptake of cervical cancer screening services at a no-cost reproductive health clinic managed by nurse-midwives. / Osingada, Charles P.; Ninsiima, Gloria; Chalo, Rose N.; Muliira, Joshua K.; Ngabirano, Tom.

In: Cancer Nursing, Vol. 38, No. 3, 07.05.2015, p. 177-184.

Research output: Contribution to journalArticle

Osingada, Charles P. ; Ninsiima, Gloria ; Chalo, Rose N. ; Muliira, Joshua K. ; Ngabirano, Tom. / Determinants of uptake of cervical cancer screening services at a no-cost reproductive health clinic managed by nurse-midwives. In: Cancer Nursing. 2015 ; Vol. 38, No. 3. pp. 177-184.
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