Utilization of stadardized cervical cancer screening services among health care workers in selected health facilities in Machakos county - Kenya
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Date
2014-10-30
Authors
Nzioka, Agnes Wavinya
Journal Title
Journal ISSN
Volume Title
Publisher
Kenyatta University
Abstract
Cancer of the cervix is the second most common reproductive tract cancer among women
globally and the leading cause of death in developing countries with large inequalities in
utilization of standardized cervical cancer screening services. Standardized cervical cancer
screening services utilization among health care workers is equally uneven and rarely
documented in developing countries. In Kenya, cervical cancer accounts for 8-20% of all cancer
cases and this is projected to double by 2020.Kenya's Cervical cancer screening services
coverage is haphazard with standardized cervical cancer screening services only found in
designated sites .The main objective of this study will be to assess the utilization of standardized
cervical cancer screening services among health care workers in selected health facilities in
Machakos County. This study will be descriptive cross- sectional in design. Reconnaissance
survey was done to identify health facilities offering standardized cervical cancer screening
services in Machakos County.Only 5 out of 157 health facilities offer standardized cervical
cancer screening services, All these five health facilities will be selected for the study due to
small sample size.Cluster sampling will be done to sample different group/cadres of health care
workers in those selected health facilities Random sampling will be used to select individual
participants for the study Study population will be female health care workers aged 18-65 years
working in the selected health facil ities in Machakos County whereby a sample size of 316
respondents will be randomly selected for this study. Study objectives will be ;to establish the
proportion of health care workers utilizing cervical cancer screening services in selected health
facilities in Machakos County, to determine individual attributes influence on utilization of
cervical cancer screening services among the health care workers in selected health facilities in
Machakos County, to establish service provider attributes' influence on utilization of cervical
cancer screening services among health care workers in selected health facilities in Machakos
County, to find out facility attributes influence on utilization of cervical cancer screening
services among health care workers in selected health facilities in Machakos County Inclusion
criteria will be health care workers aged 18-65 years working in selected health facilities in
Machakos County willing to participate in this study. Exclusion criteria will be eligible health
care workers who will be out of the health facility, or terminally ill, at the time of data collection
Research instruments to be used will be Self administered questionnaires Qualitative data will be
coded appropriately and then categorized as per emerging themes. The quantitative data will be
cleaned and coded then entered into SPSS version 17.0 program for data management. The study
outcome will be to improve early screening utilization rates and quality of life among female
health care workers, and contribute to the body of knowledge. Feedback and recommendations
will be given to stake holders to include the hospitals' administration, the health care workers in
Machakos County. Research findings will further inform the national program to corroborate the
findings of the current study, and work towards planning successful interventions specifically
tailored to this population.