Determinants Of Screening Patterns For Invasive Cervical Cancer Among Patients Attending Kenyatta National Hospital, Kenya

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dc.contributor.authorMaina, Lucy
dc.contributor.authorKigaru, Dorcus Mbithe D.
dc.contributor.authorKorir-Rugutt, Anne
dc.contributor.authorAgina, Okello
dc.date.accessioned2017-03-22T07:49:18Z
dc.date.available2017-03-22T07:49:18Z
dc.date.issued2016
dc.descriptionResearch Articleen_US
dc.description.abstractBackground: Early diagnosis and improved therapeutic interventions are the two-fold most acclaimed management options for cervical cancer. Screening patterns are different from developing countries, Kenya included where limited access to oncology screening facilities and stigma associated with cancer influence disease reporting and management. Objective: To examine the determinants of screening and diagnosis among cervical cancer patients attending Kenyatta National Hospital, the largest referral health facility in Kenya with radiotherapy treatment clinic. Methods: A cross-sectional study design among 320 patients randomly selected from Cancer Registry records and purposively selected hospital staff. A structured questionnaire was used to collect data. Secondary data was sourced from medical records. Chi-square tests were used for significance at P<0.05. Results: Lack of knowledge on cervical cancer (75.3%) was significantly associated with late diagnosis (P=0.0023). Preponderance (83.1%) had no knowledge on screening tests prior to diagnosis while only 16.9% were aware of Pap smear test. Education level was significantly associated with late diagnosis (P<0.0001). Health system factors; delayed referral by local health facilities, delayed diagnosis at KNH, long waiting patient list and conditions for accessing treatment compounded the problem. Conclusion: Routinely coordinated mechanism for delivering cervical cancer information should be infused into screening and reproductive health programmesen_US
dc.identifier.citationResearchjournali’s Journal of Public Health Vol. 2 No. 11 November 2016en_US
dc.identifier.urihttp://www.ku.ac.ke/schools/human_sciences/images/3277.pdf
dc.identifier.urihttp://ir-library.ku.ac.ke/handle/123456789/15454
dc.language.isoenen_US
dc.publisherResearchjournalien_US
dc.subjectSocial Determinantsen_US
dc.subjectCancer screeningen_US
dc.subjectCancer diagnosisen_US
dc.subjectHealth care systemsen_US
dc.titleDeterminants Of Screening Patterns For Invasive Cervical Cancer Among Patients Attending Kenyatta National Hospital, Kenyaen_US
dc.typeArticleen_US
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