Knowledge and health system factors influencing utilization of cervical screening services among sex workers in Kiambu County Hotspots, Kenya
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Date
2020
Authors
Mugai, Faith
Karonjo, Jane
Mutua, Felix Mwendwa
Kamau, Peter
Kausya, John
Journal Title
Journal ISSN
Volume Title
Publisher
One Health
Abstract
Introduction: sex workers are more prone to acquisition and transmission of sexually transmitted diseases that incorporate
Human Papillomavirus (HPV) and Human Immunodeficiency Virus (HIV). Less than 10% of sex workers in developing countries are
screened for cancer of the cervix annually. In Kenya, majority of sex workers present with advanced/invasive disease.
Methods: the study adopted a multistage sampling technique and 418 sexual workers were interviewed and data analyzed using
Statistic Package of Social Science (SPSS) version 23. Bivariate analysis was conducted to examine possible associations between
predictor variables and cervical cancer screening uptake. This was done using PearsonĀ“s Chi Square. Association was considered
significant when p-value is equal to 0.05. Qualitative data was analyzed by thematic content analysis. Results: the results indicated
that awareness of cancer of cervix (CaCX) (p=0.0001) and HCW attitude (p=0.040) were significant association with Cervical Cancer
Screening (CCS) uptake. Conclusion: healthcare providers should generate a systematic sensitization program on what is involved
in the screening process and the number of times to be screened so as to address some fears by clients who find the whole process
a mystery. This may increase screening uptake especially with the preference for hospital healthcare talks.
Description
A research article published in PAMJ - One Health
Keywords
cervical screening services, sex workers, Kiambu County, Kenya
Citation
Faith Mugai et al . Knowledge and health system factors influencing utilization of cervical screening services among sex workers in Kiambu County Hotspots, Kenya. PAMJ - One Health. 2020;2:2. [doi: 10.11604/pamj-oh.2020.2.2.21200]