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Table 3 Cervical cancer prevention services provided by health workers from HC III & IV

From: Provision of cervical cancer prevention services in Northern Uganda: a survey of health workers from rural health centres

Variables

Frequency (n)

Percentage (%)

Health workers screening women for cervical cancer in the health facility n = 286

 Yes

51

18.0

Reasons for not screening women for cervical cancer ( Multiple responses)

 No equipment/consumables

183

35.0

 Lack of personnel

86

16.0

 No space/room for screening

50

10.0

 Lack skill because no one is trained to conduct screening

172

33.0

 No time for screening because of heavy workload

18

3.0

 Screening increases my workload

3

1.0

 Others

13

2.0

Cervical cancer screening methods (Multiple responses allowed)

 VIA

37

76.0

 Pap smears

7

14.0

 Liquid-based cytology

4

8.0

 HPV DNA testing

1

2.0

How often do you screen women for cervical cancer in this health facility? n = 92

 1–3 days in a week

25

27.0

 4–7 days in a week

15

16.0

 Screening is through outreach by other organisations

52

57.0

Counselling women before screening for cervical cancer? n = 50

 Yes

49

98.0

Community awareness that the health facility offers cervical cancer screening. n = 54

 Yes

50

93.0

Procedure offered to a woman found with a precancerous lesion. n = 82

 Referred for treatment to next level of care

77

94.0

 Treatment offered at this health centre

4

5.0

 Inform her but do not refer or treat

1

1.0

Support supervision for cervical cancer prevention services offered in this health facility. n = 78

 Yes

33

42.0

HPV vaccination of adolescent girls offered in this health facility. n = 285

 Yes

261

92.0

Community members aware of HPV vaccination offered at this health facility. n = 261

 Yes

244

93.0

Health education on cervical cancer offered at the health facility. n = 283

 Yes

246

87.0

Reasons for not conducting health education in the health facility. (Multiple responses allowed)

 No health education material

27

44.2

 Cervical cancer not a priority disease here

10

16.4

 Government is not promoting

10

16.4

 Other reasonsa

14

23.0

Conducting outreach health education on cervical cancer in the community. n = 283

 Yes

128

45.0

Reasons for not conducting outreach health education in the community. (Multiple responses)

 No transport

88

29.0

 No fund

90

30.0

 No staff

8

3.0

 No time because of heavy workload

8

3.0

 Not trained on cervical cancer

82

27.0

 Others

27

9.0

Health workers’ aware of age group for cervical cancer screening using VIA (n = 279)

 Yes

171

61.0

  1. Other reasonsa (lack of knowledge and skills, inadequate staffing, reluctant and cervical cancer not common)