Impact of Cervical Cancer Screening Education on Knowledge, Attitude, and Willingness to Uptake HPV Self-Sampling in Delta State
Abstract:
Cervical
cancer remains a significant public health challenge in Nigeria, particularly
among women of childbearing age. Despite available screening methods, the
uptake of Human Papillomavirus Self-Sampling (HPVSS) remains low due to limited
awareness and knowledge. This study evaluated the outcomes of a cervical cancer
screening educational intervention on knowledge, attitude, and willingness to
uptake HPVSS among childbearing women in Delta State, Nigeria. A
quasi-experimental study was conducted using pre- and post-intervention
assessments. A total of 196 questionnaires (98 each at pre- and
post-intervention) were analyzed using SPSS version 25.0. The intervention
involved structured educational sessions on cervical cancer screening and
HPVSS. Descriptive statistics and paired-sample t-tests were used for data
analysis. Post-intervention, awareness of HPVSS increased from 35.7% to 66.3%.
The proportion of women with adequate knowledge improved from 6.1% to 45.9%.
Positive attitude towards HPVSS risen from 99% to 100%, while willingness to
uptake HPVSS improved from 93.9% to 99%. Significant differences were observed
between pre- and post-intervention scores across all measured parameters (p
< 0.000). The educational intervention significantly improved knowledge,
attitude, and willingness to uptake HPVSS among childbearing women. These
findings suggest that structured educational programs can enhance cervical
cancer screening awareness and acceptance of HPVSS, potentially increasing
screening uptake and reducing cervical cancer burden in Nigeria.
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