Abstract:

Analysis of the Kadoma General Hospital Cervical Cancer Screening Program Dataset, 2014-2015

Pamela N. Magande, Daniel Chirundu, Notion Gombe, More Mungati, Donewell Bangure, Mufuta Tshimanga

Introduction: Early diagnosis of cervical cancer results in successful treatment. Visual Inspection with acetic Acid and Cervicography (VIAC) is an effective method of cervical cancer screening being used in Zimbabwe. In Kadoma screening started in 2014, 2506 clients had been screened in July 2015. Factors associated with VIAC positivity were determined since VIAC positivity was low, 3%.

Materials and methods: An analytical cross sectional study based on secondary dataset analysis was conducted in 2015. All the 2506 clients were included. The data was exported from an electronic database into Epi Info 7TM (CDC. 2014). Frequencies and means were generated using this software. Bivariate analysis and multilogistic regression were also performed.

Results: Among the clients who were screened, 81% were married. The median age was 39.7 years (Q1 =31; Q3=47). The median number of children was two (Q1 =2; Q3 =4). Early sexual debut, <16 years (POR=2.37(1.47-3.83), p value<0.05), being single (POR=1.92(1.21-3.12), p value=0.005), being HIV positive (POR=3.87(2.40-6.23), p< 0.05), history of STI (POR=1.83(1.05-3.15), p=0.03), (POR=2.79(1.17-6.65), p value=0.015) were significant risk factors. The significant protective factor was having one sexual partner (POR=0.45(0.29-0.70), p value<0.05). The independent risk factor was being HIV positive (aOR=4.16(2.56-6.77), p value <0.05). The independent protective factors were delaying sexual debut, aOR=0.53 (0.32-0.87), p value =0.012 and regular condom use aOR=0.28 (0.086-0.92), p value=0.036.

Conclusion: VIAC should be routine care for the HIV positive. Efforts should be intensified to promote delaying sexual debut and prevent STIs.

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