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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Cervical cancer prevention in reproductive health services: Knowledge, attitudes and practices of midwives in Côte d'Ivoire, West Africa
BMC Health Services Research, Volume 14, No. 1, Article 165, Year 2014
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Description
Background: Cervical cancer is the most common cancer among women and the leading cause of cancer deaths in women in Côte d'Ivoire. Low resource countries can now prevent this cancer by using HPV vaccine and effective and affordable screening tests. However the implementation of these prevention strategies needs well-trained human resources. Part of the solution could come from midwives by integrating cervical cancer prevention into reproductive health services. The aim of this survey was to assess knowledge, attitudes and practices of midwives towards cervical cancer prevention in Abidjan, Côte d'Ivoire, and to find out factors associated with appropriate knowledge. Methods. A cross-sectional survey was conducted among midwives in the urban district of Abidjan, using a self-administered questionnaire. Knowledge was assessed by two scores. Factors associated with appropriate knowledge were determined using a logistic regression analysis. Attitudes and practices were described and compare using the Chi2 test. Results: A total of 592 midwives were enrolled, including 24.5% of final-year students. 55.7% of midwives had appropriate knowledge on cervical cancer, and 42.4% of them had appropriate knowledge on cervical cancer prevention strategies. Conferences, courses taken at school of midwifery and special training sessions on cervical cancer (OR = 4.9, 95% CI [1.9 to 12.6], p <0.01) were associated with good knowledge on the management of this disease. Among these midwives, 18.4% had already benefited from a screening test for themselves, 37.7% had already advised screening to patients and 8.4% were able to perform a visual inspection. 50.3% of midwives knew HPV vaccine as a preventive method; among them 70.8% usually recommended it to young girls. Conclusion: Despite sufficient knowledge about cervical cancer prevention, attitudes and practices of midwives should be improved by organizing capacity building activities. This would ensure the success of integration of cervical cancer prevention into reproductive health services in countries like Côte d'Ivoire. © 2014 Tchounga et al.; licensee BioMed Central Ltd.
Authors & Co-Authors
Tchounga, Boris Kévin
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Treichville
France, Bordeaux
Université de Bordeaux
France, Paris
Inserm
Jaquet, Antoine
France, Bordeaux
Université de Bordeaux
France, Paris
Inserm
Coffié, Patrick Ahuatchi
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Treichville
Horo, Apollinaire Gninlgninrin
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Yopougon
Sauvaget, Catherine Sauvaget Auvaget
France, Lyon
Centre International de Recherche Sur le Cancer
Adoubi, Innocent
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Treichville
Cote D'ivoire, Abidjan
Programme National de Lutte Contre le Sida
Guie, Privat
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Treichville
Dabis, Franćois Ç.Ois
France, Bordeaux
Université de Bordeaux
France, Paris
Inserm
Sasco, Annie Jeanne
France, Bordeaux
Université de Bordeaux
France, Paris
Inserm
Ékouévi, Didier Koumavi
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Treichville
France, Bordeaux
Université de Bordeaux
France, Paris
Inserm
Statistics
Citations: 40
Authors: 10
Affiliations: 6
Identifiers
Doi:
10.1186/1472-6963-14-165
e-ISSN:
14726963
Research Areas
Cancer
Sexual And Reproductive Health
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Multi-countries
Ivory Coast
Participants Gender
Female