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Allison Bingham, PhD1, Patricia S. Coffey, PhD, MPH1, and Jennifer L Winkler, MPH2. (1) PATH (Program for Appropriate Technology in Health), 1455 NW Leary Way, Seattle, WA 98107-5136, 206-285-3500, abingha@path.org, (2) PATH, 1455 NW Leary Way, Seattle, WA 98107
A number of factors are likely to affect a woman’s ability and desire to participate in cervical cancer prevention programs. They include factors related to sociocultural norms, barriers related to the service delivery system, and barriers related to quality of care. This study attempts to use these factors to build a predictive model for screening behavior among women aged 30-39 in Western Province, Kenya. Since March 2000, the Western Kenya Cervical Cancer Prevention Project (WKCCPP) has provided cervical cancer prevention services in three Divisions in Busia District. As a result, almost 2,000 women residing in a rural area have received cervical cancer screening through visual inspection with acetic acid or Lugol’s iodine. Between November 2000 and May 2003, over 4,400 women have been registered by 80 community health workers who have completed a WKCCPP community mobilization training program. Results from a case-control study (n=300) of women that did and did not participate in a WKCCPP cervical cancer screening program will be described. In particular, results from univariate, bivariate, and principal components factor analysis used in initial data reduction as well as logistic regression modeling will be presented. Specific uses of these study results to improve cervical cancer prevention service delivery in low-resource setting will be recommended. Understanding the most significant barriers that affect whether a woman participates in a cervical screening program and the key decision-making criteria that influenced whether a woman sought screening services are critical in providing services that meet the needs of women.
Learning Objectives: At the conclusion of this session, the participant(s) will be able to
Keywords: Cervical Cancer,
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.