Abstract 11.1.15



Pattern of Knowledge, Use and Counseling for Papanicolaou smear Among Doctors in Delta State, Nigeria



P.N. Ebeigbe

Department of Obstetrics and Gynaecology, Faculty of Clinical Sciences, College of Health Sciences,

Delta State University, Abraka, Delta State, Nigeria.



Abstract: Cervical cancer is the commonest female genital tract malignancy in Nigeria. It is recognized that screening for premalignant lesions using the Papanicolaou smear significantly reduces the incidence and mortality from cervical cancer. The objective of this study was to assess the knowledge, use of and practice of counseling for Papanicolaou smear among doctors in Delta State, Nigeria. The study utilized a cross-sectional survey of doctors using self-administered questionnaires. The results showed that only about a fourth of the respondents or their spouses had ever had a Papanicolaou smear (26.3%). Less than a third of the doctors counseled oftern for cervical screening (30.8%). And most of the respondents demonstrated poor knowledge of the methods for prevention and screening for cervical cancer with 86.9% failing more than half of the questions. Having postgraduate training (P=0.02, RR=1.8, CI=0.5-0.9) and being aged 40 and above (P=0.03, RR=1.3, CI=1.1-1.5) demonstrated statistical significance in increasing the chances of utilization of Papanicolaou smear. However, only having postgraduate qualifications had a statistically significant effect on counseling for cervical screening (P=0.02, RR=1.7, CI=1.2-2.5.) The findings suggest an urgent need for programmes aimed at enhancing the knowledge, counseling for cervical screening as well as utilization of Papanicolaou smear by medical practitioners.


Keywords:  Cervical caner, Papanicolaou smear, counselling, doctors.



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