Cervical cancer prevention in reproductive health services: knowledge, attitudes and practices of midwives in Côte d’Ivoire, West Africa

BMC Health Services Research

Didier K Ekouevi²  Annie J Sasco²  François Dabis²  Privat Guie⁴  Innocent Adoubi³  Catherine Sauvaget⁵  Apollinaire Horo¹  Patrick A Coffie⁶  Antoine Jaquet²  Boris K Tchounga² 

[1]Service de Gynécologie Obstétrique, Centre Hospitalier Universitaire de Yopougon, Abidjan, Côte d’Ivoire

[2]INSERM, ISPED, Centre INSERM U897- Epidémiologie-Biostatistique, Bordeaux F-33000, France

[3]Programme National de Lutte contre le Cancer, Abidjan, Côte d’Ivoire

[4]Service de Gynécologie Obstétrique, Centre Hospitalier Universitaire de Treichville, Abidjan, Côte d’Ivoire

[5]Screening Group, Early Detection and Prevention Section, International Agency for Research on Cancer, Lyon, France

[6]Service des Maladies Infectieuses et Tropicales, Centre Hospitalier Universitaire de Treichville, Abidjan, Côte d’Ivoire

关键词: Africa;    Reproductive health;    Midwives;    HPV vaccine;    Screening;    Prevention;    Cervical cancer;   

Others  :  1132746
DOI  :  10.1186/1472-6963-14-165

 received in 2013-04-01, accepted in 2014-04-04,  发布年份 2014

【 摘 要 】

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.

【 授权许可】

   
2014 Tchounga et al.; licensee BioMed Central Ltd.

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