Factors influencing cervical cancer screening practice among female health workers in Nigeria: A systematic review

Elvis Anyaehiechukwu Okolie, Debra Barker, Lawrence Achilles Nnyanzi, Seun Anjorin, David Aluga, Blessing Ifeoma Nwadike

Research output: Contribution to journalArticlepeer-review

234 Downloads (Pure)

Abstract


Background

Cervical cancer is the most prevalent gynaecologic cancer in Nigeria. Despite being largely preventable through screening, cervical cancer is the second leading cause of cancer morbidity and mortality in Nigeria. To reduce the burden of cervical cancer in Nigeria, female health workers (FHWs) are expected to play an influential role in leading screening uptake and promoting access to cervical cancer education and screening.
Aim

The aim of this systematic review is to assess the factors influencing cervical cancer screening (CCS) practice among FHWs in Nigeria.
Methods

We conducted a systematic literature search across six (6) electronic databases namely MEDLINE, Embase, Scopus, African Index Medicus, CINAHL, and Web of Science between May 2020 and October 2020. Reference list and grey literature search were conducted to complement database search. Four reviewers screened 3171 citations against the inclusion criteria and critically appraised the quality of eligible studies. Narrative synthesis was used in summarising data from included studies.
Results

Overall, 15 studies met the inclusion criteria and were all quantitative cross-sectional studies. Included studies sampled a total of 3392 FHWs in Nigeria. FHWs had a high level of knowledge and positive attitude towards CCS. However, CCS uptake was poor. Predominant barriers to CCS uptake were the cost of screening, fear of positive results, lack of test awareness, reluctance to screen, low-risk perception, and lack of time. In contrast, being married, increasing age, awareness of screening methods, and physician recommendation were the most documented facilitators.
Conclusion

This study revealed that a complex interplay of socioeconomic, structural, and individual factors influences CCS among FHWs in Nigeria. Therefore, implementing holistic interventions targeting both health system factors such as cost of screening and infrastructure and individual factors such as low-risk perception and fear of positive result affecting FHWs in Nigeria is critical to reducing the burden of cervical cancer.
Original languageEnglish
Article numbere1514
JournalCancer Reports
DOIs
Publication statusPublished - 27 Jul 2021

Fingerprint

Dive into the research topics of 'Factors influencing cervical cancer screening practice among female health workers in Nigeria: A systematic review'. Together they form a unique fingerprint.

Cite this