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KNOWLEDGE, ATTITUDE AND PRACTICE OF PAPANICOLAU SMEARS AMONG ANTENATAL PATIENTS IN KANO
Abstract
Background: Cervical cancer is preventable by early detection and treatment of the pre-invasive stage. In Nigeria, it remained the commonest gynecological malignancy and a leading cause of death among women. The aim of the Papanicolaou smear screening program is to reduce morbidity and mortality resulting from cervical cancer. Improvement in the knowledge of routine cervical screening will improve the attitude and practice of cervical screening.
Objective: To determine the knowledge, attitude and practice of Papanicolaou smear among antenatal patients in Kano.
Study design, Setting and subjects: A pre-tested questionnaire was administered on 1000 antenatal patients in Aminu Kano Teaching Hospital, Muhammad Abdullahi Wase Specialist Hospital and Murtala Muhammad Specialist Hospital, Kano.
Main outcome Measures: Knowledge, attitude and practice among antenatal patients. The outcome could form the basis for advocacy, programming and intervention to improve the uptake of Pap smears in Kano.Results: Three hundred and eighty (38%) respondents knew about Pap smear while six hundred and twenty (62%) had no such knowledge. Of those
with knowledge of Pap smear, only 6.5% has had Pap smear test previously. There was a statistically significant difference in the practice of Pap smear as a screening procedure between health workers and non-health workers (p<0.05). The deference in the knowledge of Pap smear between those withformal education and those with Qur’anic education was statisticallysignificant (P<0.05), however, the difference in the practice of the test between the two groups was not statistically significant (p>0.05). The common sources of information about Pap smear were hospital health workers (60.3%), school lectures (22.4%), and Newspapers/Magazine (13.7%). The common reason for not having Pap smear included nophysician’s referral (66.9%), no reason (32.6%), not at risk (23.2%) and did not know where to do the test (20.9%).
Conclusion: The knowledge, attitude and practice of Papanicolaou smear among the respondents are poor. To improve the knowledge and practice of Pap smear, increase awareness campaign involving Islamic teachers (Mallams), will go a long way to improve the knowledge and practice of Pap smear.
