Ncane Ziphelele, Faleni Monwabisi, Pulido-Estrada Guillermo, Apalata Teke R, Mabunda Sikhumbuzo A, Chitha Wezile, Nomatshila Sibusiso Cyprian
Department of Public Health, Walter Sisulu University, Mthatha 5117, South Africa.
Department of Laboratory Medicine, Walter Sisulu University, Mthatha 5117, South Africa.
Healthcare (Basel). 2023 Jan 21;11(3):325. doi: 10.3390/healthcare11030325.
Globally, cancer is a leading cause of death, with cervical cancer ranking second among all cancers. Its adversity impacts not only individuals but also families, societies, and governments. The quality of services, as informed by the knowledge and adequacy of the health workers, plays an important role in both prevention, diagnosis, and management of the disease. A cross-sectional study among 108 purposively selected health workers in rural health facilities in the Eastern Cape province was conducted to assess knowledge on cervical cancer and associated risk factors through the use of validated structured questionnaires. The Statistical Package for Social Sciences was used for analysis, with a 95% confidence interval and a -value of 0.05 considered significant. A total of 91.7% of the 108 participants were female, and 25% were over the age of 50. A total of 88% and 85.2% indicated sexually transmitted disease and human immunodeficiency virus as major risk factors, respectively. The HPV, pap smear, and vaccination age were known by 64.8%, and vaccine availability was known by 71.3%. Only 40.7% of workers were trained on cervical screening, and 35.2% were trained on the interpretation of pap smear results. An overall knowledge score of 53% was obtained, with more experienced clinicians scoring lower grades. This study identified inadequacies in essential knowledge for successful implementation of cervical cancer services and found that extensive training was needed.
在全球范围内，癌症是主要的死亡原因，宫颈癌在所有癌症中排名第二。其危害不仅影响个人，还波及家庭、社会和政府。卫生工作者的知识水平和能力所决定的服务质量，在该疾病的预防、诊断和管理中都发挥着重要作用。在东开普省农村卫生设施中，对108名经过有目的挑选的卫生工作者进行了一项横断面研究，通过使用经过验证的结构化问卷来评估他们对宫颈癌及相关危险因素的知识。使用社会科学统计软件包进行分析，95%的置信区间和0.05的P值被视为具有统计学意义。108名参与者中，共有91.7%为女性，25%年龄超过50岁。分别有88%和85.2%的人指出性传播疾病和人类免疫缺陷病毒是主要危险因素。64.8%的人了解人乳头瘤病毒（HPV）、巴氏涂片检查和疫苗接种年龄，71.3%的人知道疫苗的可获得性。只有40.7%的工作人员接受过宫颈癌筛查培训，35.2%的人接受过巴氏涂片检查结果解读培训。总体知识得分是53%，经验更丰富的临床医生得分更低。本研究发现了在成功实施宫颈癌服务所需的基本知识方面存在不足，并发现需要进行广泛的培训。
