Objective: To determine the motivations and preferences of women participating in visual inspection with
acetic acid (VIA) mass cervical cancer screening programs in southeastern Nigeria. Methods: By means of
interviewer-based questionnaires, data were collected from women participating in mass cervical cancer
screenings with VIA in 3 randomly selected communities in each of 2 southeastern Nigerian states between
March 1, 2011, and March 31, 2012. Results: A total of 2312 women were interviewed. Support from husband
and community opinion leaders were the most frequently reported factors that motivated the women to
participate in the screening. Most participants expected an immediate result for the screening test and immediate
treatment for any abnormalities detected. Conclusion: Community-based advocacy for cervical cancer
screening is a very effective method of creating awareness for cervical cancer screening. Support from spouses
and community leaders are important factors in a woman's decision to utilize cervical cancer screening
services in southeastern Nigeria. Immediate results and treatments would make the most impact. Family
and community participation should be integrated into cervical cancer prevention programs. This, together
with a “see and treat” approach, may be central to overcoming the poor utilization of cervical cancer screening
services in Nigeria and similar rural settings.
© 2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
Objective: To determine the motivations and preferences of women participating in visual inspection with
acetic acid (VIA) mass cervical cancer screening programs in southeastern Nigeria. Methods: By means of
interviewer-based questionnaires, data were collected from women participating in mass cervical cancer
screenings with VIA in 3 randomly selected communities in each of 2 southeastern Nigerian states between
March 1, 2011, and March 31, 2012. Results: A total of 2312 women were interviewed. Support from husband
and community opinion leaders were the most frequently reported factors that motivated the women to
participate in the screening. Most participants expected an immediate result for the screening test and immediate
treatment for any abnormalities detected. Conclusion: Community-based advocacy for cervical cancer
screening is a very effective method of creating awareness for cervical cancer screening. Support from spouses
and community leaders are important factors in a woman's decision to utilize cervical cancer screening
services in southeastern Nigeria. Immediate results and treatments would make the most impact. Family
and community participation should be integrated into cervical cancer prevention programs. This, together
with a “see and treat” approach, may be central to overcoming the poor utilization of cervical cancer screening
services in Nigeria and similar rural settings.
© 2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
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