Browsing by Author "Tilahun Sahlu"
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Item Health care workers cervical cancer screening service provision and associated factors in public health facilities in Asella Town, Oromia, Ethiopia, 2025 G.C(2025-05-01) Tilahun SahluAbstract Background: Cervical cancer, ranking as the fourth most common cancer and also the fourth leading cause of cancer death among women worldwide, claimed an estimated 662,000 new cases and around 349,000 death in 2024. The burden is disproportionately high among the developing countries, majorly Sub-Saharan Africa where limited access to Human papilloma (HPV) vaccines, Organized screening, and timely treatment. Despite the high burden, evidence regarding cervical cancer screening practices in the study area remains limited. Objective: To assess cervical cancer screening service provision and associated factors among health care professional in public health facilities in Asella town, Oromia, Ethiopia,2025. Methods: An institution-based cross-sectional study was conducted at Asella Referral and Teaching Hospital (ARTH) and two public health centers in Asella town, located in the Arsi Zone of the Oromia Region, Ethiopia. The study was conducted from August 1, 2025 to October 30, 2025 on sample size of 181. A simple random sampling technique was employed to select participants proportionally from each health facility. Data were collected using Kobo toolbox V3.3, after data checked for completeness, exported to Statistical Package for the Social Sciences version 28 for analysis. Frequency, mean and standard deviation were used as descriptive statistics. Both binary and multiple logistic regression was conducted. Adjusted odds ratios (AOR) with 95% confidence intervals (CI) were reported to measure the strength of associations. At p-value of less than 0.05 was considered statistically significant. Results were presented using tables, charts. Result: According to this study 63(34.8%) with (95% CI: 27.9,41.4) of study participants reported as they ever did visual inspection under acetic acid or ligol’s iodine for their clients. Level of education having degree, (AOR = 7.3, 95% CI: 2.1,25.15), Level of knowledge with (AOR = 0.303, 95% CI: 0.123,0.74) and received training on VIA with (AOR = 5.27, 95% CI:1.73,16.1) were associated factors to practice cervical cancer screening in the study area. Conclusion: This study revealed a low level of VIA/VILI practice among healthcare providers when compared to WHO standards. These findings indicate that limited training, inadequate knowledge, and lower professional qualification are major barriers to the implementation of cervical cancer screening services in the study area. Keywords: Knowledge, Attitude, Practice, Cervical Cancer Screening, Health Care Workers, Ethiopia
