Reproductive Health and Wellness
Awareness and uptake of the Pap smear among market women in Lagos, Nigeria
Our study evaluates the effect of an educational
programme on awareness and uptake of
the cervical cancer screening test (Pap
smear) by women in a model market in Lagos,
Nigeria. This was a quasi-experimental study
using a multistage sampling technique. A total
of 350 women were divided into two groups. A
baseline survey on awareness of the Pap test
and screening practices was carried out using
pre-tested, interviewer administered, structured
questionnaires. Participants in the
intervention group received sessions of community
based health information on cervical
cancer screening tests while participants in
the control group received health information
on hypertension. Subsequently, participants
in both groups were reassessed to evaluate
the effect of the educational programme on
the Pap test and cervical screening uptake.
Data were analysed with the Epi-info version
6.04. Awareness about the Pap test was low at
baseline; only 6.9% and 12.0% of participants
in the intervention and control groups, respectively,
had heard of Pap smears. Furthermore,
less than 10% had correct information on the
use of the Pap test. Post-intervention, there
was a significant and proportional increase in
the knowledge of the Pap test in the intervention
group (P
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