Abstract:
Background: Cervical cancer is the malignant neoplasm of the cervix). Globally, there are nearly
1.5 million cases of clinically recognized cervical cancer. Eighty five percent (85%) of these are
in developing countries like Ethiopia.
Objective: The objective of this study was to asses prevalence of cervical cancer screening
utilization and associated factor among 30-49years women in Jimma town, south west Ethiopia .
Methods: An institutional based cross sectional study design was employed on 422 women of age
30-49years war include in the study from both family guidance association and Maries stops clinic
through consecutive sampling technique Descriptive statistics and frequency Logistic regression
analysis were done. Bivariate analysis with p-value <0.25 considered candidate for multivariate
analysis and factors with p-value <0.05 at multivariate logistic regression were considered as
significant.
Result: Among 403 respondents, 309 (76.7%) of them were never screened. Mothers who were
educated up to grade 5-8 were seven times (AOR=6.798) more likely not to be screened for
cervical cancer compared to those with higher level of education. As the Knowledge level of
women about cervical cancer increased by one unit surprisingly the chance of getting screening is
decreased by 0.25times (AOR:.232.). Women with negative attitude towards the screening practice
were 24 times (AOR=24.524) less likely not to be screened cervical cancer compared to those
women with positive attitude. For women who had negative spouse support the chance of getting
screening was decreased by two (AOR=.2.1811, 95% CI.078, 4.413) times as compared to positive
spouse support.
Conclusions and Recommendation This study showed that the proportion of screening for
premalignant cervical lesions was 23.3%. Low educational level, poor attitude, negative spouse
support, poor knowledge, poor provider suggestion and inconvenient time were significantly
associated with the screening practice.
Government and non-government organization emphasis on female education. Clinics more
focused permanent screening time for researchers- to conduct further researches regarding this
issue by using strong study designs like longitudinal studies, healthcare providers need to do
promoting cervical cancer screening.
