Evaluation of Implementation Status of Cervical Cancer Screening Program at Agaro General Hospital Jimma Zone ,South West Ethiopia, 2022

Abstract

Background: Cervical cancer is sexually transmitted disease caused by the human papillomavirus (HPV), especially HPV-16&18. WHO survey conducted in 2015 shows the global incidence and death due to cervical cancer were 7.9% and 7.5% .In Africa, there were 715 000 new cancer cases and 542000 cancer deaths recorded. In Sub-Saharan Africa, the death rate was 23.2% and in Ethiopia18.2%. Cervical cancer screening involves taking a sample of cells from the cervix to check for markers of cervical cancer.Global strategy to accelerate the elimination of cervical cancer include 70% screening coverage and managing 90% of women with a positive screening test appropriately.Early screening is the most actual measure for early detection, treatment, and prevention of precancerous lesions and cancer. Objective: To evaluate the implementation status of cervical cancer screening program among women of age 30-49 years at Agaro General Hospital, Jimma Zone, 2022. Methods and Material: A case study was conducted in Agaro General Hospital from June 10 to July 20, 2022 using sequential explanatory mixed method to evaluate implementation status of cervical cancer screening program at Agaro general hospital. Process evaluation was used to assess the implementation status of cervical cancer screening program at study area.The evaluation was focused on 3 evaluation dimensions (Availability, Compliance and Satisfaction). A total of 33 indicators were used: 10 for availability dimension, 10 for compliance and 13 for satisfaction dimensions. A total of 280 women were interviewed using structured questionnaire.12 months record of cervical cancer screening register and reports were reviewed using resource inventory checklist, compliance to guideline were observed in 18 sessions using observational checklist and key informant interview was conducted with six respondent from hospital and Agaro town health office using interview guide.Epidata was used for data entry and exported using SPSS version 25 software.Qualitative data from note book was translated, transcribed and thematized in to thematic area to supplement the quantitative findings. Result: The study found that overall implementation status of the service was 67.5% which were fair based on judgment criteria agreed with stakeholders.Availability of resource dimension was 61.5%, compliance dimension was 72.3% and client satisfaction were score 68.7%. Conclusion and Recommendation:The overall implementation status of cervical cancer screening program at Agaro general hospital was fair based on preseted judgment criteria agreed with key stakeholders.The hospital was providing cervical cancer screening program with few trained human resources,having minimum medical equipment and supplies.Therefore,human power have to trained,medical equipment and supplies have to availed, and health care provider have to follow national guideline during cervical cancer screening serviceprovision