The author declare that she has no competing interests.
SK has initiated the conception of the research idea, the design, development of data collection tools analysis, interpretation of the data of the study and manuscript preparation.
Cervical cancer is a leading cause of death among women in Ethiopia, affecting them at a time of their life when they are critical to social and economic stability. This study was mainly focused on assessing different socioeconomic and cultural related factors that make women vulnerable to cervical cancer and challenges women face in the process of diagnosis and treatment.
To achieve the objective of the study both qualitative and quantitative methods were utilized.198 participants were enrolled in a cross- sectional survey and 10 in-depth interviews were conducted with patients in Tikur Anbessa Hospital. A consecutive sampling method was used to select participants in the survey while purposive sampling was employed to select participants in the qualitative design.
For the population covered in the study, poverty along with other socio-cultural practices such as early marriage, high parity and to certain extent polygamy were identified as factors that increased the vulnerability of women to cervical cancer. In addition, the study has uncovered several challenges faced by cervical cancer patients in the diagnosis and treatment process. Three types of challenges that include, health care based, psychological and economic were identified. System and practitioner delay were found as the main hurdles within the variable of health care related challenges. What’s more, the psychological challenges identified included, fear of recurrence, negative social attitude and distress associated with the side effects from treatments such as fecal & urinary leakage. Furthermore, inability of bearing costs related to treatment and accommodation were cited as the main economic challenges.
The study showed various socio-economic and cultural vulnerabilities that expose women to cervical cancer and the challenges encountered by cervical cancer patients after their diagnosis. Addressing this issue largely lies in strengthening primary and secondary preventive mechanisms, providing public education about safer sex practices, family planning and eliminating cultural practices such as early marriage and polygamy in connection to cervical cancer. Furthermore, improving the diagnostic and treatment procedures and facilities is also a crucial component that needs due emphasis in the fight against cervical cancer.
Progress on Cervical Cancer Prevention [ http://www.path.org/publications/files/RH_cca_report_card.pdf] Accessed 15 February 2013.
WHO: WHO/ICO Information Center on HPV and Cervical Cancer: Human Papillomavirus and Related cancers in the world; 2010.
GLOBOCAN: Cervical Cancer Incidence and Mortality Worldwide in 2008. CANCER FACT SHEET; 2008.
WHO: Human papillomavirus and related cancers in Ethiopia summary report 2010: WHO/ICO Information Center on HPV and Cervical Cancer (HPV Information Center); 2010.
Munoz N, Bosch FX. The epidemiology of cervical cancer and humanpapilloma virus. IARC Scientific Publications. 1992;119:251–2. PubMed
Waskul D, Van der Riet P. The abject embodiment of cancer patients: Dignity, selfhood and the grotesque body. Symbolic Interaction. 2002;25(4):487–513. CrossRef
Arrossi S, Matos E, Zengarini N, Roth B, Sankaranayananan R, Parkin M. The socio economic impact of cervical cancer on patients and their families in Argentina and its influence on radiotherapy compliance Results from a cross sectional study. Gynecologic Oncol. 2007;105:335–40. CrossRef
Price AJ, Ndom P, Atenquena E, Mambou Nouemssi JP, Ryder RW. Cancer care challenge in developing countries. Cancer. 2010;118(14):3627–35. CrossRef
Harford J, Azavedo E, Fishietto M. Guideline implementation for breast healthcare in low- and middle-income countries: Breast healthcare program resource allocation. Cancer. 2008;113(suppl):s2282–96. CrossRef
Yifru T, Asheber G. Knowledge, attitude and practice of screening for carcinoma of the cervix among reproductive health clients at three teaching hospitals, Addis Ababa, Ethiopia. Ethiopian J Reproductive Health. 2002;2:14–22.
Alemayehu H, Damen H. Patient side cost and its predictors for cervical cancer in Ethiopia: a cross sectional hospital based study. BMC Cancer. 2013;13:69. CrossRef
Juneja A, Sehgal A, Mitra A, Panday A. A Survey on the risk factors associated with cervical cancer. Indian J Cancer. 2003;40(1):15–22. PubMed
Sachs Jeffrey D. The end of poverty: economic possibilities for our time. New York: Penguin Books; 2005. p. 288–90.
- Socio-economic and cultural vulnerabilities to cervical cancer and challenges faced by patients attending care at Tikur Anbessa Hospital: a cross sectional and qualitative study
Sara Kebede Tadesse
- BioMed Central
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