Gaps in Knowledge and Practice of Cervical Cancer Screening among Primary Health Care Workers in Lagos State, Nigeria: A Cross-Sectional Study [version 1; peer review: 2 approved, 1 approved with reservations]

← Research Home← More in this subcategory
DOAJPublished 2026Medicine & Clinical ResearchPublic Health
Journal
F1000Research
Publisher
F1000 Research Ltd
Record source
DOAJ Research Library

Abstract / Description

Abstract Background Cervical cancer is a major public health concern globally, particularly in low- and middle-income countries where access to screening and early diagnostic services is limited. Healthcare workers at the Primary Health Care (PHC) level play critical roles in promoting cervical cancer prevention through health education, implementing low-cost cervical cancer screening approaches in low-resource settings, and providing referral services. However, gaps in knowledge and practice among PHC workers may hinder effective cervical cancer control programs. Objectives This study assessed knowledge, attitudes, and practices concerning cervical cancer screening among PHC workers in Lagos State, Southwest Nigeria. Methods A descriptive cross-sectional study was conducted among 209 PHC workers selected using multistage sampling. Data were collected using a structured questionnaire on socio-demographic characteristics, knowledge of cervical cancer, attitudes toward screening, and screening practices. Data were analysed using descriptive statistics and chi-square tests at a statistical significance level of 5%. Results The respondents had a mean age of 36.8 ± 8.8 years. Most participants were female (77.0%) and married (73.7%). Nurses represented the largest professional group (41.1%), followed by community health extension workers (30.6%). Overall, 69% of respondents demonstrated good knowledge of cervical cancer screening, and 89% reported positive attitudes toward screening. However, cervical cancer screening practices were poor, as only 25% of respondents reported actively providing screening services in their facilities. Major barriers included a lack of training, limited screening equipment, and inadequate laboratory support. Significant associations were observed between levels of knowledge and professional category (p
Read original research ↗Open DOI ↗