abstract: 'Background Cervical cancer is the leading cancer among Ugandan women,

  contributing to 40 \% of all cancer cases recorded in the cancer

  registry. Having identified the substantial impact of cervical cancer

  among Ugandan women, the Ministry of Health in 2010 launched a Strategic

  Plan for Cervical Cancer prevention and control. This study was

  conducted to determine if health workers working in rural health centres

  (HCs) III and IV in Northern Uganda provide cervical cancer screening

  services as recommended in the Strategic Plan. Methods A cross-sectional

  survey using a structured questionnaire was conducted among nurses,

  midwives and clinical officers working in rural HC III and IV in

  Northern Uganda. Data were entered in Epidata 3.1 and analysed using

  Stata 16 statistical software. Univariate, bivariate, and multivariate

  analyses were performed. Any factor with p-value <= 0.05 was considered

  a significant predictor of outcome. Results We surveyed 286 health

  workers. Fifty-one (18 \%) health workers were screening women for

  cervical cancer. Fifty-eight (21 \%) health workers have guideline for

  cervical cancer screening in their HCs, 93 (33 \%) participants were

  trained to screen women for cervical cancer. Two hundred sixty-two (92

  \%) participants provided HPV vaccination. Two hundred forty-six (87 \%)

  participants were conducting health education about cervical cancer in

  their HCs. Factors associated with screening women for cervical cancer

  include: being a staff member from HCs III (AOR = 0.30, 95 \% CI

  0.13-0.68, p = 0.00), being staff of HCs that have organization to

  support cervical cancer screening services (AOR = 4.38, 95 \% CI

  1.99-9.63, p-=0.00), being a health worker who had been trained to

  screen for cervical cancer (AOR = 2.21, 95 \% CI 1.00-4.90, p = 0.05)

  and staff from HCs that has guideline for cervical cancer screening (AOR

  = 2.89, 95 \% CI 1.22-6.86, p = 0.02). Conclusions This study shows an

  overall structural problem related to the delivery of cervical cancer

  screening services in HC III and IV in Northern Uganda which the

  Strategic Plan has not addressed. These structural problems need urgent

  attention if the Uganda government and other sub-Saharan African (SSA)

  countries are to achieve the World Health Organization (WHO) 90-70-90

  targets by 2030 to be on track for cervical cancer elimination.'
affiliation: 'Obol, JH (Corresponding Author), Univ New South Wales, Sch Populat Hlth
  \& Community Med, Kensington, NSW 2033, Australia.

  Obol, JH (Corresponding Author), Gulu Univ, Fac Med, POB 166, Gulu, Uganda.

  Obol, James Henry; Lin, Sophia; Harrison, Reema; Richmond, Robyn, Univ New South
  Wales, Sch Populat Hlth \& Community Med, Kensington, NSW 2033, Australia.

  Obol, James Henry; Obwolo, Mark James, Gulu Univ, Fac Med, POB 166, Gulu, Uganda.'
article-number: '794'
author: Obol, James Henry and Lin, Sophia and Obwolo, Mark James and Harrison, Reema
  and Richmond, Robyn
author-email: obolh@yahoo.com
author_list:
- family: Obol
  given: James Henry
- family: Lin
  given: Sophia
- family: Obwolo
  given: Mark James
- family: Harrison
  given: Reema
- family: Richmond
  given: Robyn
da: '2023-09-28'
doi: 10.1186/s12913-021-06795-5
eissn: 1472-6963
files: []
journal: BMC HEALTH SERVICES RESEARCH
keywords: Cervical cancer; Health worker; Prevention services; Northern Uganda
keywords-plus: GLOBAL BURDEN; LOW-INCOME; BARRIERS; PERSPECTIVES; WOMEN; CARE
language: English
month: AUG 11
number: '1'
number-of-cited-references: '59'
orcid-numbers: 'Obol, James Henry/0000-0001-7789-3888

  Harrison, Reema/0000-0002-8609-9827'
papis_id: a77ece29a87069bce7a1c6e4f258a81b
ref: Obol2021provisioncervical
researcherid-numbers: 'Obol, James Henry/AAW-4023-2021

  Obol, James Henry/U-6763-2018

  '
times-cited: '2'
title: 'Provision of cervical cancer prevention services in Northern Uganda: a survey
  of health workers from rural health centres'
type: article
unique-id: WOS:000684207000002
usage-count-last-180-days: '0'
usage-count-since-2013: '0'
volume: '21'
web-of-science-categories: Health Care Sciences \& Services
year: '2021'