Abstract:
Background: Affordable screening cervical cancer methods using visual inspection with acetic acid (VIA) and with Lugol’s
iodine (VILI) are being developed. Scaling up of screening services requires an understanding of the user perceptions about
screening.
Objectives: Determine the perceptions of risk and barriers to previous cervical cancer screening by women attending MCHFP
clinic of MTRH, Eldoret, Kenya.
Methods: Cross-sectional questionnaire survey involving a consecutive sample of 219 consenting non-pregnant women
about perceptions on cervical cancer risk, barriers to screening and previous screening.
Results: Of 219 women interviewed, 12.3% of participants had screened before. Women of over 30 years were more likely
to have screened before (p=0.012). While 22.8% felt that they were at risk of the cervical cancer, 65% of all participants,
nevertheless, wished to be screened. Perception of being at risk was significantly associated with a felt need for screening
(p=0.002), an association that persisted only for women reporting multiple lifetime sex partners (p=0.005). Fear of abnormal
results and lack of finances were the commonest barriers to screening reported by 22.4% and 11.4% of respondents,
respectively.
Conclusions: Previous screening was uncommon. Cheaper screening methods are needed. Messages about screening
should clarify the meaning and consequences of possible results
