Uptake of Cervical Cancer Screening Services Among Female Medical Practitioners in Ogun State, South-West Nigeria

  • E O Jagun
  • A Ekundayo
  • O O Jagun
Keywords: Cervical cancer, Cancer screening, Female doctors, Medical check-up, Uptake rate


Background: There is an increasing awareness of cancer screening services in the general population, but the uptake of the services varies.

Objective: To determine the uptake of cervical cancer screening services among female medical doctors as service providers.

Methods: This was a questionnaire-based, cross-sectional, descriptive study of female doctors practising in Ogun State, Nigeria. The questionnaires were self-administered, and convenience sampling method was used. 

Results: A total of 85 female doctors were surveyed. A little over half of the respondents (57.6%) reported routine medical checks and 54.2% of the respondents had a check up in the last two years. Seventy percent of the respondents who had a routine medical check-up and screening for cervical cancer were within the age range 31-50 years, and there were significant relationships between age and routine medical check-up and screening for cervical cancer (p values =0.014 and 0.005 respectively. Thirty-three of the respondents (39.8%) had ever been screened for cervical cancer while only 30.1% of the respondents had been screened for cervical cancer in the last three years. The majority of the respondents (59.8%) did not approve of making cervical cancer screening a condition for social benefits.

Conclusion: Female medical doctors had a low uptake rate for cervical cancer screening services. The low uptake may adversely affect the cervical cancer screening campaigns targeted at the general population. Mandatory cervical cancer screening, as a prerequisite for social benefit, may improve the uptake rates for the screening services. 

Author Biographies

E O Jagun

Department of Obstetrics and Gynaecology,
Olabisi Onabanjo University Teaching Hospital,
Telephone: +2348037190490


A Ekundayo
Dept of Community Medicine and Primary Care,
Olabisi Onabanjo University, Sagamu
O O Jagun
Dept of Surgery (Ophthalmology),
Babcock University Ilishan Remo


World Health Organization. National Cancer Control Programmes: Policies and Managerial guidelines. 2nd Edition. Geneva: 2002.

Sehgal A, Singh V. Human papilloma infection (HPV) and screening strategies for cervical cancer. Indian J Med Res 2009: 13; 234-240.

Samkarayanaryanan R, Basu P, Wesley R, Mahe C, Keita N, Mbala CC, et al. For the IARC multicentric study group on cervical cancer early detection. Accuracy of visual screening for cervical neoplasia: Results from an IARC multicentric study group in India and Africa. Int J Cancer 2004; 110: 907-913.

Goldie SJ, Kuhn L Denny L, Pollack A, Wright TC. Policy analysis of cervical cancer screening strategies in low-resource settings: clinical benefits and cost-effectiveness. JAMA 2001: 285: 3107-3115.

Weller DP, Campbell C. Uptake in cancer screening programmes: a priority in cancer control. Br J Cancer 2009; 101(Suppl 2): S55–S59.

Barratt A, Mannes P, Irwig L, Trevena L, Craig J, Rychetnik L. Cancer screening. J Epidemiol Comm Health. 2002; 56: 899–902.

Ncube B, Bey A, Knight J, Bessler P, Jolly PE. Factors associated with the uptake of cervical cancer screening among women in Portland Jamaica. N Am J Med Sci. 2015; 7(3): 104-113.

Lyimo FS, Beran TN. Demographic, knowledge, attitudinal, and accessibility factors associated with uptake of cervical cancer screening among women in a rural district of Tanzania: Three public policy implications. BMC Public Health 2012; 12:22 doi:10.1186/1471-2458-12-22.

Cancer Research UK. Available at www.cancerresearchuk.org Accessed in July 2015.

Ferlay J, Soerjomataram I, Ervik M, Dikshit R, Eser S, Mathers C, Rebelo M, Parkin DM, Forman D, Bray F. 2013. GLOBOCAN 2012v1.0, Cancer Incidence and Mortality Worldwide: IARC Cancer Base No. 11, lyon France: International Agency for Research on Cancer. http://globocan.iarc.fr. Accessed July 2015.

Gharoro EP, Ikeanyi EN. An appraisal of the level of awareness and utilization of the pap smear as a cervical cancer screening test among female health workers in a tertiary health institution. Int J Gynaecol Cancer 2006; 16(3): 1063-1068.

Kabir M, Lliyasu Z, Abubakar IS, Mahboob S. Awareness and practice of cervical cancer screening among female Health professionals in Murtala Mohammed Specialist Hospital Kano. Niger Postgrad Med J 2005; 12(3): 179-182.

Arillo-Santillán E, Lazcano-Ponce E, Peris M, Salazar-Martínez E,Salmerón-Castro J, Alonso-De Ruiz P. Knowledge of health professionals about the prevention of cancer of the cervix. Alternatives to medical education. Salud Publica Mex 2000; 42(1): 34-42.

Denny L, Prendiville W. Cancer of the cervix: Early detection and cost-effective solutions. Int J Gynecol Obstet 2015; 131: S28–S32.

Anorlu RI, Rabiu KA, Abudu OO, Ola ER. Cervical cancer screening practices among general practitioners in Lagos Nigeria. J Obstet Gynaecol 2007; 27(2): 181-184.

Mutyaba T, Mmiro FA, Weiderpass E. Knowledge, attitudes and practices on cervical cancer screening among the medical workers of Mulago Hospital, Uganda. BMC Med Educ 2006; 6: 13. Accessed online: http://www.biomedcentral.com/1472-6920/6/13

Wright KO, Faseru B, Kuyinu YA, Faduyile FA. Awareness and uptake of the Pap smear among market women in Lagos, Nigeria. J Public Health Afr 2011; 2(e14): 58-62.

Anya SE, Oshi DC, Nwosu SO, Anya AE. Knowledge, Attitude, and Practice of female health professionals regarding cervical cancer and Pap smear. Niger J Med. 2005; 14(3): 283-286.

Dim CC, Ekwe E, Madubuko T, Dim NR, Ezegwui HU. Improved awareness of Pap smear may not affect its use in Nigeria: a case study of female medical practitioners in Enugu, southeastern Nigeria. Trans R Soc Trop Med Hyg. 2009; 103(8): 852-854.

Oche MO, Kaoje AU, Gana G and Ango JT. Cancer of the cervix and cervical screening: Current knowledge, attitude and practices of female health workers in Sokoto, Nigeria. Int J Med Med Sci 2013; 5(4): 184-190.