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Intentions to use cervical cancer screening services among women aged 42 and older in Malawi

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dc.contributor.advisor Ehlers, V. J.
dc.contributor.advisor Van der Wal, D. M.
dc.contributor.author Hami, Melanie Yandakale
dc.date.accessioned 2013-04-19T07:07:19Z
dc.date.available 2013-04-19T07:07:19Z
dc.date.issued 2013-04-19
dc.identifier.citation Hami, Melanie Yandakale (2013) Intentions to use cervical cancer screening services among women aged 42 and older in Malawi, University of South Africa, Pretoria, <http://hdl.handle.net/10500/9026> en
dc.identifier.uri http://hdl.handle.net/10500/9026
dc.description.abstract Free cervical cancer screening services are provided in Malawi’s public healthcare institutionssince 1999. Few women aged 42 and older, utilise these services. Cervical cancer continues to be a major cause of morbidity and mortality among this group of women. Structured interviews were conducted with 381 women who attended three healthcare centers in Blantyre and semi-structured interviews with 14 nurse/midwives working at the same centers. The results for both phases arepresented within the Health Belief Model’s constructs. Phase 1 revealed that women had low levels of perceived susceptibility to cervical cancer. Although the interviewed women perceived cervical cancer to be a serious condition, they did not regard themselves to be at risk of suffering from cervical cancer. Knowledge that cervical cancer screening could detect this cancer at an early stage, embarrassment, stigma, social support, financial costs, traditional practices and available sources of information, influenced women’s intentions to be screened for cervical cancer. In phase 2, the nurse/midwives indicated that Malawian women lacked information about cervical cancer, available screening tests and the purpose of such screening.These women perceived cervical canceras being incurable and linked to witchcraft. Women’s utilisation of cervical screening services was hampered by barriers relating to healthcare institutions, women themselves and nurse/midwives. Local radio and television broadcasts, friends and nurse/midwives motivated individual women to use these screening services.Women preferred receiving information about cervical cancer screening during community activities. Health education should be intensified, nurse/midwives should be more empathetic, clinic days and hours should be extended. Misconceptions should be addressed and more service providers should be trained. This would enable more Malawian women to use cervical screening services, enhancing early detection and treatment of cervical cancer and reducing the morbidity and mortality statistics related to this condition in Malawi. en
dc.language.iso en en
dc.rights University of South Africa
dc.subject Health Belief Model (HBM) en
dc.subject Perceived susceptibility to cervical cancer en
dc.subject Perceived severity of cervical cancer en
dc.subject Perceived benefits of cervical screening en
dc.subject Perceived barriers to cervical screening en
dc.subject Cues to taking action to use cervical screening services en
dc.subject.ddc 618.140096897
dc.title Intentions to use cervical cancer screening services among women aged 42 and older in Malawi en
dc.type Thesis en
dc.description.department Health Studies en
dc.description.degree D. Litt. et Phil. (Health Studies)


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