Cervical Cancer Screening Seeking Behavior among Female Community Health Volunteers of Surkhet District, Nepal

Abstract

Background: Human Papilloma virus (HPV) associated cervical cancer is the fourth most common cancer in women worldwide and it is the leading cause of death among women in Nepal. The screening seeking behavior encompasses a woman's decision to engage in medical evaluations essential for the early detection and prophylaxis of cervical cancer. Even though there is a proven importance of cervical cancer screening, the incidence and mortality rate in Nepal is high. Therefore, we aimed to assess the cervical cancer screening seeking behavior and its associated factors among female community health volunteers (FCHVs) of Surkhet district, Nepal. Methods: A community based cross-sectional study was carried out in the municipalities and rural municipalities of Surkhet district. A pre-tested structured interview was conducted among 148 FCHVs from 30-49 years. Results: This study showed that 90 (60.8%) of FCHVs have cervical cancer screening seeking behavior. Age (AOR: 7.2, 95% CI: 3.01-17.3) and marital status (AOR: 9.2, 95% CI: 2.6-166.2) of FCHVs were significant factors for cervical cancer seeking behavior. Conclusion: These findings highlight the importance of demographic factors in promoting screening participation among FCHVs. Enhancing cervical cancer screening rates among FCHVs requires multifaceted approaches that address both individual perceptions and barriers. Interventions should focus on increasing accessibility, improving education and awareness programs, and providing tailored support to different demographic groups.