T K Nyengidiki1, N Inimgba1, G Bassey1, R N Ogu1. 1. Department of Obstetrics and Gynecology, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
Abstract
BACKGROUND: Screening for cervical cancer improves outcome. This comes at an economic price which some may not be able to afford. OBJECTIVE: To evaluate the influence of user fees on the utilization of cervical cancer screening services in Port Harcourt. MATERIALS AND METHODS: A cross sectional study of clients presenting for cervical cancer screening. Data on the number, socio-demographic characteristics, distance from screening center following 1 month of free cancer screening and 7 months of user fee introduction, was collated and analyzed using SPSS version 20 statistical software. Results are presented in percentages, tables and charts with test of significance set at P < 0.05. RESULTS: Of the 167 women who presented for cervical cancer screening during the study period, the mean age was 42.08 ± 8.9 years and range was 20-70 years. The average parity of patients was 2.83 ± 2.24. Clients' utilization of cervical cancer screening facilities was negatively affected by the introduction of user fees P < 0.001). There is no association between the distance of patients' home from the hospital and the utilization of facility (X2 = 0.24, P = 0.887). There was sustained decrease in number of clients with the introduction of fees. CONCLUSION: The introduction of user fees had a negative impact on the utilization of cervical cancer screening facilities. Eradicating user fee and improving the socioeconomic status of patients may improve the utilization of screening services.
BACKGROUND: Screening for cervical cancer improves outcome. This comes at an economic price which some may not be able to afford. OBJECTIVE: To evaluate the influence of user fees on the utilization of cervical cancer screening services in Port Harcourt. MATERIALS AND METHODS: A cross sectional study of clients presenting for cervical cancer screening. Data on the number, socio-demographic characteristics, distance from screening center following 1 month of free cancer screening and 7 months of user fee introduction, was collated and analyzed using SPSS version 20 statistical software. Results are presented in percentages, tables and charts with test of significance set at P < 0.05. RESULTS: Of the 167 women who presented for cervical cancer screening during the study period, the mean age was 42.08 ± 8.9 years and range was 20-70 years. The average parity of patients was 2.83 ± 2.24. Clients' utilization of cervical cancer screening facilities was negatively affected by the introduction of user fees P < 0.001). There is no association between the distance of patients' home from the hospital and the utilization of facility (X2 = 0.24, P = 0.887). There was sustained decrease in number of clients with the introduction of fees. CONCLUSION: The introduction of user fees had a negative impact on the utilization of cervical cancer screening facilities. Eradicating user fee and improving the socioeconomic status of patients may improve the utilization of screening services.
Authors: Elvis Anyaehiechukwu Okolie; Debra Barker; Lawrence Achilles Nnyanzi; Seun Anjorin; David Aluga; Blessing Ifeoma Nwadike Journal: Cancer Rep (Hoboken) Date: 2021-07-27