None listed
Conditions
Brief summary
Although national guidelines recommend cervical cancer screening for women aged 30-60 years, only 8.2% of eligible women have undergone screening, primarily due to barriers such as low awareness, limited access to trained healthcare professionals, and cultural stigma. Community-based interventions involving Community Health Workers (CHWs) and Community Information Channels (CICs) have shown potential in improving knowledge and screening behavior. This study aims to assess the effectiveness of CIC- and CHW-led interventions in improving cervical cancer screening knowledge and behavior among women living in slum areas of Pokhara Metropolitan, Nepal. The study hypothesis is that women receiving CHW-led awareness sessions will show greater improvements in cervical cancer knowledge and screening behavior than those in the control group. The quasi-experimental study will use a pre-test and post-test control group design, involving 310 participants (155 in the intervention group and 155 in the control group). Two slum areas will be selected conveniently as an intervention and control group. Women aged 30-60 years from two slum areas will be recruited randomly. The intervention group will receive cervical cancer awareness sessions conducted by CHWs using flip charts and brochures, while the control group will receive information via posters provided by health facilities. Data will be collected through structured face-to-face interviews at baseline, and again at the 3rd and 6th weeks post-intervention.
Interventions
Firstly, two slum areas of Pokhara Metropolitan City will be selected purposively to ensure participants from both the control and intervention groups share similar characteristics. Secondly, the intervention and control slum area will be choosen conveniently. Thirdly, lists of eligible participants will be prepared and they will be selected randomly for the study.
Community health workers (CHWs), refers to the participants who have at least secondary level of education and will be trained to p
Firstly, two slum areas of Pokhara Metropolitan City will be selected purposively to ensure participants from both the control and intervention groups share similar characteristics. Secondly, the intervention and control slum area will be choosen conveniently. Thirdly, lists of eligible participants will be prepared and they will be selected randomly for the study. Community health workers (CHWs), refers to the participants who have at least secondary level of education and will be trained to provide awareness in the intervention group. CHWs will be mobilized in the intervention group using flip charts and brochures The contents in flip charts and brochures include introduction, risk factors, symptoms, screening methods and preventive measures of cervical cancer. CHWs will reach the doors of the participants for providing health education on cervical cancer which will be monitored by the PI using session education checklists. Regarding the training, CHWs will be trained after the baseline study by the PI using presentation slides. The mode of administration will be face-to-face. The training will be of one day (approximately 4 hours). CHWs will start the intervention after a day of receiving the training. CHWS will visit the participants just once for education session which will take approximately 15 minutes for each participants. All of the participants of the intervention group will recieve the intervention.
Sponsors
Abhishek Sapkota-Pokhara University
Study design
Allocation
Non-randomised trial
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
30 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
1. Women aged 30-60 years residing in the slum area. 2. Those who are not planning to migrate to another place in the next 3 months. 3. Women who have not already been diagnosed with cervical cancer.
Exclusion criteria
1. Women who are currently pregnant. 2. Those who have undergone a hysterectomy
Outcome results
None listed