The study observed that, most of the health care providers working in the RH clinics had received some basic training on visual cervical cancer training. However, none of the RH clinics was offering screening routinely as expected. This study recommends
further research on establishing competency in screening among those trained on visual cervical screening to establish level of competency in screening.
REFERENCES
1. Agurto I. (2001). Bridging distances: Preventive services and women’s concerns. Program on Non-Communicable Diseases, Division of Disease Prevention and Control. Pan American Health Organization. Washington, DC:
2. Agurto I. Bishop A. Sanchez G. Betancourt Z. Robles, S. (2004). Perceived barriers and benefits to cervical cancer screening in Latin America. Preventive Medicine. 2004;39:91–98.
3. Alliance for Cervical Cancer Prevention (ACCP). (2004). Planning and Implementing Cervical Cancer Prevention and Control Programs: A Manual for Managers.
4. Anne M. (2014). Determinants of Cervical Cancer Screening Uptake Among Women in Embu County, Kenya.
5. Apgar B.S, Kittendorf A.L, Bettcher C.M, Wong J, Kaufman A.J (2009). Update on ASCCP consensus guidelines for abnormal cervical screening tests and cervical histology. Am Fam Physician . 2009 Jul 15;80(2):147-55.
6. Bernard T. Stephen D. Ajen S. (2013). Utilization of Screening Services for Cancer of The Cervix in Makurdi, Nigeria
7. Bingham A. Abwao S. Luchemo N. (2001). Formative research in cervical cancer prevention in Kenya: The Western Kenya Cervical Cancer Prevention Project. Round table discussion, 28th Annual Global Health Conference; 2001 May 29-June 1; Washington, DC, USA.
8. Bingham A. Bishop A. Coffey P. Winkler J. Bradley J. Dzuba I. Agurto I. (2003). Factors affecting utilization of cervical cancer prevention services in low-resource settings. Salud Publica Mex 2003;45 suppl 3:S408-S416.
9. Blumenthal P. Gaffikin L. Deganus S. Emerson M. Adadevoh S. (2007). Cervical cancer prevention: safety, acceptability, and feasibility of a single- visit approach in Accra, Ghana. Am J Obstet Gynecol. 2007 Apr;196(4):407. e1–8; discussion e8–9.
10. Bradley J. Risi L. Denny L. (2004). Widening the cervical cancer screening net in a South African township: Who are the underserved? Healthcare for Women International. 2004;25(3):227–241.
11. Bruni L, Barrionuevo-Rosas L, Albero G, Aldea M, Serrano B, Valencia S, Brotons M, Mena M, Cosano R, Muñoz J, Bosch FX, de Sanjosé S, Castellsagué X (2015). Human Papillomavirus and Related Diseases in Kenya; ICO Information Centre on HPV and Cancer (HPV Information Centre).Summary Report 2015- 12-23.
12. Buskens I. Bradley J. (2002). Women’s perspectives on cervical cancer prevention procedures, EngenderHealth .: New York.
13. Cancer Incidence Report 2000 – 2002 (2006). Nairobi Cancer Registry, Kenya Medical Research Institute, Nairobi, Kenya.
14. Caroline W. Hamadi B. Anne W. Peter W. John N. (2010). Factors affecting Uptake of Cervical cancer early Detection Measures Among Women in Thika, Kenya.
15. Carr, K., Sellors, J. W. (2004). Cervical cancer Screening in Low Resource Settings Using Visual inspection with Acetic Acid. J Midwifery Women’s Health 2004, 49(4):329337.
16. Chirenje Z. M. Rusakaniko, Simbarashe K. Leah N. Edward, W. (2001). Situation Analysis For Cervical Cancer Diagnosis and Treatment in East, Central and Southern African Countries. Bulletin of World Health
Organization: the International Journal of Public Health 2001: 79(2) : 127-132 17. Chizoma M. Ndikom.Bola A. (2012). Awareness, perception and factors
affecting utilization of cervical cancer screening services among women in Ibadan, Nigeria: 2012 Department of Nursing, College of Medicine, University of Ibadan, Ibadan, Nigeria
18. Coffey P. Arrossi S. Bradley J. White S. (2004). Improving Screening Coverage Rates Of Cervical Cancer Prevention Programs. A Focus on Communities. Seattle. ACCP (Issues in Depth No. 4).
19. EngenderHealth (2002). Women’s Perspectives on Cervical Cancer Screening and Treatment: Participatory Research in Khayelitsha, South Africa. New York: EngenderHealth; 2002.
20. EngenderHealth (2003). Men and Women Working Together to Prevent Cervical Cancer, Training Modules for Men, Facilitator’s Manual. New York:
EngenderHealth; 2003.
21. EngenderHealth (2004). COPE® for Cervical Cancer Prevention Services: A Toolbook to Accompany the COPE® Handbook. New York: EngenderHealth; 2004.
22. Ferlay J. Shin H. Bray F. Forman D. Mathers C (2010). Estimates of Wordwide Burden of Cancer in 2008: GLOBOCAN 2008. Int J Cancer 127:2893-2917.
23. Ferlay J. Soerjomataram I. Ervik M. Dikshit R. Parkin D G. LOBOCAN (2012). Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11 24. Gage J. C. Ferreccio C. Gonzales M. Arroyo R. Huivin M. Robles S. (2003).
Follow-up care of women with an abnormal cytology in a low-resource setting. Cancer Detect Prev 2003; 27 (6): 466-471.
25. Gakidou E. Nordhagen S. Obermeyer Z (2008). Coverage of Cervical Cancer screening in 57 Countries: Low Average Levels and Large Inequalities PLoS Med 5: e132.
26. Gatune J.W and Nyamongo I.k (2005). An ethnographic study of cervical cancer among women in rural Kenya: is there a folk causal model? International Journal of Gynecological Cancer, 2005 15(6):1049-59. 27. GOK/MOH (2005). Ministry of Health: National Cervical Cancer Prevention
Programme, Kenya.
28. GOK/MOH (2010). Ministry of Health; Review of the 2004-2008 Reproductive Health Agenda and Proposed 2010-2014 Research Agenda.
29. Government of Kenya (GOK)/Ministry of Health (MOH)/Division of Reproductive Health (DRH). (2006). National reproductive health research guidelines. Nairobi: DRH; 2006.
30. Government of Kenya (GOK)/Ministry of Public Health and Sanitation (MOPHS) and Ministry of Medical Services (MOMS). (2009). National road map for accelerating the attainment of the MDGs related to maternal and newborn health in Kenya. Draft. Nairobi: GOK; 2009.
31. IARC Handbook of Cancer Prevention (2004). Volume 10, Cervix Cancer Screening. Lyon: IARC Press; 2004. In press.
32. International Agency for Research on Cancer (IARC). (2004). IARC Handbook of Cancer Prevention. Volume 10, Cervix Cancer Screening. Lyon: IARC Press; 2004. In press.
33. International Federation of Gynecology and Obstetrics (FIGO) (2009).
Staging System Revised: what should be considered critically for gynecologic cancer? J Gynecol Oncol. 2009 Sep; 20(3): 135–136. Published online 2009 Sep 30.
34. JHPIEGO. (2004). Safety, Acceptability, and Feasibility of a Single-Visit Approach to Cervical Cancer Prevention in Ghana: A Demonstration Project. Baltimore: JHPIEGO; 2004. JHPIEGO Technical Report. 44 Cervical Cancer Prevention: Issues in Depth
35. Joelle I, Jennifer M, Sabina H, Megan J (2014). Men’s Knowledge and Attitudes about Cervical cancer Screening in Kenya.
36. Kenya National Bureau of Statisctics (KNBS) (2009). The 2009 Kenya Population and Housing Census: “Counting Our People for the Implementation of Vision 2030.”
37. Kenya National Bureau of Statistics (KNBS) (2014). Kenya Demographic Health Survey: Key Indicators
38. Kleine A. Gaffikin L (2003). Evaluation of Supply and Demand Factors Affecting Cervical Cancer Modules for Men, Facilitator’s Manual. New York: EngenderHealth; 2003.
39. Kothari, C.R. (2004), Research Methodology: Methods and Techniques, (Second Edition), New Age International Publishers
40. Kumar V. Abbas A. Fausto N. Aster J (2010). pathologic basis of disease. 8th edition ed. Philadelphia: Saunders Elsevier; 2010.
41. Matthers CD, Loncar D (2006). Projections of global mortality and burden of disease from 2002 to 2030; PloS Medicine, 3:2011-2030
42. Morema E. Harrysone E . Rosebella O . Collins O. (2014). Determinants of Cervical screening services uptake among 18–49 year old women seeking services at the Jaramogi Oginga Odinga Teaching and Referral Hospital, Kisumu, Kenya. BMC Health Services Research 2014, 14:335
43. Muia E. Olenga J. Kimani V. Leonard A. (2010). Integrating Men into Reproductive Health Equation: Acceptibility and Feasibility in Kenya in Critical Issues in Reproductive Health. The Population Council, Inc, New York; 2010: 1-22.
44. Mutyaba T. Faxelid E. Mirembe F. Weiderpass E. (2007). Influences on Uptake of Reproductive Health Services on Nsangi Community of Uganda and Their Implications for Cervical Cancer Screening. Reprod Heal 2007, 4:4.
45. Nairobi Cancer Registry, Kenya Medical Research Institute KEMRI (2006). Cancer Incidence Report 2000 – 2002. 2006; Nairobi, Kenya
46. National Cervical Cancer Prevention Program (NCCPP) (2012). National Cervical Cancer Prevention Program: Strategic Plan 2012-2015. In: Services KMoPHaSaMoM, editor. Nairobi, Kenya.
47. PAHO. (2002). Results of the User Satisfaction Survey in Cabañas, El Salvador. Washington, D.C.: PAHO; 2002. Internal Report.
48. PATH. (2006). Centro Producción Calandria. Changing women's lives through community participation. Seattle: PATH;2006.
49. PATH. (2000). Planning Appropriate Cervical Cancer Prevention Programs. 2nd ed. Seattle: PATH; 2000.
50. Program For Appropriate Technology in Health (PATH) (2002). Proceedings of Western Kenya Cervical cancer Prevention Project (WKCCPP)
Dissemination Workshop; 2002, March 7. Nairobi, Kenya.
51. Program for Appropriate Technology in Health (PATH) (2002). Qualitative assessment of the knowledge, attitudes, and practices regarding cervical cancer among selected women and providers in Nayarit State, Mexico. Seattle (WA): PATH, 2002.
52. Sankaranarayanan R. Rajkumar R. Arrossi S. Theresa R. Esmy P.O. Mahé C. Muwonge R. Parkin D. M. Cherian J. (2003). Determinants of
participation of women in a cervical cancer visual screening trial in rural south India. Cancer Detect Prev. 2003; 27(6):457-65.
53. Sankaranarayanan, R. Budukh A. M. Rajkumar R. (2005). Effective screening programmes for cervical cancer in low- and middle-income developing countries. Bull World Health Org 2001; 79: 954-962.
54. Sankaranarayanan, R., Arbyn, M., Muwonge, R., Keita, N., Dolo, A. (2008). Pooled analysis of the Accuracy of Five Cervical Cancer Screening Tests Assessed in Eleven studies in Africa and India. Int J Cancer. 123(1):153–160. 55. Singh S And Badaya S. (2012). Factors Influencing Uptake of Cervical Cancer
Screening Among Women in India: A Hospital based Pilot Study. J Community Med Health Educ 2:157.doi: 10.4172/2161-0711.1000157 56. Staci L. Anne F. Walter A. Jennifer S. (2013). Brief Report: Knowledge,
Attitude, Practices and Perceived Risk of cervical cancer among Kenyan Women. Int J Gynecol. 2013 Jun; 23 (5): 895-899.
57. Sudenga S. Rositch A. Otieno W. Smith J. (2013) Knowledge, Attitudes, Practices, and Perceived Risk of Cervical Cancer Among Kenyan Women: Brief Report. Int JGynecol Cancer Jun; 23 (5) : 895-9
58. Watson, Jeff (2001). How to Determine a Sample Size: Tipsheet #60, University Park, PA: Penn State Cooperative Extension. Available at:
http://www.extension.psu.edu/evaluation/pdf/TS60.pdf
59. Were E. Nyabera Z. Buziba N. (2010). Integrating Cervical Cancer and Genital Tract Infection Screening into Mother, Child health and Family Planning Clinics in Eldoret, Kenya. African Health Sciences. 2010: 10 (1) : 58-65. 60. Western Kenya Cervical Cancer Prevention Project (2002). Dissemination
workshop; 2002, March 7. Nairobi, Kenya.
61. WHO/ICO (2010). Human Papilloma Virus and Related Cancers in Kenya in ICO Information Centre on HPV and Cancer. Geneva; 2010.
62. Wong L. P. (2009). Knowledge and Awareness of Cervical Cancer and Screening among Malaysian Women Who have never had a Pap smear: a qualitative study.Singapore Med J 2009, 50(1):49-53.
APPENDICES