Abstract:
Introduction:-Cervical cancer is cancer that occurs on the cervix, mostly caused by Human
Papilloma Virus. It is public health priority in Ethiopia as there is high prevalence mortality and
morbidity. There are various dimensions of factors which affect cervical cancer screening
service utilization, but little is known about the uptake among HIV positive and negative women.
Therefore, this study aimed to identify factors associated with it, and compare the prevalence
among HIV positive and negative women.
Objective: -This study aimed to assess cervical cancer screening service utilization and
associated factors among HIV positive and HIV negative status in Oromo Administrative Zone,
Amhara, Ethiopia, 2023.
Methods: -Institution based comparative cross-sectional study was conducted from May 8-24,
2023. The sample size was computed using Epi-info 4.6 Software with the power of 80%, 95%
confidence interval (CI), and the estimated ratio of the two groups were 1:1. Then the final
sample was 624 (312 HIV positive and 312 HIV negative). A systematic random sampling
method was used. Data were collected using structured questionnaire by trained data collectors
and supervisors. Then, the data was entered into EPI-data version 4.6, and exported and analyzed
using SPSS software version 20. Finally, logistic regression analysis was performed.
Results: - The overall prevalence of cervical cancer screening service utilization for HIV
positive and negative was still low by accounting 118 (38.1%) and 69 (22.8%) respectively. In
this study age (AOR: 5.341, 95% CI: 2.371, 12.033) occupation (AOR: 2.987, 95% CI: 1.515,
5.888) health care seeking behavior (AOR: 3.953, 95% CI: 1.999, 7.816), knowledge (AOR:
8.020, 95% CI: 4.145, 15.518) and attitude (AOR: 5.388, 95% CI: 2.663, 10.902) were
statistically significant variables among HIV positive women and additionally residence (AOR:
3.158,95% CI:1.532, 6.510) was another significant variable for comparison group.
Conclusion and recommendation:-The magnitude of cervical cancer screening utilization was
low. Hence, to improve the screening service utilization of cervical cancer, a campaign on
community awareness, strengthening service linkage among departments, expansion of the
centers for cervical cancer screening, and promotion of service utilization are recommended.
Keywords: - Cervical Cancer, screening, utilization, comparative study, Ethiopia.
