Determinants of Awareness and Knowledge on Cervical Cancer among Women in Buea- Cameroon

Main Article Content

C. Neh Fru
Tassang Andrew
Frederick Nchang Cho
Tassang Thierry
P. Ngum Fru


Introduction: The purpose of this study was to assess the knowledge and awareness of cervical cancer among women who came for screening at the regional hospital Buea- South West Region of Cameroon.

Materials and Methods: A descriptive cross-sectional study involving women aged from 16 to 65 years was carried out. A one-day free screening campaign was done at the Buea regional hospital on the 2nd of November, 2019.

Results:  The age, educational status, marital status, age at first sex, and a number of sexual partners for the last past years were associated with knowledge and awareness of cervical cancer screening.

Conclusion: The number of sex partners for the last five years, age, educational level, and marital status were determinants affecting awareness and knowledge in this study. Further studies are needed with larger sample sizes to corroborate or not our findings.

Cancer of the cervix, knowledge, awareness, Buea, Cameroon

Article Details

How to Cite
Fru, C. N., Andrew, T., Cho, F. N., Thierry, T., & Fru, P. N. (2020). Determinants of Awareness and Knowledge on Cervical Cancer among Women in Buea- Cameroon. International Journal of Research and Reports in Gynaecology, 3(3), 1-14. Retrieved from
Original Research Article


WHO: Cervical Cancer. In.: World Health Organisation; 2018.

Kafuruki L, Rambau PF, Massinde A, Masalu N. Prevalence and predictors of cervical intraepithelial neoplasia among hiv infected women at Bugando medical centre, Mwanza-Tanzania. Infect Agent Cancer. 2013;8(45).

NNCTR: Cervical and breast cancer screening activities in Nepal. In: Nepal Network for Cancer Treatment & Research. Cervical and Breast Cancer Screening Activities in Nepal; 2010.

Sankaranarayanan R, Budukh AM, Rajkumar R. Effective screening programmes for cervical cancer in low- and middle-income developing countries. Bull World Health Organ. 2001;79:954-962.

Vaccarella S, Laversanne M, Ferlay J, Bray F. Cervical cancer in Africa, Latin America and the Caribbean, and Asia: regional inequalities and changing trends. Int J Cancer; 2017.

Asonganyi E, Vaghasia M, Rodrigues C, Phadtare A, Ford A, Pietrobon R, Atashili J, Lynch C. Factors affecting compliance with clinical practice guidelines for pap smear screening among healthcare providers in africa: Systematic review and meta-summary of 2045 individuals. PLoS One. 2013;8(9):e72712.

Bruni L, Albero G, Serrano B, Mena M, Gómez D, Muñoz J, Bosch FX, de Sanjosé S. ICO/IARC. Human papillomavirus and related diseases in Cameroon. Summary Report 17 June 2019. In. Barcelona, Spain: ICO/IARC HPV Information Centre; 2019.

Fru CN, Tassang AN, Cho FN, Tassang T, Fru PN. Socioeconomic determinants influencing cervical cancer screening in Buea: A cross-sectional study. International Journal of TROPICAL DISEASE & Health. 2020;41(11):14 - 22.

Joshi M, Mishra SR. Cervical cancer screening in Nepal. Health Prospect Journal of Public Health. 2013;12(1):18-20.

Yamaguchi N, Tsukamoto Y, Shimoyama H, Nakayama K, Misawa S. Effects of peer education interventions aimed at changing awareness of cervical cancer in nursing students. Niigata J Health Welf. 2011;11: 32–42.

Kindzeka ME. Cameroon doctors overwhelmed with patients. In. Cameroon: VOA; 2018.

Pefok JD. Fake pastors denounced. In: Cameroon Postline;2018.

Nzie F. Poverty, fake pastors, and church businesses. In. Cameroon. Camerounlink Int; 2014.

MOH: Plan stratégique national de lutte contre le paludisme: 2014-2018. Ministère de la Santé Publique, Cameroun. In. Edited by Programme Nationale de Lutte contre le Paludisme, vol. 4. Yaoundé: Programme National de Lutte contre le Paludisme; 2014.

Mbanya B, Sama M, Tchounwou P. Current status of HIV/AIDS in Cameroon: How effective are control strategies? Int J Environ Res Public Health. 2008;5(5):378-383.

Ndom P. Cameroon: Stakeholders commit to intensify cancer screening in local communities. Journal du Camerouncom; 2020.

De Gregorio GA, Bradford LS, Manga S, Tih PM, Wamai R, Ogembo R. Prevalence, predictors, and same day treatment of positive via enhanced by digital cervicography and histopathology results in a cervical cancer prevention program in Cameroon. PLoS One. 2016; 11(6):e0157319.

McCarey C, Pirek D, Tebeu PM, Boulvain M, Doh AS, Petignat P. Awareness of HPV and cervical cancer prevention among Cameroonian healthcare workers. BMC Women's Health. 2011;11(45):45.

Heena H, Durrani S, Al Fayyad I, Riaz M, Tabasim R, Parvez G, Abu-Shaheen A. Knowledge, attitudes, and practices towards cervical cancer and screening amongst female healthcare professionals: A cross-sectional study. Journal Oncology. 2019;2019:5423130.

Jassim G, Obeid A. Knowledge, attitudes, and practices regarding cervical cancer and screening among women visiting primary health care Centres in Bahrain. BMC Public Health. 2018;18(1).

NIS: 2nd survey on the monitoring of public expenditures and the level of recipients’ satisfaction in the education and health sectors in Cameroon (PETS2). In: Health Component. Yaoundé National Institute of Statistics; 2010.

Nsagha DS, Pokam BT, Assob JC, Njunda AL, Kibu OD, Tanue EA, Ayima CW, Weledji PE. HAART, DOTS and renal disease of patients co-infected with HIV/AIDS and TB in the South West Region of Cameroon. BMC Public Health. 2015;15:1040.

Nkfusai NC, Cumber SN, Takang W, Anchang-Kimbi JK, Yankam BM, Anye CS, Tsoka-Gwegweni JM, Enow-Orock GE, Anong DN. Cervical cancer in the Bamenda Regional Hospital, North West Region of Cameroon: A retrospective study. Pan Afr Med J. 2019;32(90).

Gatumo M, Gacheri S, Sayed AR, Scheibe A. Women's knowledge and attitudes related to cervical cancer and cervical cancer screening in Isiolo and Tharaka Nithi Counties, Kenya: A cross-sectional study. BMC Cancer. 2018;18(1):745.

CRA: Commission on Revenue Allocation. In., 2 edn. Nairobi: Kenya County Fact Sheets; 2013.

KIPPRA: Kenya economic report 2013. In. Nairobi: KIPRA; 2013.

Ebu NI. Socio-demographic characteristics influencing cervical cancer screening intention of HIV-positive women in the central region of Ghana. Gynecologic Oncology Research and Practice. 2018; 5(3).

Matejic B, Vukovic D, Pekmezovic T, Kesic V, Markovic M. Determinants of preventive health behavior in relation to cervical cancer screening among the female population of Belgrade. Health Educ Res. 2011;26(2).

Hoque M, Hoque E, Kader SB. Evaluation of cervical cancer screening program at a rural community of South Africa. East African Journal of Public Health. 2008;5(2).

UNO: World population prospects. In. Edited by Department of Economic and Social Affairs PD: UNO; 2019.

Park MJ, Park E-C, Choi KS, Jun JK, Lee H-Y. Sociodemographic gradients in breast and cervical cancer screening in Korea: The Korean National Cancer Screening Survey (KNCSS) 2005-2009. BMC Cancer; 2011.

Simou E, Maniadakis N, Pallis A, Foundoulakis E, Kourlaba G. Factors associated with the use of pap smear testing in Greece. J Women's Health. 2010;19(8).

Lima EG, Soares de Lima DB, Miranda CAN, Pereira VSdS, Veríssimo de Azevedo JC, Galvão de Araújo JM, Fernandes TAAdM, Medeiros de Azevedo PR, Fernandes JV. Knowledge about HPV and Screening of Cervical Cancer among Women from the Metropolitan Region of Natal, Brazil. ISRN Obstet Gynecol; 2013.

Hanisch R, Gustat J, Hagensee ME, Baena A, Salazar JE, Castro MV, Gaviria AM, Sanchez GI. Knowledge of Pap screening and human papillomavirus among women attending clinics in Medellın, Colombia. Int J Gynecol Cancer. 2008;18(5):1020–1026.

Baskaran P, Subramanian P, Rahman RA, Ping WL, Taib NA, Rosli R. Perceived susceptibility, and cervical cancer screening benefits and barriers in Malaysian women visiting outpatient clinics. Asian Pacific Journal Cancer Prevention. 2013;14(12):7693–7699.

Ezechi OC, Gab-Okafor CV, Ostergren PO, Pettersson KO. Willingness and acceptability of cervical cancer screening among HIV positive Nigerian women. BMC Public Health. 2013;13(1).

Sichanh C, Fabrice QU, Chanthavilay P, Diendere J, Latthaphasavang V, Longuet C, Buisson Y. Knowledge, awareness, and attitudes about cervical cancer among women attending or not an HIV treatment center in Lao PDR. BMC Cancer. 2014;14(1).

Sudenga SL, Rositch AF, Otieno WA, Smith JS. Brief report: Knowledge, attitudes, practices, and perceived risk of cervical cancer among Kenyan women. International Journal Gynecological Cancer. 2013;23(5).

Frank D, Swedmark J, Grubbs L. Colon Cancer screening in African American women. ABNF J. 2004;15(4).

Gerald EI, Ogwuche CH. Educational level, sex, and church affiliation on health-seeking behaviour among parishioners in Makurdi metropolis of Benue State. Infect Dis Rep. 2014;1(2):311–316.

Lee M, Park EC, Chang HS, Kwon JA, Yoo KB, Kim TH. Socioeconomic disparity in cervical cancer screening among Korean women: 1998–2010. BMC Public Health. 2013;13(1).

Lyimo FS, Beran TN. Demographic, knowledge, attitudinal, and accessibility factors associated with uptake of cervical cancer screening among women in a rural district of Tanzania: Three public policy implications. BMC Public Health. 2012; 12(1).

Thomas D. How to reduce maternal deaths: Rights and responsibilities. In. London: Department for International Development; 2005.

Johnson LG, Armstrong A, Joyce CM, Teitelman AM, Buttenheim AM. Implementation strategies to improve cervical cancer prevention in sub- Saharan Africa: A systematic review. Implement Sci. 2018;(1-18).

Mbachu C, Dim C, Ezeoke U. Effects of peer health education on perception and practice of screening for cervical cancer among urban residential women in south-East Nigeria: A before and after study. BMC Women's Health. 2017;17:1-8.

Gözüm S, Karayurt O, Kav S, Platin N. Effectiveness of peer education for breast cancer screening and health beliefs in eastern Turkey. Cancer Nurs. 2010;33: 213–220.

Abiodun OA, Olu-Abiodun OO, Sotunsa JO, Oluwole FA. Impact of health education intervention on knowledge and perception of cervical cancer and cervical screening uptake among adult women in rural communities in Nigeria. BMC Public Health. 2014;14.