Year : 2019 | Volume
: 22 | Issue : 6 | Page : 745--749
Does introduction of user fees affect the utilization of cervical cancer screening services in Nigeria?
TK Nyengidiki, N Inimgba, G Bassey, RN Ogu
Department of Obstetrics and Gynecology, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria
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.
Dr. T K Nyengidiki
Department of Obstetrics and Gynecology, University of Port Harcourt Teaching Hospital, Rivers State
|How to cite this article:|
Nyengidiki T K, Inimgba N, Bassey G, Ogu R N. Does introduction of user fees affect the utilization of cervical cancer screening services in Nigeria?.Niger J Clin Pract 2019;22:745-749
|How to cite this URL:|
Nyengidiki T K, Inimgba N, Bassey G, Ogu R N. Does introduction of user fees affect the utilization of cervical cancer screening services in Nigeria?. Niger J Clin Pract [serial online] 2019 [cited 2019 Jun 26 ];22:745-749
Available from: http://www.njcponline.com/article.asp?issn=1119-3077;year=2019;volume=22;issue=6;spage=745;epage=749;aulast=Nyengidiki;type=0