Musema, Hasna (2014) Assesment of Knowledge, Utilization and Accessibility of Palliative Care among Cervical Cancer Patients in Tikur Anbesa Hospital Addis Ababa Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
Background-Palliative care is defined by World Health Organization as an approach that improves the quality of life of patients and their families facing the problem associated with lifethreatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other physical, psychosocial and spiritual problems. This study attempted to assess the knowledge, accessibility and Utilization of palliative care Services to Cervical Cancer and its determinants at Tikur Anbesa Hospital, Ethiopia, Method: This study was a cross-sectional Institution based study of women who had Cervical Cancer in TAH. The study was carried out in Tikur Anbesa Hospital with purposive selection, since it was the only center of palliative care and treatment services in Ethiopia. Data was collected by interviewing the client’s using a pretested Amharic version questionnaire. During the survey, 384 women with cervical cancer were interviewed. Data entry was done using Epi Info version 3.5.1 and was exported to SPSS version 21 for analysis. Logistic regression was applied to control confounders. Result: Out of the total clients interviewed, 239(62.2%) respondents who had treatment in Tikur Anbesa Specialized Hospital were knowledgeable about palliative care for cervical cancer. About 86% of client’s were in the age 35 years old or older. About Nine out of ten (89.8%) respondents reported problems on accessibility of palliative care services for cervical cancer in Tikur Anbesa hospital. Women’s knowledge of care (AOR=26.9), presence of little physical wellbeing to the respondents (AOR=3.1), social wellbeing of the respondents (AOR=1.7); monthly income of the respondents (AOR=0.25) and marital status of the women (AOR=55.4) were statistically significantly associated with respondent’s utilization of palliative care services for cervical cancer at Tikur Anbesa Hospital. Conclusion: Among patients with cervical cancer who were interviewed, nearly, more than three women out of five had reported palliative care services from its center at Tikur Anbesa Hospital in the last 12 months of data collection. Recommendation: Community Mobilization through the media, posters and face to face on community health day focusing on palliative care services to cervical cancer must be addressed by Addis Ababa Town administrations and policy makers. Since the center was only TAH, the FDRE government must build another center in Addis or elsewhere in the country so that the problems of resources can be solved.TAH has to fulfill all the facilitations listed and needed for clients with cervical cancer for palliative services based on the standards.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | palliative care, cervical cancer, Tikur Anbesa Hospital, Addis Ababa, Ethiopia |
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RT Nursing |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 02 Aug 2018 08:33 |
| Last Modified: | 02 Aug 2018 08:33 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/8264 |
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