Dissertation (MSc Public Health)
In many African ethnicities, men are the critical decision-makers and financial providers for almost all matters in the family, including those that directly impact their partners and children,s health .The male partner may thus be among the most significant social influencers to their female partner that a woman may highly depend directly or indirectly on many aspects of their lives, including reproductive health services utilization. As seen in many reproductive health issues like maternal care services utilization, PMTCT and contraceptive use, male involvement may as well highly influence cervical cancer screening participation. This study aims to test the effectiveness of male involvement on increasing women,s uptake of cervical cancer screening. The study is a three-armed quasi-experimental study involving 275 women aged 30 to 50 in the Bahi council. One group of women received no treatment. Another group was given health education about cervical cancer and invited to attend for screening. In addition to health education and invitation, the third group were given a brochure and a letter addressed to their male partners asking them to support their women to undergo screening. Educational materials were obtained from the Ministry of Health (MoHCDGEC). Data were collected at baseline and end-line using a structured questionnaire and analyzed using the SPSS program. Chi-square and multiple regression analysis were used to determine association between screening incidence and the interventions among the three groups. All ethical considerations were observed. At baseline, on average 5.8% had adequate knowledge about cervical cancer, 27.3% had a good attitude about cervical cancer, and 12.7% had screened for cervical cancer. After the intervention, the proportion of women screened for cervical cancer rose from 14.3% to 16% for the control group, 11.7% to 50% for women given Education only, and from 12.2% to 74.4% for women whose males were males involved. Women who were given education only were 4.6 times more likely to return for screening than the control group. In contrast, women whose male partners were involved were 13.2 times more likely to return for screening than the control group. Despite that health education increased women,s participation in cervical cancer screening, male partner involvement increased the screening rate far better than educating women alone. It is thus essential that men are not left behind in the fight against this disease. Education and information should be shared with both women and men so that men can push and support their female partners to uptake the screening services.