Vaccination Education Among Female Secondary School Teachers for Prevention of Cervical Cancer in Ondo State, Nigeria

Vaccination Education Among Female Secondary School Teachers for Prevention of Cervical Cancer in Ondo State, Nigeria

Direct Research Journal of Health and Pharmacology Vol.9, Pp. 28-30, 2021 ISSN 2449-0814 DOI: https://doi.org/10.26765/DRJHP26819031566 Article Number: DRJHP26819031566 Copyright © 2021 Author(s) retain the copyright of this article https://directresearchpublisher.org/drjhp/ Full Length Research Paper Vaccination education among female secondary school teachers for prevention of cervical cancer in Ondo State, Nigeria Obalase, Stephen Babatunde University Health Centre, Health Services Department, Federal University of Technology, Akure, Ondo, Nigeria. Author E-mail: [email protected] Received 6 April 2021; Accepted 18 May 2021; Published 30 May 2021 ABSTRACT: This study investigated cervical cancer descriptively using percentage, mean, standard deviation vaccination education among female secondary school while all the hypotheses were tested at a 0.05 level of teachers for the prevention of cervical cancer in Ondo State, significance using inferential statistics. Based on the Nigeria. Quazi experimental research design of pre and analysis of data of this study, there was a significant main post-intervention with control group was used for the effect of treatment on cervical cancer vaccination education study. The population for the study comprised female among secondary school female teachers. Based on the secondary school teachers in Ondo State, Nigeria. The findings of this study, it was therefore concluded that sample for the study was 240 consented participants cervical cancer vaccination education should be selected among female secondary school teachers in the incorporated into the school curriculum to create adequate state. After receiving ethical approval from the Ondo State awareness, early detection, and prevention of cervical Ministry of Health, Ministry of Education, and the Federal cancer to enhance a good prognosis. As a result, the Medical Centre, Owo Research and Ethics Committee, the researcher recommended that young schoolgirls be fully sample was chosen. Multi-stage sampling technique was vaccinated, educated, and a part of services provided in used to select the participants. The validity of the school clinics in order to reduce cervical cancer morbidity instrument was established. The correlation coefficient and mortality. index of 0.80 was obtained and the instrument was considered valid. The reliability coefficient of 0.84 was obtained and was considered good and reliable for the Keywords: Cervical cancer, vaccination, commodity supply, study. The research questions raised were answered prevention, female INTRODUCTION Young girls of age 9-13 years should be vaccinated with opportunity to screen, detect and treat pre-cancer and three doses of HPV Vaccine before first sexual exposure avoid its progression to cancer. However, immune- and women of child bearing age should had three compromised women (e.g. those living with HIV) vaccines within six months to prevent them from having progress more frequently and more quickly to pre-cancer cervical cancer that are sensitive to those vaccines. In and cancer. There are several available and affordable addition, booster doses of the following vaccines were tests that can effectively detect pre-cancer, as well as also incorporated into the scheme –tetanus, diphtheria, several affordable treatment options. HPV vaccines are Hepatitis B, meningococcal, typhoid and rubella booster now available; if given to all girls before they are sexually doses. More importantly young girls should be vaccinated active, they can prevent a large portion of cervical cancer before exposure to first sexual activity. The 10 to 20 year (NisreenArif and Farzana, 2015). The HPV vaccination lag between pre-cancer and cancer offers ample strategy offers valuable opportunities for integration with Official Publication of Direct Research Journal of Health and Pharmacology: Vol. 9, 2021: ISSN 2449-0814 Obalase 29 other school health services and adolescent-friendly Base on this background, there is need for this study to primary health care services. Intervention scan include evaluate the vaccination education among female screening for common nutritional deficiencies, physical secondary school teachers for prevention of cervical disabilities and illnesses, as well as providing preventive cancer in Ondo State, Nigeria. health information, such as information on the dangers of tobacco use, on contraception to prevent unplanned pregnancies, and on condom use for the dual purpose of Purpose of the study preventing pregnancies and STIs, including HIV/AIDS (Winnie et al., 2016). Vaccination as one of important (i) Assess the effect of health education component of cervical cancer prevention emphasized intervention programme on the knowledge of that women of child bearing age should had three the participants on vaccination towards vaccines within six months to prevent them from having cervical cancer prevention. cervical cancer that are sensitive to those vaccines. In (ii) Assess the interaction effect of cervical cancer addition, booster doses of the following vaccines were education on the knowledge of the also incorporated into the scheme–tetanus, diphtheria, participants on commodity supply towards Hepatitis B, meningococcal, typhoid and rubella booster cervical cancer prevention. doses. More importantly young girls should be vaccinated (iii) Evaluate the effect of cervical cancer before exposure to first sexual activity. The researcher education programme on vaccination observed that the population at risk are deficient in towards prevention of cervical cancer. knowledge of cervical cancer prevention, hence the high mortality rate in Nigeria .Until there is universal access to cervical cancer education in Nigeria to create awareness Research questions for prevention and control of cervical cancer to address present inequities to bridge the large disparities in 1 What is the attitude of the participants towards incidence rates and mortality rates that exist in different vaccination for the prevention of cervical cancer? settings. The prevalence of HPV is very high among 2. What is the level of knowledge of women of child young, sexually active adult women. The primary bearing age as regards vaccination towards prevention of determinant of level of sexual activity in a given cervical cancer? population is its sexually transmitted disease (STD) rate. According to WHO (2016), HPV is transmitted through Research hypotheses sexual intercourse, with peak prevalence in women of the 22 -25 year age group. Cervical cancer is a potentially The following research hypotheses were formulated to preventable disease as cytological screening pap smear guide the study and were tested at 0.05 level of helps to detect this disease in early stages. significance: Statement of problem 1. There will be no significant main effect of treatment on attitude of the participants on cervical. Vaccination as one of important component of cervical 2. Cancer vaccination and religion affiliation on cervical cancer prevention emphasized that women of child cancer prevention. bearing age should had three vaccines within six months 2. There will be no significant interaction effect of to prevent them from having cervical cancer that are treatment on knowledge of the participants on sensitive to those vaccines. In addition, booster doses of vaccination for cervical cancer prevention. the following vaccines were also incorporated into the scheme–tetanus, diphtheria, Hepatitis B, meningococcal, typhoid and rubella booster doses. More importantly Significance young girls should be vaccinated before exposure to first sexual activity. The Ondo State Government had The knowledge of the health effects of late detection of embarked on series of intervention programmes like cervical cancer could assist the health policy makers and Abiye programme, special immunization programmes for in the development of health public infrastructure s for women of child bearing age, health ranger scheme, easy accessibility to all women. Findings of this study mobile emergency clinic, establishment of various could benefit cervical cancer survivors in maintaining a categories of health facilities ranging from basic health healthy diet and staying active which is a process that centre to Ganni Fawenhinmi Diagnostic centre rated by continues after treatment ends. The findings of this study WHO (2016) as the best hospital in Africa to curtail the could assist clinicians to adopt preventive strategies at all menace of mortality and morbidity among women of child levels: primary, secondary and tertiary levels of bearing age despite all these interventions the cervical prevention. The Federal, State and Local Government cancer mortality is on the increase. could also benefit from the findings in providing Official Publication of Direct Research Journal of Health and Pharmacology: Vol. 9, 2021: ISSN 2449-0814 Direct Res. J. Health Pharm. 30 Table 1: Attitude of the participants towards vaccination. Variables on attitude towards vaccination Control group Treatment group Variation in the mean score mean score mean score . Female child must have at least three HPV Vaccine 1.30 1.88 0.58 before first sexual intercourse HPV Vaccine should be integrated into routine 1.24 2.77 1.53 immunization HPV Vaccine should be available in all health facilities 1.25 2.87 1.62 School girls should be given HPV Vaccine in the school 1.28 3.85 2.57 based health facility Grand total 1.27 2.84 1.58 Table 2: Knowledge of participants on vaccination. Variables on knowledge on vaccination

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