International Journal of Health Sciences and Research
www.ijhsr.org                                                                            ISSN: 2249-9571
Original Research Article
   A Study to Assess the Effectiveness of Planned
  Teaching Programme Regarding Prevention of
    Cervical Cancer in Terms of Knowledge and
Attitude among Women of Reproductive Age Group
       in Selected Rural Community of Delhi
                                          Ms Nidhi Dagar
                     Nursing Officer, Bhagwan Mahavir Hospital, Pitampura, New Delhi
ABSTRACT
Introduction: Cancer of cervix is a common malignancy among women especially in the lower socio
economic group. A major cause of concern to health care system in the developing countries is to
enforce surveillance programmes thereby detecting cancer cervix in later advanced stage.
Materials and methods: The research approach adopted for the study was evaluative and educative
with one group pre-test post-test design. The population comprised of women residing in
TilangPurKotla New Delhi. Convenient sampling technique was used to select a sample of 60 women
of reproductive age group. The tool consisted of structured interview schedule. The women of
reproductive age group who participated in the study were given a pre test and planned health
education given. Post test was conducted on 7th day.
Results: Percentage of women having adequate knowledge increased from 0% to 63.34% after giving
planned teaching program. Whereas 18.33% population reported inadequate Knowledge Post test and
18.33% population have moderate knowledge post test. Post test knowledge score improved 38.46%
after planned teaching program. T-ratio was statistically significant as the obtained value (32.11) is
higher than the tabulated value (2.00) required for t-ratio to be significant at .05 level of confidence.
Maximum of the participants got benefitted from the planned teaching programme on changing their
attitude towards prevention of cervical cancer. There was a significant difference between pre test and
post test knowledge and attitude regarding prevention of cervical cancer and between post test
knowledge and post test attitude regarding prevention of cervical cancer among women of
reproductive age group. Thus hypothesis 1 & 2 were accepted. Chi-square values of post test
knowledge score with demographic variables were age 11.09 which was significant whereas chi-
square values with other variables like educational qualification (4.2); occupation (1.4); income group
(3.1); marital status (0.9) and number of children (7.3) were not significant. This indicates that H3 is
partially accepted with age only. Chi-square values of post test attitude score with demographic
variables age (4.86) educational qualification (6.3); occupation (4.6); income group (1.5); marital
status (1.7) and number of children (4.4) were not significant. This indicates that H4 is rejected and
null hypothesis is accepted.
Conclusion: Planned health education programme on cancer cervix was found to be effective.
Key Words: Knowledge, attitude, correlation, association, planned teaching program
INTRODUCTION                                           lower socio economic group. Cervical
       Cancer of cervix is a common                    cancer occurs most commonly in women
malignancy among women especially in the               between the ages of 30 and 45 years. But it
            International Journal of Health Sciences & Research (www.ijhsr.org)                     196
                                 Vol.8; Issue: 8; August 2018
Nidhi Dagar. A Study to Assess the Effectiveness of Planned Teaching Programme Regarding Prevention of
Cervical Cancer in Terms of Knowledge and Attitude among Women of Reproductive Age Group in Selected
Rural Community of Delhi
can occur as early as age 18 years. Risk             inherited. Unchangeable trait, while a non-
factors vary from multiple sex partners to           genetic factor is a variable in a person’s
smoking to chronic cervical infection.               environment. Which can after be changed.
        Herald ZurHauzen was awarded                 Non genetic factors may include diet,
with noble prize for medicine in 2008 for            exercise or exposure to other substances
his effort in identifying HPV as the                 present in our surroundings. These non-
causative agent for cancer of cervix.                genetic factors are often referred to as
        Cervical cancer        is a fully            environmental factors.
preventable, curable at low cost and at low                  The most important cause of cervical
risk when screening to facilitate the timely         cancer is infection with a high risk type of
dictation of early precursor lesion in               human papilloma virus. The types HPV
asymptomatic women is available together             most commonly linked with cervical cancer
with appropriate diagnosis, treatment, and           are HPV 16 and HPV 18, but several other
follow-up.                                           high risk types contribute to cancer as well.
        Cervical cancer has a long latent            HPV infection is extremely common and
phase and can be prevented easily by early           generally occurs soon after an individual
detection by using various screening                 becomes sexually active.
procedure like Pap smear, HPV, DNA                           Cervical cancer screening program is
testing and visual inspection of cervix              acknowledged currently as the most
neither requires a second person for                 effective approach for cervical cancer
interpretation of result nor second visit by         control. Cervical cancer prevention has
the patient to collect the reports and CT            focused on screening sexually active women
allows the use of “Screen and Treat”                 using different diagnostic test and control.
methodology reported by alliance by                          Nurses have a vital role in
cervical cancer.                                     significantly reducing the incidence of
        Women Health is a unique specialty           cancer by teaching healthy life style,
of health care. Women are becoming more              attitudes as well as risk, prevention and
and more aware of their health status as a           early diagnosis. WHO has warned that India
result of modern education, electronic, print        is the next hub for cancer? 38 new cancer
media and health agencies .while women               centers will be linked to district hospital.
have made progress in most of the field but          ANM’s are being trained to identify
still she tends to inexplicably neglect her          warning signs of cancer.
own health .Though in the present age
women are aware of their problems, the               Objectives of the Study
readiness to seek help from health personnel         1. To assess the existing knowledge of
is hindered by economic constraints social              women of reproductive age group
stigma and rigid superstitious beliefs                  regarding prevention of cervical cancer.
regarding health problems.                           2. To assess the attitude regarding
        Invariably most common Health                   prevention of cervical cancer among the
problem seen among women is cervical                    women of reproductive age group.
cancer. Cervical cancer has a major impact           3. To evaluate the effectiveness of planned
on women lives worldwide. It is the second              teaching program regarding prevention
most common cancer and is the major cause               of cervical cancer on knowledge and
of mortality among Indian women. Cervical               attitude of women of reproductive age
cancer creates long term problems for                   group.
families and challenge for Health care               4. To correlate post test knowledge and
systems.                                                post test attitude regarding prevention of
        The chance of an individual                     cervical cancer among women of
developing cancer depends on both genetic               reproductive age group.
& non genetic factors. A genetic factor is an
           International Journal of Health Sciences & Research (www.ijhsr.org)                   197
                                Vol.8; Issue: 8; August 2018
Nidhi Dagar. A Study to Assess the Effectiveness of Planned Teaching Programme Regarding Prevention of
Cervical Cancer in Terms of Knowledge and Attitude among Women of Reproductive Age Group in Selected
Rural Community of Delhi
5. To associate the post test knowledge and          regarding prevention of cervical cancer
   post test attitudes of women of                   among women of reproductive age group.
   reproductive age group regarding                  H2: there is a significant co relation between
   prevention of cervical cancer with                post test knowledge and post test attitude
   selected demographic variables.                   regarding prevention of cervical cancer
                                                     among women of reproductive age group.
METHODOLOGY                                          H3: There is a significant association of
        Evaluative research approach was             post test knowledge score among women of
adopted for the study.                               reproductive age group with the selected
        Research     Design      was     pre-        demographic variables.
experimental one group pre –test, post-test          H4: There is a significant association of
design was selected for the study by                 post test attitude score among women of
including     planned     health   education         reproductive age group with the selected
programme regarding prevention of cancer             demographical variables.
cervix as an intervention. (O1 x O2)                          Extensive literature review was done
        The conceptual framework is based            on literature related to cervical cancer –
on King Imogene theory of goal attainment.           prevalence, causes, risk factors, signs and
        Research Setting was Village                 symptoms, prevention and knowledge and
TilangPurKotla New Delhi. VillDhansa,                attitude; effectiveness of planned teaching
New Delhi was selected for the pilot study.          programme.
Population:- The population comprised of             Data collection tool & technique:
women residing in TilangPurKotla New                 consisted of structured interview schedule
Delhi.                                               of six parts: Part 1: Demographic Data (07
        Sample size was 60 women of                  items); Part B: Structured knowledge
reproductive age group.                              questionnaire regarding Prevention and
Sampling technique- convenient sampling              Control Of cancer of cervix (24 items).
technique. Sampling criteria for inclusion           Reliability co-efficient of structured
included Women who are residing in the               knowledge questionnaire and of attitude
selected rural area. Women of reproductive           scale was calculated by using Split half
age group who were willing to participate in         Spearman’s – Brown formula. The
the study. Women who can understand and              reliability of knowledge questionnaire was
speak Hindi                                          found to be 0.85; attitude scale was 0.73 and
                                                     were found to be reliable.
Variables under study were                                    The data collected was tabulated in a
Dependant variables: Are knowledge and               master sheet. Descriptive and inferential
attitude of women of reproductive age group          statistics was used for analysis and
regarding prevention of cervical cancer as           interpretation.
evident     from     structured     knowledge                 The health education programme
questionnaire and attitude scale.                    was developed under the following
Independent variables: planned teaching              headings:
program regarding prevention of cervical             Section-A (Introduction of Cancer of
cancer among women of reproductive age               Cervix)
group.                                               Section-B (Pathology of Cancer of Cervix)
Extraneous        variables:      age,    sex,       Section-C (sign and symptom, and diagnosis
occupation, religion, income, age of                 of cancer of cervix)
marriage, age of menarche, no. of children if        Section-D (Prevention and Management of
married                                              Cancer of Cervix)
Research hypothesis:                                          The pilot study was conducted on 10
H1: there is a significant difference between        women of reproductive age group between
pre test and post test knowledge and attitude        20/10/14 – 27/10/14. Findings of the pilot
           International Journal of Health Sciences & Research (www.ijhsr.org)                   198
                                Vol.8; Issue: 8; August 2018
Nidhi Dagar. A Study to Assess the Effectiveness of Planned Teaching Programme Regarding Prevention of
Cervical Cancer in Terms of Knowledge and Attitude among Women of Reproductive Age Group in Selected
Rural Community of Delhi
study revealed there was significant
improvement in the post test knowledge and
attitude of the women of reproductive age
group regarding prevention of cervical
cancer with signifies the feasibility to
conduct the main study. No problem was
faced during the pilot study.
        Data collected from 01 Nov 2014 to
08 Nov 2014.
Demographic data -                                           Fig 2: Percentage distribution of women of reproductive age
Age: The findings revealed 60.0%(36)                         group according to education qualification
Women of reproductive age group was in
the age group of 20-30 years, 33.33%(20)
Women of reproductive age group was
found in the age group of 31-40 years, and
6.67%(4) was found in the age group of
between 41 - 45 years.
Qualification: The findings revealed that
20% (12) Women of reproductive age group
are Illiterate, 56.66% (34) Women of
reproductive age group are studied Upto 12                   Fig 3: Percentage distribution of women of reproductive age
and 11.67% (7) Graduate and 11.66% (7)                       group according to occupation.
Women of reproductive age group are
>graduate.                                                   Religion: The study findings revealed that
Occupation: It was found that 5.00% (3)                      100% (60) women who participated in this
Women of reproductive age group in Private                   study are Hindu.
sector, 11.67% (7) Women of reproductive
age group are working in Government
sector, and 83.337% (50) Women of
reproductive age group are Housewife and
no respondent is found employed in any
other field.
                                                             Fig 4: Percentage distribution of women of reproductive age
                                                             group according to religion
                                                             Income: it was revealed that 71.66% (43)
                                                             women of reproductive age group belong to
                                                             the salary group <5000, 18.33% (11)
                                                             Women of reproductive age group belongs
Fig:1 Percentage distribution of women of reproductive age   to the salary group 5001- 10000, and
group according to age
                                                             10.00% (6) Women of reproductive age
                                                             group belongs to the salary group 10001-
                                                             20000 and no respondent is found in salary
                                                             group >20001). The maximum participant in
                                                             the research study were from the salary
                                                             group <5000.
             International Journal of Health Sciences & Research (www.ijhsr.org)                                  199
                                  Vol.8; Issue: 8; August 2018
Nidhi Dagar. A Study to Assess the Effectiveness of Planned Teaching Programme Regarding Prevention of
Cervical Cancer in Terms of Knowledge and Attitude among Women of Reproductive Age Group in Selected
Rural Community of Delhi
                                                                  Age at Menarche: The study findings
                                                                  revealed that 8.3%(5) Women of
                                                                  reproductive age group reported age of
                                                                  menarche <12 Age , 43.3%(26) Women of
                                                                  reproductive age group reported age of
                                                                  menarche 12-14 age, and 48.34% (29)
                                                                  Women of reproductive age group reported
                                                                  age of menarche 15-18 age and no
                                                                  respondent reported age of menarche more
Fig 5: Percentage distribution of women of reproductive age       than 18 years.
group according to income.
                                                                          The data presented in Table 1 shows
Marital Status: the findings revealed that                        that the Percentage of women having
93.33 % (56) Women of reproductive age                            adequate knowledge increased from 0% to
group are Married, 6.6% (4) Women of                              63.34% after giving planned teaching
reproductive age group are Widow.                                 program. Whereas 18.33% population
                                                                  reported inadequate Knowledge Post test
                                                                  and 18.33% population have moderate
                                                                  knowledge post test.
                                                                          Table 2 showed increase in the mean
                                                                  score in all aspects of knowledge along with
                                                                  decrease in standard deviation. That means
                                                                  plan teaching program is an effective tool to
                                                                  increase knowledge of the women regarding
                                                                  prevention of cervical cancer.
Fig 6: Percentage distribution of the women of reproductive
age group according tomarital status.                                     Table 3 shows Effectiveness of
                                                                  planned teaching program among Women
No. of Children: It was found that 45.00%                         of reproductive age group in improving
(27) Women of reproductive age group have                         Knowledge scores regarding prevention of
one child, 51.67% (31) Women of                                   cervical cancer. Post test knowledge score
reproductive age group have two children,                         improved 38.46% after planned teaching
and 3.337% (2) Women of reproductive age                          program. T-ratio was statistically significant
group have three children and no respondent                       as the obtained value (32.11) is higher than
has more than four children.                                      the tabulated value (2.00) required for t-
                                                                  ratio to be significant at .05 level of
                                                                  confidence.
                                                                          From Table 4, it was evident that
                                                                  shows pre test and post test comparison of
                                                                  attitude scores of women of reproductive
                                                                  age group. Maximum of the participants got
                                                                  benefitted from the planned teaching
                                                                  programme on changing their attitude
                                                                  towards prevention of cervical cancer.
Fig 8: Percentage distributions of the women of reproductive
age group according to age of menarche.
                             Table 1: Comparison of pre test and post test level of knowledge N = 60
                                             Pre Test                                      Post Test
     Level of Knowledge                      Frequency             Percentage (%)          Frequency   Percentage (%)
     Inadequate                              60                    100                     11          18.33
     Moderate                                0                     0                       11          18.33
     Adequate                                0                     0                       38          63.34
     Overall                                 60                    100                     60          100
              International Journal of Health Sciences & Research (www.ijhsr.org)                                       200
                                   Vol.8; Issue: 8; August 2018
Nidhi Dagar. A Study to Assess the Effectiveness of Planned Teaching Programme Regarding Prevention of
Cervical Cancer in Terms of Knowledge and Attitude among Women of Reproductive Age Group in Selected
Rural Community of Delhi
     Table 2: Comparison of pre test and post range, mean, standard deviation of various aspects of knowledge score N = 60
     Aspects of Knowledge                                          Max   Respondent knowledge Respondent knowledge
                                                                   score (Pre test)                  (Post test)
                                                                         Mean          SD            Mean         SD
     General Information regarding cervical cancer                 7     3.8           1.49          6.4          0.71
     Predisposing factors and sign and symptoms of cervical cancer 8     3.52          1.265         7.43         0.69
     Prevention and management of cervical cancer                  9     3.58          1.23          8.42         0.94
  Table 3: Effectiveness of prevention of cervical cancer by comparing pre and post mean % and S.D. scores of knowledge score.
                                                               N = 60
                             Pre test (X)              Post(Y)        Effectiveness (Y-X) Observed
                             Mean               S.D    Mean S.D       Mean        S.D      T – value
                             10.90              2.21 22.13      1.58 11.21        0.63     32.1
              Table 4: Comparison of pre test and post test attitude score of women of reproductive age group N = 60
                          Level of Pre test                                Post test
                          Attitude      Frequency Percentage (%) Frequency Percentage (%)
                          Inadequate 0                 0                   14           23.3
                          Moderate      60             100%                19           31.6
                          Adequate      0              0                   27           45
                          Overall       60             100                 60           100
                                                                    significant as the obtained value (26.76) is
Table 5: Effectiveness of planned teaching program regarding        higher than the tabulated value (2.00)
prevention of cervical cancer by comparing pre test and post
test scores attitude scale. N = 60                                  required for t-value to be significant at .05
  Attitude      Max       Pre test     Post test      “t”           level of confidence.
               Score      Mean SD Mean SD             value
  Attitude 80             51.6     4.1 71.7      4.03 26.7 *
  score.
Significant
                                                                            The data presented in Table 6,
Table 6: Correlation co-efficient between post test knowledge       depicts the Correlation Co-efficient between
and post- test attitude scores of women of reproductive age         Post-Test knowledge and Post- Test attitude
group N = 60
 Variable                                 Mean      SD „r‟          scores of woman of reproductive age group.
 Post-test knowledge scores               22.1      1.5
                                                          .4
                                                                    r was 0.4 which indicated a significant
 Post-test attitude scores                71.5      3.9
                 * Significant positive correlation
                                                                    positive relationship between knowledge
                                                                    and attitude of woman of reproductive age
Table 7: Chi Square Values Showing Association between              group regarding prevention of cervical
Post-test knowledge and attitude Scores with Selected
Demographic Variables (N=60)
                                                                    cancer. This showed that the planned
 S.      Selected Factors             Chi square value              teaching program was effective in
 No.                                                                enhancing the knowledge as well as
                                      Knowledge Attitude
 1       Age                          11.09*          4.86          developing highly favorable attitude
 2       Educational qualification 4.2                6.30          towards prevention of cervical cancer
 3       Occupation                   1.4             4.6
 4       Income group                 3.1             1.5           among women of reproductive age group.
 5       Marital status               0.9             1.7           Research hypothesis H2 was accepted.
 6       No. of children              7.3             4.4
            Significant at 0.05 level of significance
                                                                    Hence it can be concluded that planned
                                                                    teaching     program     for   women      of
        Data presented in Table 5, indicates                        reproductive age group regarding prevention
Mean & S.D of Pre Vs Post test Attitude                             of cervical cancer is a tool in increasing
scores of Women of reproductive age group                           knowledge and attitude.
regarding prevention of cervical cancer at                                  The data presented in Table 7,
selected Rural Community in Delhi.., i.e.                           showed the chi square values obtained to
Pre group are 51.65±4.18, Post are                                  find the association between post-test
71.75±4.03. As per the table the mean                               knowledge and attitude of the women of
difference of pre Vs post attitude score is                         reproductive age group with selected
19.9. There is 24.9% more effective attitude                        demographic variables. Chi-square values of
scoring after administering planned teaching                        post test knowledge score with demographic
program. And the t-value was statistically                          variables were age 11.09 which was
              International Journal of Health Sciences & Research (www.ijhsr.org)                                            201
                                   Vol.8; Issue: 8; August 2018
Nidhi Dagar. A Study to Assess the Effectiveness of Planned Teaching Programme Regarding Prevention of
Cervical Cancer in Terms of Knowledge and Attitude among Women of Reproductive Age Group in Selected
Rural Community of Delhi
significant whereas chi-square values with                   Beining, Robin Marie conducted a
other variables like educational qualification       study to explore the role of awareness and
(4.2); occupation (1.4); income group (3.1);         knowledge of cervical cancer as a barrier to
marital status (0.9) and number of children          screening participation among urban women
(7.3) were not significant. This indicates           in Tamil Nadu; and further to identify the
that H3 is partially accepted with age only.         potential impact of increased cervical cancer
        Chi-square values of post test               awareness and knowledge on screening
attitude score with demographic variables            attitude. Quantitative and qualitative
were age (4.86) educational qualification            methods were used to characterize existing
(6.3); occupation (4.6); income group (1.5);         levels of awareness and knowledge of
marital status (1.7) and numbers of children         cervical cancer and screening among 207
(4.4) were not significant. This indicates           women from the metropolitan area of
that H4 is rejected and null hypothesis is           Chennai. The results suggest that the
accepted.                                            majority of women (69.6%) were not aware
                                                     of cervical cancer and very few (16.4%)
DISCUSSION                                           were aware of screening. Demographically,
        IJ Korfage, et al conducted a study          women with secondary levels of education
to assess the health-related quality of life         or higher were significantly more likely to
(HRQoL) impact of cervical cancer                    have heard of cervical cancer and screening.
screening in women with normal test results          Of the women that were aware of cervical
in Maastricht, the Netherlands. A cohort of          cancer screening, most reported receiving
789 women was followed from screening                information through television (33%) or a
invitation until after the receipt of screening      healthcare provider (28.6%). (2)
results. A female age matched reference                      M Urasaand E Darj conducted a
group (n = 567) were included.                       study to determine nurses' awareness of
Questionnaires were sent to the home                 cervical cancer and their own screening
address of the women before screening,               practices at a hospital in Tanzania. A
after screening, and again with the screening        descriptive cross sectional study using
results. The results revealed that a total of        questionnaires on 137 nurses. The study
60% of screening participants completed              findings revealed that less than half of the
questionnaire 1(n = 924): 803 of these               nurses had adequate knowledge regarding
women granted permission to access their             cervical cancer. There was a significant
files; 789 of these 803 women had normal             association between knowledge levels of
test results (Pap 1), and were included in the       causes of cervical cancer and transmission
analyses. Generic HRQoL (SF-12, EQ-5D)               of HPV and age. Knowledge was more
and anxiety (STAI-6) scores were similar in          adequate among the young nurses (p =
the study and reference groups. Before               0.027) and knowledge differed significantly
screening, after screening, and also after the       between cadres. Registered nurses had more
receipt of test results, screening participants      adequate knowledge than enrolled nurses.
reported less screen-specific anxiety (PCQ,          The majority did not know screening
P < 0.001) than the reference group (n =             intervals and a few were aware of HPV
567), with differences indicating clinical           vaccine. Most nurses (84.6%) had never had
relevance. 19% of screening participants             a Pap smear examination. This reflected a
were bothered by feelings of shame, pain,            need for continuing medical education,
inconvenience, or nervousness during smear           creation of cervical cancer prevention
taking, and 8 and 5% of women experienced            policies and strategies at all levels of the
lower abdominal pain, vaginal bleeding,              health sector. (3)
discharge, or urinary problems for 2–3 and                   Balogun MR, et al conducted a study
4–7 days, respectively, following the Pap            on the awareness of cervical cancer, attitude
smear. (1)                                           towards the disease and screening practice
           International Journal of Health Sciences & Research (www.ijhsr.org)                   202
                                Vol.8; Issue: 8; August 2018
Nidhi Dagar. A Study to Assess the Effectiveness of Planned Teaching Programme Regarding Prevention of
Cervical Cancer in Terms of Knowledge and Attitude among Women of Reproductive Age Group in Selected
Rural Community of Delhi
of women residing in two urban slums of              non-housewives,       women      of    single/
Lagos, Nigeria. Multistage sampling was              separated/ divorced/widowed status, and
used to select 240 women who were                    women with no children should be the first
interviewed with a structured questionnaire.         priorities for getting Pap tests. Strategies
The results revealed that only 10 (4.2%)             included promoting the use of mobile units
women in this study were aware of cervical           for cervical cancer screening, and
cancer and none of them believed they were           strengthening and promoting educational
at risk of developing the disease. Most              programmes. (5)
(73.3%) were willing to undergo a cervical                    Langley and Mary conducted an
cancer screening test. Age, education and            exploratory, descriptive survey at a
previous history of vaginal examination              Radiation Oncology Outpatient Department
were positively associated with willingness          of a large academic hospital in Gauteng.
to undergo screening (p <0.05). The                  With an aim to explore and describe the
respondents had a high prevalence of major           action patients had taken when they noticed
risk factors for cervical cancer such as early       symptoms, which they consulted, how many
age at sexual debut, multiple sexual partners        health care providers they saw before the
and male partner with other female partners.         diagnosis, their awareness of the Pap smear,
The authors concluded that efforts need to           the stage of the disease they presented with
be intensified to increase awareness of this         and to identify their predisposing factors.
condition and to promote low-cost cervical           Data was obtained using a questionnaire on
cancer screening among this underserved              a systemic random sample. The findings
population. (4)                                      showed most of the participants were
        Sawitree Visanuyothin, et al                 diagnosed at advanced stages of cervical
conducted a cross-sectional study to                 cancer, 54% (n=65) at stage 2b and 22%
examine the factors associated with cervical         (n=26) at stage 3b of cervical cancer Most
cancer screening adherence. Stratified               went to a clinical facility when they noticed
sampling with the proportional to size               symptoms: 45% (n=55) to a hospital and
method was used to select registered women           42% (n=52) to a clinic. Almost half of the
aged 30–60 years. 96.2% of self-                     respondents: 49% (n=57), did not know
administered questionnaires were returned.           what caused the symptoms, a similar
Approximately 65.4% of the women were                number (n=57) took some time to consult a
considered to be adherent to cervical cancer         clinician after noticing symptoms and 53
screening (i.e., maintainers) as defined by at       (n=60) knew what a Pap-smear was but had
least one screening within the recommended           only had it done when they became ill. The
5-year screening interval and the                    study revealed that women’s general
expectation of attending a screening in the          knowledge of cancer of the cervix is very
future. Chi-square tests revealed that               poor. It was apparent that the health care
occupation, marital status, number of                facilities are effective in performing Pap
children, sexual activity, health insurance          smears as the majority of the participants
scheme, history of oral contraceptive pill           saw only two health care providers before
use, perceived barriers, perceived benefits,         the diagnosis was made. (6)
and knowledge about cervical cancer
prevention were significantly associated             CONCLUSION
with cervical cancer screening adherence.                    Knowledge deficit and unfavorable
After adjusting for occupation, marital              attitude existed regarding prevention of
status, number of children, and health               cervical cancer among women of
insurance in the model, perceived barriers           reproductive age group.
and knowledge remained significant                           The planned teaching program was
predictors of cervical cancer screening              found to be effective in increasing the
adherence. The findings suggested that the           knowledge and developing favorable
           International Journal of Health Sciences & Research (www.ijhsr.org)                   203
                                Vol.8; Issue: 8; August 2018
Nidhi Dagar. A Study to Assess the Effectiveness of Planned Teaching Programme Regarding Prevention of
Cervical Cancer in Terms of Knowledge and Attitude among Women of Reproductive Age Group in Selected
Rural Community of Delhi
attitude of the women of reproductive age            2. Beining, Robin Marie. "Screening for
group.                                                  cervical cancer: an exploratory study of
        There was an increase in knowledge              urban women in Tamil Nadu, India." PhD
scores of women of reproductive age group               (Doctor of Philosophy) thesis, University of
                                                        Iowa, 2012. http://ir.uiowa.edu/etd/2820.
regarding prevention of cervical cancer
                                                     3. M Urasaand E DarjKnowledge of cervical
among women of reproductive age group                   cancer and screening practices of nurses at a
after administration of planned teaching                regional hospital in Tanzania. Afr Health
program.                                                Sci. 2011 Mar; 11(1): 48–57.
        There was development of desirable           4. Balogun MR, Odukoya OO, Oyediran MA
favorable attitude of women of reproductive             and Ujomu PI. Cervical Cancer Awareness
age group regarding prevention of cervical              and Preventive Practices: A Challenge for
cancer among women of reproductive age                  Female Urban Slum Dwellers in Lagos,
group after administration of planned                   Nigeria. African Journal of Reproductive
teaching program.                                       Health March 2012; 16(1): 75.
        The planned health education                 5. Sawitree         Visanuyothin,       Jiraporn
programme was found to be effective in                  Chompikul,        Aroonsri      Mongkolchati.
                                                        Determinants of cervical cancer screening
increasing the knowledge and developing
                                                        adherence in urban areas of Nakhon
favorable attitude of the women of                      Ratchasima Province, Thailand. Journal of
reproductive age group regarding cancer                 Infection and Public Health. November–
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