Preliminary Assessment Of Primary Healthcare Facility Readiness And Community Health Officers KABP On Cervical Cancer Screening In Khargone, Madhya Pradesh

Abstract

Cervical cancer remains a pressing public health concern in India, particularly in rural regions where awareness and access to screening services are limited. This study evaluates the readiness of primary health facilities and examines the Knowledge, Attitudes, Beliefs, and Practices (KABP) of Community Health Officers (CHOs) related to cervical cancer screening among women in Khargone district, Madhya Pradesh. A mixed-methods pilot study was conducted, involving 30 CHOs and an assessment of selected primary healthcare centers. Results revealed a modest improvement in facility preparedness, with 55% of centers now equipped for cervical cancer screening—an increase from 40% reported in previous studies. However, resource distribution remains uneven. The KABP findings indicate that CHOs possess a moderate level of knowledge, though misconceptions and reluctance to engage in proactive screening initiatives persist. While there has been some improvement in awareness and community engagement compared to prior assessments, significant challenges remain, including inadequate training and socio-cultural barriers. The study recommends targeted interventions such as capacity-building workshops, improved supply chain mechanisms, and culturally sensitive public awareness campaigns. These findings underscore the importance of scalable, systemic strategies to enhance cervical cancer prevention and ensure equitable healthcare access for women in remote settings.