Challenges And Perceptions Around Cervical Cancer Screening: A Study Among Chos And Hwcs In Khargone District, Madhya Pradesh

Abstract

Background: Cervical cancer remains a significant public health challenge in India, especially in rural areas where access to timely screening and awareness is limited. Early detection through screening at the primary health care level is crucial to reducing the disease burden.
Aim: This study aimed to assess the readiness of primary health care facilities and explore the Knowledge, Attitudes, Beliefs, and Practices (KABP) of Community Health Officers (CHOs) regarding cervical cancer screening in Khargone district, Madhya Pradesh.
Method: A mixed-methods pilot study was conducted involving 30 CHOs and a facility-based assessment of selected Health and Wellness Centres (HWCs). Additionally, data from 169 health facilities were analyzed to identify systemic gaps in infrastructure and workforce capacity related to cervical cancer screening.
Results: The study found a moderate improvement in screening preparedness, with 55% of HWCs equipped to provide cervical cancer screening, up from 40% in earlier assessments. However, infrastructural inconsistencies and resource shortages persisted. The KABP findings revealed that CHOs had average knowledge levels but some misconceptions and hesitance towards proactive screening. Socio-cultural barriers, limited hands-on training, and low community awareness were identified as significant challenges hindering effective implementation.
Conclusion: While progress has been made in enhancing facility readiness and CHO knowledge, substantial gaps remain in infrastructure, continuous training, and community engagement. Addressing these challenges through comprehensive primary health care strategies is essential to improve cervical cancer screening uptake and reduce the disease burden in rural India .