Via study on knowledge and practice of 430 HWs regarding gynecological examination and screening of cervical cancer at provincial, district, communal HFs in 5 provinces, the authors found that: About knowledge: 36.3 percent HWs at all levels gave correct answers of the concept of cervical cancer screening, 36 percent of those knew correctly about the priority age of cervical cancer screening for women and' 33 percent of those answered correctly on the time for periodic examination for women. 30.7 percent of HWs atalf three levels did not name any technique among the four techniques of cervical cancer screening. VIA is a simple technique and it may be performed at all levels but up to 60 percent of HWs at the communal level and 31.3 percent of those at the district level did not know about it. 61.4 percent of HWs did not know how to interprete the VIA result. The mean score of HWs on cervical cancer screening procedure were 45.1/100 points at the provincial level, 18.6/100 points at the district level and 13.2/100 points at the communal level. About case management after screening, 55.3 percent of HWs did not know how to manage, and provincial level accounted for 29.3 percent. About practice: only 28.6 percent of HWs at all levels have ever performed cervical cancer, screening, in which the VIA and Pap smear techniques had ever been conducted by HWs with the highest percentage (25.3 percent and 21.4 percent, respectively). 71.4 percent of HWs at all levels have never implemented the services of cervical cancer screening for clients because they had not been trained on these services (81.4 percent). Contents of counseling on cervical cancer screening for clients was limited (ranging from 14.7 percent-26.3 percent).
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