Effectiveness of a Stigma Reduction Education Program on Stigma Score and Cervical Cancer Screening Uptake in Nepal
It is a cluster randomised control trial to assess the effectiveness of the stigma reduction education program cancer on cancer stigma score and cervical cancer screening uptake in Nepal
|Condition or Disease||Intervention/Treatment||Phase|
Despite the presence of ample evidence, that stigma is one of the major reasons for low screening coverage, Nepal does not have a single stigma reduction intervention targeted among women to increase cervical cancer screening coverage. Therefore, we aim to assess the effectiveness of a stigma reduction education program on stigma score and cervical cancer screening uptake in Nepal. We will conduct a two-arm open-label cluster-interventional study in Budanilkhantha Municipality. A computer-based program will randomly allocate the 12 wards of Budanilkhantha Municipality with an allocation ratio 1:1; 6 wards in intervention group and 6 wards in control group. We will conduct a "stigma reduction education program" in the intervention group. After that we will follow up the participants for2 months to see the effectiveness of a stigma reduction education program on stigma score and cervical cancer screening uptake in Nepal. We will analyze data using STATA 14. We will use independent tests to find the mean difference between cervical cancer screening uptake and cervical cancer stigma score. The difference in mean among the two groups will actually be the difference due to intervention given. Findings from this study will help managers and stakeholders to formulate and improve strategies on screening programs and develop programs to reduce stigma on cervical cancer among women in Nepal.
Arms and Interventions
|Experimental: Intervention Arm
Randomization will allocate women to intervention or usual care in a 1:1 ratio which is 6 wards In each group. There should be 153 women in the intervention group who will receive "Stigma Reduction Intervention package".
Behavioral: "Stigma Reduction Education Program"
Change in knowledge: 20 minutes presentation slide cervical cancer, its burden, signs and symptoms, preventive measures ;lifestyle modifications, HPV vaccination, early diagnosis, screening and treatment services available in Nepal. 2. Change in Stigma Video on cervical cancer: Video of a person facing cervical cancer what symptoms she got, how she dealt with it and how she overcame it, highlights on importance of screening if any unusual symptoms are found and not to be embarrassed to seek help. Participatory learning techniques Personal stories and group discussion on drivers of stigma, facilitators of sigma, types of stigma prevalent in your community, consequences of stigma and present it by themselves. Myths vs facts Flash card will be used to show myths which includes negative attitudes, myths and misconceptions which will be contraindicated by the factual information on cervical cancer
|No Intervention: Control Arm
The control arm will consist of 153 women who would not be given any intervention.
Primary Outcome Measures
- Mean stigma score [Measured at baseline and endline (after 2 months gap from baseline)]
Change in mean stigma score using Cancer Stigma Scale at baseline and follow up
Secondary Outcome Measures
- Cervical cancer screening uptake [Measured within a month after endline]
Number of women attending cervical cancer screening program in intervention and control groups
Women aged 30-60 years (the age range recommended for VIA screening in Nepal
Residents of Budanilkantha Municipality
Women who have already undergone screening within 5 years.
Women with hearing or mental disorders
Less than 6 weeks postpartum
Mothers who had lived in the community for less than 6 months to perform seasonal work (e.g. in brick kilns) or visitors in the family.
Women who are already diagnosed with cervical pre-cancer and cancer and have undergone hysterectomy.
Contacts and Locations
Sponsors and Collaborators
- Kathmandu University School of Medical Sciences
Study Documents (Full-Text)None provided.