Although cervical cancer is a preventable disease, screening coverage in Ethiopia is far below the target. There is limited evidence on uptake among the general population in Ethiopia. Thus, this study was conducted to assess uptake and associated factors with the cervical cancer screening “see and treat approach” among eligible women in public health facilities in Gondar town, Northwest Ethiopia. A facility-based, cross-sectional study was conducted. The total sample size was 493. A consecutive sampling method was applied. Participants were informed about and invited to cervical cancer screening using visual inspection with acetic acid. Crude and adjusted odds ratios were calculated to determine statistical association with socio-demographic variables. Multivariable logistic regression was used to determine factors of cervical cancer screening uptake. Out of 464 women advised for screening, 76 (16.4, 95% CI [13, 19.8%]) attended the screening. Primary education and above (AOR = 5.3, 95% CI [2.20, 13.0]), knowledge about the disease (AOR = 8.4, 95% CI [3.33, 21.21]), perceived susceptibility (AOR = 6.5, 95% CI [2.72, 15.51]), fewer perceived barriers (AOR = 6.4, 95% CI [2.30, 17.80]), cues to action (AOR = 4.6, 95% CI [1.86, 11.32]), perceived self-efficacy (AOR = 5, 95% CI [2.14, 11.73]), and previous recommendation for screening (AOR = 2.7, 95% CI [1.15, 6.51]) were significantly associated with screening uptake. The actual uptake of screening offered in this study was high relative to only 3% national screening coverage. There is a need to implement active invitation for screening with special focus on less-educated women. Repeated invitation may facilitate future screening uptake.

中文翻译：

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宫颈癌筛查“即诊即治”：埃塞俄比亚西北部贡德尔卫生机构受邀后的实际使用情况及相关因素

尽管宫颈癌是一种可预防的疾病，但埃塞俄比亚的筛查覆盖率远低于目标。在埃塞俄比亚普通人群中的吸收证据有限。因此，本研究旨在评估埃塞俄比亚西北部贡德尔镇公共卫生设施中符合条件的妇女对宫颈癌筛查“即诊即治”的接受程度和相关因素。进行了一项基于设施的横断面研究。总样本量为 493。采用连续抽样方法。参与者被告知并被邀请使用醋酸肉眼检查进行宫颈癌筛查。计算粗略和调整后的优势比以确定与社会人口变量的统计关联。多变量逻辑回归用于确定宫颈癌筛查的影响因素。在建议筛查的 464 名女性中，76 人（16.4，95% CI [13, 19.8%]）参加了筛查。初等教育及以上 (AOR = 5.3, 95% CI [2.20, 13.0])，疾病知识 (AOR = 8.4, 95% CI [3.33, 21.21])，感知易感性 (AOR = 6.5, 95% CI [2.72] , 15.51])、更少的感知障碍 (AOR = 6.4, 95% CI [2.30, 17.80])、行动提示 (AOR = 4.6, 95% CI [1.86, 11.32])、感知自我效能感 (AOR = 5, 95% CI [2.14, 11.73]) 和先前的筛查建议 (AOR = 2.7, 95% CI [1.15, 6.51]) 与筛查采用率显着相关。与仅 3% 的全国筛查覆盖率相比，本研究中提供的筛查实际采用率较高。需要实施积极的筛查邀请，特别关注受教育程度较低的女性。重复邀请可能会促进未来的筛查。