Abstract:

Background: Cervical cancer is the most common malignancy among women worldwide. It is estimated that about 500,000 women are diagnosed each year with cancer of the cervix worldwide of which 80% are in developing countries. In developed countries the incidence decreases due to increased awareness of disease in female population where there is constant screening of women with the Pap smear. In Tanzania cervical cancer is the most frequent cancer among women. According to WHO, Tanzania is ranked number 5 with an overall incidence rate of 42.7 per 100,000 per year. Prevention of cervical cancer is through early detection by screening. To determine knowledge, perception and practice on cervical cancer screening among female students at St Augustine university (SAUT).

Methodology: This was a cross-sectional study which included 200 female students studying different courses at St Augustine university (SAUT) willing to participate. Data was collected by using Questionnaire and Data entry was done in excel and analysed using SPSS.

Results: The research assessed knowledge, perception, and practice of cervical cancer screening among female students at St. Augustine University. Out of the 200 participants, only 9.5% knew the recommended screening frequency and understood that Pap smear screening detects early cervical lesions. Approximately 39.5% knew who is eligible for screening. However, only 18.5% believed in the helpfulness of early detection through screening, and 32.5% recognized that screening helps prevent cervical cancer. Shockingly, merely 1.5% of the respondents had ever undergone cervical cancer screening, with the majority citing lack of information (65%) and a belief in their good health (24%) as reasons for not screening.

Conclusion: The research concluded that there is a concerning lack of awareness and knowledge about cervical cancer screening among female students at St. Augustine University. The participants exhibited limited understanding of screening frequency, eligibility criteria, and the purpose of Pap smear testing. The exceptionally low screening rate of only 1.5% highlights the urgent need for targeted educational interventions and improved accessibility to screening services on campus.

Implication: This study will assess knowledge and perception towards cervical cancer screening among female secondary students in Mwanza. This will help to design project to educate young girls and women about cervical cancer in general, also will help in making or improving programs on cervical cancer screening and education to females.