Bachelorarbeit, 2026
35 Seiten, Note: Merit
1. Chapter 1 Introduction
1.1 Chapter Introduction
1.2 Background of the Study
1.3 Problem Statement
1.4 Objectives of the Study
Main Objective
Specific Objectives
1.5 Research Questions/ Hypotheses
1.6 Significance of the Study
1.7 Scope of the Study
1.8 Limitations of the Study
1.9 Chapter Summary
2. Chapter 2 Literature Review
2.1 Chapter Introduction
2.2 Literature Review
2.3 Theoretical Framework (Minimum of 1 theory or model)
2.4 Conceptual Framework
2.5 Chapter Summary
3. Chapter 3 Methodology
3.1 Chapter Introduction
3.2 Research Approach
3.3 Research Design
3.4 Study Area
3.5 Sampling Design
3.5.1 Study Population
3.5.2 Sampling Technique(s)
3.5.3 Sample Size
3.6 Data Collection Method/ Instrument
3.7 Data Analysis Technique
3.8 Validity and Reliability
3.9 Ethical Consideration
3.10 Chapter Summary
4. Chapter 4: Results
5. Chapter 5: Discussion
6. Chapter 6: Conclusions and Recommendations
6.1 Conclusions
6.2 Recommendations
This study aims to investigate the knowledge and attitudes of HIV-positive women regarding cervical cancer screening services at Lighthouse-Kamuzu Central Hospital in Lilongwe, Malawi, to identify barriers to voluntary uptake. Despite the availability of services, many women remain hesitant, and the research seeks to address this gap to improve health outcomes and program sustainability.
1.2 Background of the Study
Cervical cancer is the abnormal growth of cells that starts in the cervix. The cervix is the lower part of the uterus that connects to the vagina (Butler K. , 2023). Cervical cancer remains one of the life-threatening diseases in HIV positive women. This is because HIV positive women are six times more likely to get cervical cancer than HIV negative women due to the immune suppression by the HIV hence a need for yearly screening for early detection and treatment. In fact, HIV is responsible for around 5% of all cervical cancer cases worldwide (Sreenivas, 2022).
Although cervical cancer is one of the most preventable and treatable malignant diseases, it is the fourth most commonly detected cancer in women worldwide, with more than half a million new cases and 311 365 deaths in 2018 (Stelzle, et al., 2020). On average, one woman dies from cervical cancer every two minutes (UNAIDS, n.d).
According to World Health Organisation, eighty-five percent of women with cervical cancer and HIV live in sub-Saharan Africa, underscoring the major contribution of HIV to the cervical cancer burden in the region (WHO, 2020). This means that the sub-Saharan Africa cervical cancer cases in HIV positive women exceeds the world’s average estimation of cervical cancer burden. This high prevalence of cervical cancer can directly be attributed to the high prevalence rate of HIV in adolescent girls and women in the region as per (Kaveri, 2023), in 2022 alone, women and girls accounted for 63% of all new HIV infections in sub-Saharan Africa.
Chapter 1 Introduction: Outlines the background of the study, the problem statement regarding hesitancy in cervical cancer screening, and the research objectives.
Chapter 2 Literature Review: Examines existing studies on factors influencing cervical cancer screening uptake and provides a theoretical foundation using the Health Belief Model.
Chapter 3 Methodology: Details the mixed-methods research approach, descriptive and exploratory design, and the use of simple random sampling at the Lighthouse ART Clinic.
Chapter 4: Results: Presents data collected from 99 participants, focusing on screening coverage, voluntary participation, and identified patient perceptions.
Chapter 5: Discussion: Interprets the findings by comparing current screening coverage with the reported hesitancy and negative perceptions among respondents.
Chapter 6: Conclusions and Recommendations: Summarizes the key findings and provides strategic suggestions to improve future screening uptake and communication.
HIV, Cervical Cancer, Screening, Health Belief Model, Women Living with HIV, Lighthouse Trust, Lilongwe, Public Health, Healthcare Access, Voluntary Screening, Patient Perceptions, Early Detection, Reproductive Health, Malawi, Barrier Analysis
The research focuses on investigating the knowledge and attitudes of HIV-positive women towards cervical cancer screening services at the Lighthouse-Kamuzu Central Hospital in Lilongwe, Malawi.
The study covers cervical cancer risk in HIV-positive populations, barriers to screening, the role of health education, and the influence of patient perceptions on service uptake.
The goal is to understand why there is hesitancy among HIV-positive women to undergo screening despite service availability, in order to recommend interventions for better health outcomes.
A mixed-methods approach was used, utilizing both quantitative and qualitative data collected via questionnaires and interviews with 99 participants.
It includes a detailed literature review, a methodological framework, an analysis of field results, and a discussion on how perceptions affect screening behavior.
Key terms include HIV, cervical cancer, screening, Health Belief Model, patient perceptions, and public health.
The model provides a psychological framework to explain why individuals engage or fail to engage in health-promoting behaviors, such as cervical cancer screening.
The study found that the perception of the screening process being "painful" was ranked the highest (59%) among the negative experiences mentioned by respondents.
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