الفهرس 
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Abstract
The general objective of the present study was raising awareness about cervical cancer screening among health care workers . this was achieved through assess cervical cancer screening knowledge and attitude among health care workers of both sexes about etiology, prevention, prevalence , risk factors and screening methods of cancer cervix , also assess the effect of interventional educational program about cancer cervix.
The study was conducted on 333 health care workers from 34 family health facilities of Al Mahalla Al-Kubra city. questionnaire was provided and participants were asked to fill it individually. Scoring of overall knowledge was calculated based on the number of questions answered correctly:
- Good knowledge if total score ≥ 75 % of answers were true.
- Average knowledge if total score 50% : 74 % of answers were true.
- poor knowledge if total score <50% of answers were true.
While grading of attitude parameters based on true answers of attitude questions and was grading as :
- Positive attitude if total score ≥ 50 % .
- Negative attitude if total score < 50 % .
The present study showed that health care worker’s knowledge and attitude were Average. After three months evaluation of the health educational program was done with the same questionnaire.
In this study, approximately half of the participants (48.9%) have poor knowledge about screening of cervical cancer . while only 30.9% had average knowledge and 67 (20.1%) had good knowledge of cervical cancer screening. These findings demonstrated low level of awareness of cervical cancer screening among health care workers in family health facilities at Al Mahalla Al Kobra district Gharbiya Governorate, before intervention with the educational program.
There was remarkable improvement in participant’s level of knowledge about cancer cervix (etiology, risk factors, prevalence, screening) after application of educational session( p<0.001) in comparison to before application of the session. Overall good and average knowledge scores pre-intervention were 20.1% & 30.9% while post-intervention increased to 43.5% & 32.7% respectively ( p<0.001). Also there was improvement in the attitude of the studied group about screening of cancer cervix after application of educational session. positive attitude pre-intervention 77.8% increased to 94.3% post intervention.
The present study showed that the level of overall knowledge score of studied group was highly significantly affected by their job (P <0.001) being poor among Midwifes (52.3%) and good among family physician specialist (23.1%). HCWs with good knowledge were highly significantly younger and with experience years more than those with poor knowledge (P <0.001). also showed that HCWs with good knowledge were significantly married men with university education (P <0.001) .
there was significant increase in positive attitude of the studied group in relation to age & job, as positive attitude was higher among family physician doctors (resident & consultant) and younger age HCWs have higher positive attitude. There was no effect for Gender, Experience years, Social status or Education on attitude of the studied group.
This study also helps to highlights areas where it is needed to work on to improve awareness about cervical cancer screening among health care providers through studying knowledge and attitude of health care providers regarding cervical cancer screening.
The knowledge and attitude of health care providers can be improved by training sessions or workshops for cervical cancer screening and health educational programs for etiology, risk factors, prevalence and screening of cancer cervix.