Stavovi žena o ulozi babica u sprovođenju programa skrininga cervikalnog karcinoma Women's attitudes about the role of the midwife in the implementation of screening programs for cervical cancer

Introduction. Cervical cancer in the world, due to its high incidence , is a major public health problem. The aim of the study was to assess the differences in reproductive behavior in terms of the implementation of measures related to the prevention of cervical cancer among High medical school students and women in general population. Methods. Study was conducted in type of cross-sectional studies. Study included a total of 143 respondents, female students of HMS in Cuprija and women who came to gynecologist. Results. In terms of number of sexual partners, consistent condom application, methods of family planning and abortion rates, difference was statistically significant between midwifes and patients (p<0.001). Two-thirds of women annually go to gynecologist, while students go less often. Most women say that reason for not doing more frequent Pap test, is having no symptoms (57.3%), while students say they were afraid of the results (45.6%). If they could take swabs on their own every other woman and 2/3 of students would more often go testing. One in three women has fear that she wouldn’t take sample properly. For cervical screening, women usually obtained the information from their chosen gynecologists (65.3%), and equally (17.3%) from midwives and the media. They would have more frequent screening if they had flexible time slots (85.3%) and if screening was done by midwives (72%). Conclusion. Attitudes of women indicate need for active role of midwives in screening programs for cervical cancer. Conclusion is that organized screening programs need to include midwives, in order to increase the screening coverage of the target population.