Abstract:
Introduction: Cervical cancer is the greatest cause of cancer-related death
among women in Sub-Saharan Africa, with particularly high incidence and
mortality rates in rural regions. In Kenya, Women with HIV/AIDS (WLHA) are
at a greater risk of developing cervical cancer though screening rate remains
low. Information, education and communication (IEC) materials play a crucial
role in raising awareness, promoting screening, and supporting early detection
and treatment; however, little is known about the accessibility, content, and
perceived effectiveness of these materials from the perspective of WLHA.
Methods: The objective of this study was to determine the common sources,
perceived communication efficacy and sufficiency of IEC materials among WLHA
and attending clinics in Webuye and Mosoriot both which are health facilities in
rural Kenya. Data were collected using a researcher administered questionnaire
for 380 WLHA and an IEC checklist for 20 Key stakeholders resulting in a total
sample size of 400 participants.
Results: Sixteen sources of information were identified, with the most common
and preferred being radio, health professionals, support groups, chief’s mabaraza
and posters. Indicators for communicative efficacy revealed that cervical cancer
IEC print materials were not effective in format (77%), the location where they are
placed (60%), and graphical appeal (50%). Additionally, 66% of participants found
the IEC materials insufficient, inaccessible, and inappropriate.
Discussion: While a variety of cervical cancer IEC materials exist, WLHA in
rural Kenya perceive significant gaps in the availability and effectiveness of these
materials. Some IEC materials are preferred because they offer direct interaction,
cultural relevance, and broader outreach.