{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T12:24:32Z","timestamp":1788265472042,"version":"build-2803163510"},"reference-count":51,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["f1000research.com"],"crossmark-restriction":false},"short-container-title":["F1000Res"],"abstract":"<ns3:p>\n                    Abstract Background Cervical cancer is a major public health concern globally, particularly in low- and middle-income countries where access to screening and early diagnostic services is limited. Healthcare workers at the Primary Health Care (PHC) level play critical roles in promoting cervical cancer prevention through health education, implementing low-cost cervical cancer screening approaches in low-resource settings, and providing referral services. However, gaps in knowledge and practice among PHC workers may hinder effective cervical cancer control programs. Objectives This study assessed knowledge, attitudes, and practices concerning cervical cancer screening among PHC workers in Lagos State, Southwest Nigeria. Methods A descriptive cross-sectional study was conducted among 209 PHC workers selected using multistage sampling. Data were collected using a structured questionnaire on socio-demographic characteristics, knowledge of cervical cancer, attitudes toward screening, and screening practices. Data were analysed using descriptive statistics and chi-square tests at a statistical significance level of 5%. Results The respondents had a mean age of 36.8\u00a0\u00b1\u00a08.8\u00a0years. Most participants were female (77.0%) and married (73.7%). Nurses represented the largest professional group (41.1%), followed by community health extension workers (30.6%). Overall, 69% of respondents demonstrated good knowledge of cervical cancer screening, and 89% reported positive attitudes toward screening. However, cervical cancer screening practices were poor, as only 25% of respondents reported actively providing screening services in their facilities. Major barriers included a lack of training, limited screening equipment, and inadequate laboratory support. Significant associations were observed between levels of knowledge and professional category (p\u00a0&lt;\u00a00.001), educational qualification (p\u00a0=\u00a00.033\n                    <ns3:bold>)<\/ns3:bold>\n                    , and years of practice (p\u00a0=\u00a00.002\n                    <ns3:bold>)<\/ns3:bold>\n                    . Conclusion Strengthening healthcare workers\u2019 capacity, improving infrastructure, and integrating screening into routine PHC services are essential for improving cervical cancer prevention. These findings highlight the need for policy interventions aimed at strengthening primary health care systems in Nigeria in line with global cervical cancer elimination strategies.\n                  <\/ns3:p>","DOI":"10.12688\/f1000research.180107.1","type":"journal-article","created":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:19:09Z","timestamp":1777378749000},"page":"629","update-policy":"https:\/\/doi.org\/10.12688\/f1000research.crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Gaps in Knowledge and Practice of Cervical Cancer Screening among Primary Health Care Workers in Lagos State, Nigeria: A Cross-Sectional Study"],"prefix":"10.12688","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3535-7344","authenticated-orcid":false,"given":"Adebola  Afolake","family":"Adejimi","sequence":"first","affiliation":[{"name":"Department of Community Health and Primary Care Lagos Lagos State University of Lagos College of Medicine"},{"name":"Department of Community Health and Primary Care Surulere, Lagos Lagos State Lagos University Teaching Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olayemi","family":"Dawodu","sequence":"additional","affiliation":[{"name":"Department of Anatomic and Molecular Pathology Lagos Lagos State University of Lagos College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5938-3235","authenticated-orcid":false,"given":"Adaiah P","family":"Soibi-Harry","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Surulere, Lagos Lagos State Lagos University Teaching Hospital"},{"name":"Department of Infectious Diseases Cleveland Ohio Case Western Reserve University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adewumi","family":"Alabi","sequence":"additional","affiliation":[{"name":"Department of Radiation Biology, Radiotherapy, and Radiodiagnosis Lagos Lagos State University of Lagos College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ololade","family":"Onasanya","sequence":"additional","affiliation":[{"name":"Department of Anatomic and Molecular Pathology Lagos Lagos State University of Lagos College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blossom Adaeze","family":"Maduafokwa","sequence":"additional","affiliation":[{"name":"Department of Community Health and Primary Care Surulere, Lagos Lagos State Lagos University Teaching Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamaldeen Sunkanmi","family":"Abdulraheem","sequence":"additional","affiliation":[{"name":"Department of Community Health and Primary Care Surulere, Lagos Lagos State Lagos University Teaching Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibraheem Shola","family":"Abdulraheem","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Ilorin Kwara State University of Ilorin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oluwafisayo Oluwaseun","family":"Omotayo","sequence":"additional","affiliation":[{"name":"Department of Community Health and Primary Care Lagos Lagos State University of Lagos College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0957-7389","authenticated-orcid":false,"given":"Kehinde Sharafadeen","family":"Okunade","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Surulere, Lagos Lagos State Lagos University Teaching Hospital"},{"name":"Department of Obstetrics and Gynecology Lagos Lagos State University of Lagos College of 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Scientific African."},{"key":"ref40","doi-asserted-by":"publisher","first-page":"20503121221095932","DOI":"10.1177\/20503121221095931","article-title":"Female healthcare providers\u2019 knowledge, attitude, and practice towards cervical cancer screening and associated factors in public hospitals of Northwest Ethiopia.","volume":"10","author":"E Abebaw","year":"2022","journal-title":"SAGE Open Med."},{"key":"ref41","first-page":"48-57","article-title":"Knowledge of cervical cancer and screening practices of nurses at a regional hospital in Tanzania.","volume":"11","author":"M Urasa","year":"2011 Mar","journal-title":"Afr Health Sci."},{"key":"ref42","doi-asserted-by":"publisher","DOI":"10.4102\/hsag.v27i0.1934","article-title":"Cervical cancer screening management practices and prevention in uMsunduzi Local Municipality primary care clinics.","volume":"27","author":"B Mncube","year":"2022","journal-title":"Health SA 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Screening in Rural Kenya: Perspectives from a Provider Survey.","volume":"40","author":"J Rosser","year":"2015 Aug","journal-title":"J Community Health."},{"key":"ref50","doi-asserted-by":"publisher","first-page":"1637","DOI":"10.18203\/2394-6040.ijcmph20201960","article-title":"Improving primary health care workers\u2019 knowledge of cervical cancer and visual inspection screening techniques through competency-based training: prospects for expanding coverage in developing countries.","volume":"7","author":"I Umuago","year":"2020 Apr 24","journal-title":"Int J Community Med Public Health."},{"key":"ref51","doi-asserted-by":"publisher","first-page":"765-772","DOI":"10.2147\/IJWH.S85138","article-title":"Knowledge, attitudes, and practices regarding cervical cancer and screening among Ethiopian health care workers.","volume":"7","author":"C Kress","year":"2015","journal-title":"Int J Womens 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