Cervical Cancer Prevention in Rural Namibia: A Cross-Sectional Analysis of Community Knowledge, Attitudes, and Practices in Ohangwena and Kavango West

Background: Cervical cancer remains a leading cause of cancer-related deaths among women globally. In Namibia, cervical cancer often goes undetected despite its prevention through early detection. Women in rural areas face barriers to screening due to limited access to preventive services, inadequate knowledge, and cultural stigmas, leading to high morbidity and mortality. Objective: The study assessed knowledge, attitudes, and practices regarding cervical cancer prevention among the community of the Ohangwena and Kavango West regions in Namibia. Method: This cross-sectional study was conducted in various health facilities across these regions. Using purposeful sampling, 228 respondents aged 18-59 participated. Data were collected using a structured questionnaire and analysed with SPSS version 29. Results: The findings reveal a moderate level of knowledge of cervical cancer but limited awareness about human papillomavirus, with respondents generally showing a positive attitude toward prevention. However, respondents demonstrated poor screening practices. Conclusion: While the knowledge of cervical cancer is relatively high, significant gaps remain in knowledge regarding human papillomavirus. Positive attitudes towards cervical cancer screening are uplifting. However, structural and cultural barriers impede preventive practices. Unique Contribution: This study provides localised evidence on cervical cancer prevention by examining the knowledge, attitudes, and practices of rural communities in Ohangwena and Kavango West, Namibia. It adds to the limited research on rural populations and identifies key cultural, informational, and systemic barriers to effective prevention. The findings offer a foundation for context-specific interventions and informed public health efforts to improve community engagement in screening and human papillomavirus awareness. Key Recommendation: The findings indicate the potential value of implementing community-based education initiatives that emphasise awareness and the importance of regular screening. Furthermore, integrating cervical cancer education into routine primary healthcare services and school health programmes may support efforts to address existing knowledge gaps and promote early prevention practices within rural settings.