DETERMINANTS OF CERVICAL PRECANCEROUS LESION AMONG WOMEN SCREENED FOR CERVICAL CANCER IN PIVATE AND PUBLICHEALTH FACILITIES IN HAWASSA CITY, SOUTHERN ETHIOPIA 2019

Abstract Background: The cervical precancerous lesion is a slowly progressive disease that starts with the mild form then grows to the cancer stage[1]Cervical cancer is usually developed after prolonged phase of cervical precancerous lesion in the cervix. Therefore, early identification and treatment at its pre-invasive stage may benefit the clients and decrease the burden of morbidity and mortality resulting from cervical cancer Objective: To identify the determinants of cervical precancerous lesions among women screened for cervical cancer in Hawassa, Southern Ethiopia 2019. Methods: A facility-based unmatched case-control study design was used to identify factors associated with cervical-precancerous lesions in private and public health facilities in Hawassa city, 2019. A two-stage sampling technique was implemented to draw observation units for this study. The total sample size was293 (98 cases and 195 controls). Semi- structured questionnaire was used for data collection .Data was collected by using semi-structured questionnaire and entered into EPI Data version 3.1 and exported into SPSS version 20 application software. Bivariate and multivariate logistic regression models were used to identify independent determinants of cervical precancerous lesion Result Precancerous cervical cancer lesion among women screened for cervical cancer were significantly associated with the primary and lower level of education (AOR=0.06, 95% CI = 0.01-0.38) women with sexual partner who had history of sexual transmitted infection (AOR=8.54, 95% CI=2.42-30.11), having two or more lifetime sexual partners (AOR= 5.45, 95% CI= 1.62_18.32), sexual debut between 15-17years (AOR=0.01, 95% CI= 0.00-0.09) and history of pelvic infection (AOR=3.47, 95% CI = 1.08-11.17). Conclusion: Lower level of education (primary and never educated), age of first sex, lifetime partner of women, pelvic infection, two or more lifetime sexual partners of the husband and lifetime history of sexually transmitted infection of the husband were found to be risk factors for the cervical precancerous lesion in this study. Recommendations. I recommend to the Chief Health Promotion Officer to strengthen health education on barrier methods to prevent STIs and educate girls on the risk of cervical cancer posed by early sexual debut and having multiple sexual partners. to have screening program for all women with reproductive age group who come to the health facility