title: Knowledge and perceptions of cervical cancer and healthcare in Vanuatu.
abstract: OBJECTIVE
  There is increasing evidence of unacceptably high levels of cervical cancer abnormalities in Vanuatu. The purpose of this research was to determine cervical health awareness in local women from rural and urban environments.
  
  
  METHODS
  Women from hospitals, health clinics and small local villages were invited to participate in a health survey. This investigated health knowledge, current information sources and perceived limitations in accessing health information.
  
  
  RESULTS
  A total of 422 surveys were undertaken, a response rate of 93% in urban centres and 95% in rural areas. There was a direct relationship between the number of school years completed and awareness of cancer. Nurses, doctors and village health workers all played a vital role in providing women's health care information. General embarrassment and a lack of knowledge were the greatest limitations reported to affect the ability and confidence for women to investigate health concerns.
  
  
  CONCLUSIONS
  Vanuatu women are poorly educated regarding health issues, particularly cervical cancer. Strategies to improve cervical cancer awareness may include travelling workshops, an active media campaign and the introduction of culturally sensitive education programs tailored to formal and non-formal environments. Programs should inform whole communities and health care professionals.
authors.affiliation: University of Ballarat, School of Science & Engineering, Victoria. n.fotinatos@staff.ballarat.edu.au
authors.forename: Nina
authors.initials: N
authors.lastname: Fotinatos
authors.forename: Adrian
authors.initials: A
authors.lastname: Warmington
authors.forename: Todd
authors.initials: T
authors.lastname: Walker
authors.forename: Mark
authors.initials: M
authors.lastname: Pilbeam
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006296:Health Services; D006306:Health Surveys; D006801:Humans; D008875:Middle Aged; D012424:Rural Population; D014505:Urban Population; D002583:Uterine Cervical Neoplasms; D009514:Vanuatu; D016387:Women's Health; D055815:Young Adult