dc.description.abstract | Cervical cancer remains a leading cause of mortality among Kenyan women, despite the availability of preventive measures such as screening and HPV vaccination. This study investigated the role of communication in awareness and utilization of cervical cancer screening among women aged 25-49 in Roysambu Sub County, Nairobi. The objectives of the study were to examine the sociodemographic factors influencing awareness, identify primary sources of information, and assess barriers to screening uptake. Guided by the Health Belief Model (HBM) and the Social Ecological Model (SEM) theoretical frameworks, this research employed a quantitative design with a sample size of 343 participants. Data was analyzed using descriptive and inferential statistics, including logistic regression and Structural Equation Modelling (SEM). Findings revealed significant sociodemographic influences, particularly related to education, income, and health insurance, on awareness and health-seeking behaviors. While healthcare providers and social media were identified as the primary information sources, barriers included financial constraints, cultural misconceptions, and concerns over the screening process, leading to a screening rate of only 40%. Logistic regression analysis confirmed that education, health insurance, and perceived risk were key predictors of screening uptake, while SEM results indicated that knowledge and positive attitudes mediated the relationship between education and screening behaviors. The study recommends integrated, culturally responsive interventions that leverage trusted healthcare providers, digital literacy, and community engagement to address barriers. This study contributes to the growing understanding of cervical cancer prevention in low-resource settings and calls for policy reforms to enhance access to and dissemination of cervical cancer prevention services in Kenya. | en_US |