INTRODUCTION:
Cervical cancer is the common cause of cancer and cancer related deaths in women worldwide. The majority of burden of cervical cancer is shared by low and middle-income countries. Lack of immunization and screening services for in these countries are among the reasons for increasing incidence of cervical cancer. Additionally, lack of awareness has led under-utilization of services. This Study aims to determine the knowledge, attitude and practice of women of Madi municipality of Chitwan district and assess the effectiveness of health education program.

METHODS:
This community-based study assess the baseline knowledge, attitude, practice of cervical cancer and its screening among women and effectiveness of a health education intervention. The study was done among 134 women of ward 4 and 7 (67 each) of Madi municipality and were selected randomly. Each ward was allotted to intervention and control group randomly. Health education package was developed and implemented in the intervention group (ward 4). Post intervention assessment was done after 3 months of intervention using the baseline survey questionnaire. KAP scores were categorized as poor, fair and good and analysis was done using descriptive, bivariate and multivariate analysis. Non-parametric tests were done to assess the effect.

RESULTS:
The median age of participants was 40 years in intervention group and 45 years in control group. None of the participants had good knowledge but around 42% of participants in intervention group and 36% of participants in control group had good attitude. Approximately 39% women in intervention group and 34% women in control group had undergone screening at baseline. There was significant improvement (p<0.001) of KAP due to intervention in the intervention group.

CONCLUSIONS:
The study revealed low knowledge about cervical cancer and screening among women. The health education intervention was found to be effective in improving the knowledge of the intervention group.