Breast health awareness campaign and screening pilot in a Kenyan County: Findings and lessons.

Autor: Mwenda V; National Cancer Control Program, Ministry of Health, Nairobi, Kenya., Bor JP; National Cancer Control Program, Ministry of Health, Nairobi, Kenya., Gitungo H; National Cancer Control Program, Ministry of Health, Nairobi, Kenya., Kirika L; National Cancer Control Program, Ministry of Health, Nairobi, Kenya., Njoroge R; National Cancer Control Program, Ministry of Health, Nairobi, Kenya., Mugi B; Radiology and Diagnostic Imaging Department, Kenyatta National Hospital, Nairobi, Kenya., Ojuka D; Department of Surgery, University of Nairobi, Nairobi, Kenya., Nyangasi M; National Cancer Control Program, Ministry of Health, Nairobi, Kenya.
Jazyk: angličtina
Zdroj: Cancer reports (Hoboken, N.J.) [Cancer Rep (Hoboken)] 2022 Mar; Vol. 5 (3), pp. e1480. Date of Electronic Publication: 2021 Jul 08.
DOI: 10.1002/cnr2.1480
Abstrakt: Background and Aim: Breast cancer is the leading cancer in terms of incidence in Kenya. We conducted a breast cancer awareness and screening pilot to assess feasibility of rolling out a national screening program in Kenya.
Methods: Conducted in Nyeri County during October-November 2019, the pilot had three phases; awareness creation, screening (clinical breast examination and/or imaging) and final evaluation (post-screening exit interviews and retrospective screening data review). Descriptive statistics on awareness, screening process and outputs were derived.
Results: During the pilot, 1813 CBE, 217 breast ultrasounds and 600 mammograms were performed. Mammography equipment utilization increased from 11% to 83%. Of 49 women with suspicious lesions on mammography, only 22 (44.9%) had been linked to care 4 months after the campaign. Of 532 exit interview respondents; 95% (505/532) were ≥35 years of age; 80% (426/532) had been reached by the awareness campaign. Majority (75% [399/532]) had received information from community health volunteers; 68% through social groups. Majority (79% [420/532]) felt the campaign had changed their behavior on breast health. Although 77% (407/532) had knowledge on self breast examination (SBE); only 13% practiced monthly SBE. More than half (58% [306/532]) had previously undertaken a CBE. Approximately 70% (375/528) were unaware of mammography before the pilot; 86% (459/532) had never previously undertaken a mammogram. Fifty-five percent (293/532) of respondents had screening waiting times of >120 min.
Conclusion: Community health workers can create breast cancer screening demand sustainably. Adequate personnel and effective follow-up are crucial before national roll-out of a breast cancer screening program.
(© 2021 The Authors. Cancer Reports published by Wiley Periodicals LLC.)
Databáze: MEDLINE
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