Educational intervention on breast cancer early detection: effectiveness among target group women in the district of Gampaha, Sri Lanka.

Pvs Chiranthika Vithana,May Ariyaratne,Pl Jayawardana

doi:10.7314/apjcp.2015.16.6.2547

Pvs Chiranthika Vithana, May Ariyaratne + Show 1 more

Open Access

https://doi.org/10.7314/apjcp.2015.16.6.2547

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Abstract

The present study concerns the effectiveness of an educational intervention for improving knowledge, attitudes and practices (KAP) of breast cancer early detection among target group women (TGW) in the district of Gampaha, Sri Lanka. The study was a community-based intervention. Two medical officer of health areas in Gampaha district were selected using random sampling as intervention (IA) and control (CA). Public health midwives (PHMs) in the IA were exposed to the educational intervention first, conducted the same among the TGW through PHMs. KAP was assessed using an interviewer- administrated questionnaire among 260 TGW from each area selected using cluster sampling before and six months after the intervention. The overall median scores for KAP among TGW in IG increased significantly from pre intervention level of 54% (IQR: 46-59%), 50% (IQR: 41-59%), and 0% (IQR: 0-20%) to post intervention level of 77% (IQR: 72-82%), 68% (IQR: 59- 76 %) and 40% (IQR: 20-60%) respectively. In CG, overall median scores for KAP remained almost the same at pre intervention 54% (IQR:44-59%), 50% (IQR:36-59%) and 0% (IQR: 0-20%) and post intervention 54% (IQR:46-59%), 50% (IQR:36-64%) and 0% (IQR: 0-20%) respectively. The educational intervention was found to be effective.

Highlights

According to the GLOBOCAN estimates, breast cancer is the most common cancer diagnosed among women and is the leading cause of female cancer deaths(Parkin et al, 2005; Benson and Jatoi, 2012; Bray et al, 2013; Ferlay et al, 2014)
The present study concerns the effectiveness of an educational intervention for improving knowledge, attitudes and practices (KAP) of breast cancer early detection among target group women (TGW) in the district of Gampaha, Sri Lanka
Entire district was found be substandard in relation to clinical breast examination (CBE) and Self-breast examination (SBE) in a quality assessment component on breast cancer early detection services, conducted in 20 WWCs in the Gampaha District using lot quality assurance sampling in the first phase this study (Vithana et al, 2013a)

Summary

Introduction

According to the GLOBOCAN estimates, breast cancer is the most common cancer diagnosed among women and is the leading cause of female cancer deaths(Parkin et al, 2005; Benson and Jatoi, 2012; Bray et al, 2013; Ferlay et al, 2014). Entire district was found be substandard in relation to CBE and SBE in a quality assessment component on breast cancer early detection services, conducted in 20 WWCs in the Gampaha District using lot quality assurance sampling in the first phase this study (Vithana et al, 2013a). An educational intervention was conducted to overcome the above issues and was found to be effective in increasing the knowledge, attitudes and practices on breast cancer early detection among PHMs provided through WWCs in the Gampaha district (Vithana et al, 2015). The present paper describes the assessment of effectiveness of PHMs on improving knowledge , attitudes and practices on breast cancer early detection among target group women (TGW) aged 35-59 years in the community in the Gampaha district

Materials and Methods

11. Having more children

Findings

Discussion