DOI QR코드

DOI QR Code

Effectiveness of an Educational Intervention among Public Health Midwives on Breast Cancer Early Detection in the District of Gampaha, Sri Lanka

  • Vithana, P.V.S. Chiranthika ;
  • Ariyaratne, May ;
  • Jayawardana, Pl
  • Published : 2015.02.04

Abstract

Background: Breast cancer is the commonest cancer among Sri Lankan females, accounting for 26% of the cancer incidence in women. Early detection of breast cancer is conducted by public health midwives (PHMs) in the Well Woman Clinics. The aim of the present study was to determine the effectiveness of an educational intervention on improving knowledge, attitudes and practices (KAP) on breast cancer screening among PHMs in the district of Gampaha. Materials and Methods: Two Medical Officer of Health (MOH) areas in Gampaha district were selected using random sampling as intervention (IG) and control (CG) groups. All the PHMs in the two MOH areas participated in the study, with totals of 38 in IG and 47 in CG. They were exposed to an educational intervention with the objective of using them to subsequently conduct the same among 35-59 year women in the community. Following the intervention, post-intervention assessments were conducted at one month and six months to assess the effectiveness of the intervention. Results: The overall median scores for KAP among PHMs respectively were as follows. Pre-intervention: IG:58%(IQR: 53-69%), 90%(IQR: 70-100%) and 62%(IQR: 57-70%). CG: 64%(IQR: 56-69%), 90%(IQR: 70-90%) and 62%( IQR: 50-77%). Post-intervention: one month, IG:96%(IQR: 93-96%), 100%(IQR: 100-100%), and 85%(IQR: 81-89%). CG:67%(IQR: 60- 73%), 90%(IQR: 80-100%) and 65%(IQR: 50-73%). Post-intervention: six months, IG: 93% (IQR: 91-93%), 100%(IQR: 90-100%), and 81%(IQR: 77-89%). CG: 67%(IQR: 58- 71%), 90%(IQR: 90-100%), and 62%( IQR: 58-73%). All the above post-intervention scores of PHMs in the IG were significantly higher in comparison to CG (p<0.001). Conclusions: This planned educational intervention had a significant impact on improving KAP of PHMs for early detection of breast cancer in the Gampaha district.

Keywords

Breast cancer screening- educational intervention;public health midwives;Sri Lanka

References

  1. Anderson BO, Yip CH, Smith RA, et al (2008). Guideline implementation for breast healthcare in low-income and middle-income countries: overview of the Breast Health Global Initiative Global Summit 2007. Cancer, 113, 2221-43. https://doi.org/10.1002/cncr.23844
  2. Benson JR, Jatoi I (2012). The global breast cancer burden. Future Oncol, 8, 697-702. https://doi.org/10.2217/fon.12.61
  3. Bray F, Ren JS, Masuyer E, et al (2013). Global estimates of cancer prevalence for 27 sites in the adult population in 2008. Int J Cancer, 132, 1133-45. https://doi.org/10.1002/ijc.27711
  4. Department of Census and Statistics SL. 2013. Population by ethnic group according to districts 2012 [Online]. Sri Lanka: Department of Census and Statistics Available: http://www.statistics.gov.lk/PopHouSat/CPH2011/index.php?fileName=pop42&gP=Activities&tpl=3 [Accessed 10.13 2013].
  5. Khokhar A (2012). Effect of a training programme on knowledge of nurses from a missionary hospital in India regarding breast cancer and its screening. Asian Pac J Cancer Prev, 13, 5985-7. https://doi.org/10.7314/APJCP.2012.13.12.5985
  6. Lan NH, Laohasiriwong W, Stewart JF (2013). Survival probability and prognostic factors for breast cancer patients in Vietnam. Glob Health Action, 6, 1-9.
  7. Ministry of Health, Sri Lanka (2013). Hospital mortality [Online]. Colombo, Sri Lanka.
  8. National Cancer Control Programme Sri Lanka (2012). Cancer incidence data: Sri Lanka Year 2007. Available: http://www.health.gov.lk/en/index.php? option=com_content&view=article&id=372&Itemid=141 [Accessed 12,10 2013].
  9. Nilaweera RI, Perera S, Paranagama N, et al (2012). Knowledge and practices on breast and cervical cancer screening methods among female health care workers: a Sri Lankan experience. Asian Pac J Cancer Prev, 13, 1193-6. https://doi.org/10.7314/APJCP.2012.13.4.1193
  10. Parkin DM, Bray F, Ferlay J, et al (2005). Global cancer statistics, 2002. CA Cancer J Clin, 55, 74-108. https://doi.org/10.3322/canjclin.55.2.74
  11. Redding CA, Rossi JS, Rossi SR, et al (2003). Health behavior models. Int Electron J Health Educ, 2000, 180-93.
  12. Ries LAG, Eisner MP, Kosary CL (2003). SEER Cancer Statistics Review, 1975-2000.
  13. Roetzheim RG, Christman LK, Jacobsen PB, et al (2004). A randomized controlled trial to increase cancer screening among attendees of community health centers. Ann Fam Med, 2, 294-300. https://doi.org/10.1370/afm.101
  14. Shiryazdi SM, Kholasehzadeh G, Neamatzadeh H, et al (2014). Health beliefs and breast cancer screening behaviors among iranian female health workers. Asian Pac J Cancer Prev, 15, 9817-22. https://doi.org/10.7314/APJCP.2014.15.22.9817
  15. Vithana PV, Ariyaratne M, Jayawardana P (2013a). Quality of breast cancer early detection services conducted by Well Woman Clinics in the district of Gampaha, Sri Lanka. Asian Pac J Cancer Prev, 14, 75-80. https://doi.org/10.7314/APJCP.2013.14.1.75
  16. Vithana PV, Hemachandra NN, Ariyaratne Y, et al (2013b). Qualitative assessment of breast cancer early detection services provided through Well Woman Clinics in the district of Gampaha in Sri Lanka. Asian Pac J Cancer Prev, 14, 7639-44. https://doi.org/10.7314/APJCP.2013.14.12.7639
  17. Wang HH, Chung YC, Sun JL (2013). The effects of education program on knowledge and intention of breast cancer screening in Taiwan. Asian Pac J Cancer Prev, 13, 5545-9. https://doi.org/10.7314/APJCP.2012.13.11.5545
  18. Wilke LG, Broadwater G, Rabiner S, et al (2009). Breast selfexamination: defining a cohort still in need. Am J Surg, 198, 575-9. https://doi.org/10.1016/j.amjsurg.2009.06.012
  19. Yurdakos K, Gulhan YB, Unalan D, et al (2013). Knowledge, attitudes and behaviour of women working in government hospitals regarding breast self examination. Asian Pac J Cancer Prev, 14, 4829-34. https://doi.org/10.7314/APJCP.2013.14.8.4829

Cited by

  1. Breast Cancer Inpatients Undergoing Mastectomy from a Hospital in Guangzhou, China: A Retrospective Analysis 2004-2013 vol.16, pp.11, 2015, https://doi.org/10.7314/APJCP.2015.16.11.4577
  2. Electrical Impedance Tomography as a Primary Screening Technique for Breast Cancer Detection vol.16, pp.14, 2015, https://doi.org/10.7314/APJCP.2015.16.14.5595
  3. Educational Intervention on Breast Cancer Early Detection: Effectiveness among Target Group Women in the District of Gampaha, Sri Lanka vol.16, pp.6, 2015, https://doi.org/10.7314/APJCP.2015.16.6.2547