Cancer is one of the major non-communicable diseases NCDs and together withrncardiovascular diseases diabetes and chronic respiratory diseases they cause overrn60 of total global mortality every year. In Sub-Saharan Africa the incidence andrnmortality attributable to cancer has been on an increasing trend. The National CancerrnControl Strategy 2017-2022 indicates that breast and cervical cancer contributes 23.3rn and 20 respectively of cancer deaths in Kenya. Early screening and detection isrnthe only effective way of managing these cancers. Engaging Community Healthrnworkers in health service delivery especially in resource-poor countries is effective.
This study sought to determine the effect of a Community Based Health EducationrnIntervention on breast and cervical cancer awareness and screening among women ofrnreproductive age in Kitui County Kenya.
The study adopted a quasi-experimentalrndesign with a pre and post intervention survey. Two sub-counties Kitui EastIntervention and Mwingi West-Control were purposively sampled for inclusion inrnthe study to ensure there is a buffer zone to minimize contamination. Respondentsrnfor participation were randomly selected for inclusion from the two study areas. Thernsample size constituted of 491 respondents at baseline and 496 at end line. Anrninterviewer administered questionnaire was employed to collect data. SPSS versionrn22 was used to analyse data. Awareness and screening for both breast and cervicalrncancer were the main outcomes of the study. Data was analyzed by use of descriptivernstatistics. Z-scores and DiD were calculated to establish change in proportionsrnbetween baseline and endline. A binary logistic regression model that provided forrnboth crude and adjusted ODDS ratios OR was used to test the hypothesis
Atrnendline respondents in the intervention site were 3.8 times more likely to know therndanger signs of breast cancer Adj. OR3.895 P0.001 95CI: 2.538-5.979. Thernresults were also similar for cervical cancer with respondents in the intervention siternbeing 4.9 times more likely to be aware of the danger signs of cervical cancer atrnendline compared to baseline Adj. OR4.991 P0.001 95CI: 3.554-7.008. Thernintervention increased breast cancer screening by 4.458 Adj. OR4.458 P0.05rn95CI: 3.204-6.202. Subsequently at end line respondents in Kitui East were tenrn10 times more likely to screen for cervical cancer Adj. OR10.307 P0.05rn95CI: 6.284-16.904.
This study concludes that the intervention increasedrnawareness and promoted screening for both breast and cervical cancers. Howeverrnthere is still a big proportion of women of reproductive age who are not aware ofrnboth breast and cervical cancers and are therefore exposed to the risk of developingrnthese cancers.