Effect of a Community Health Worker Intervention on Uptake of Breast Cancer Screening Services among Women of Reproductive Age in Kitui County Kenya
Introduction:
While communicable diseases remain the leading killers in many developing countries the incidence and mortality from non-communicable diseases such as breast cancer and other cancers is rising rapidly. By 2015 estimated 2.4 Million new cases of breast cancer globally was reported. Screening is one way of improving the survival rate by reducing morbidity and mortality of Breast cancer. The annual incidence of cancer in Kenya was close to 37000 new cases with annual mortality of over 28000. Cervical and breast cancer were the leading diseases in women occurring at a rate of 40.1/100000 and 38.3/100000. The uptake of cancer screening services in Kenya was as low as 13.5. Engaging CHWs in health service delivery especially in resource poor countries was found to be an
Objectives:
In many developing countries Community Health Workers CHWs provide a variety of services including outreach counseling and patient home care services. This study aim was to assess the effect of a CHW led intervention on uptake of breast cancer screening services among women of reproductive age in Kitui County Kenya
Methodology:
This was a quasi-experiment with one pre-intervention and a post intervention survey conducted in both intervention Kitui East and control site Mwingi West respectively. The intervention site received Community-Based Health Education CBHE aimed at promoting awareness and screening of both breast and cervical cancer. A total sample size of 422 participants were identified in each survey based on Fisher et al 1998 formula. Purposive and simple random sampling method was used in identifying study area and respondents similarly. Data was collected using a research assistant administered questionnaire. Data analysis was done using frequencies and percentages Z score tests and ODDs Ratios. The study was subjected to the KNH-UoN Ethics Review committee ERC for ethical review and approval
Findings:
Results:
The intervention of CHWs increased the proportion of women seeking facility-based breast cancer screening services significantly by 38 in the intervention site. A Difference in DifferencesDiD statistic indicated 33.3 net increase in the proportion of women seeking the services within the 8-month of intervention period. The odds of seeking breast cancer screening services were higher 4.5 times higher crude OR3.604: 95CI of OR2.698-4.813 P0.05 Adjusted OR4.458: 95CI of OR3.204-6.202 P0.05 in intervention site compared to control site
Conclusion:
Conclusively the CBHE intervention improved breast cancer screening among women of reproductive age in Kitui County.
Publication Information
Author(s):
Focus County(s):
Programme Area(s):
Non-Communicable Diseases
Research Priority Area(s):
cancer (Breast, cervix, prostrate, throat, stomach, ovaries and skin)
Disease Domain(s):
Diseases of the blood
Document History:
Publication Date: 13.Dec.2020
Conference Title:
Venue: