Effect of a Community Based Health Education Intervention on Breast and Cervical Cancer Awareness and Screening among Women of Reproductive Age in Kitui County Kenya
Cancer is one of the major non-communicable diseases NCDs and together with cardiovascular diseases diabetes and chronic respiratory diseases they cause over 60 of total global mortality every year. In Sub-Saharan Africa the incidence and mortality attributable to cancer has been on an increasing trend. The National Cancer Control Strategy 2017-2022 indicates that breast and cervical cancer contributes 23.3 and 20 respectively of cancer deaths in Kenya. Early screening and detection is the only effective way of managing these cancers. Engaging Community Health workers in health service delivery especially in resource-poor countries is effective.
This study sought to determine the effect of a Community Based Health Education Intervention on breast and cervical cancer awareness and screening among women of reproductive age in Kitui County Kenya.
The study adopted a quasi-experimental design with a pre and post intervention survey. Two sub-counties Kitui East-Intervention and Mwingi West-Control were purposively sampled for inclusion in the study to ensure there is a buffer zone to minimize contamination. Respondents for participation were randomly selected for inclusion from the two study areas. The sample size constituted of 491 respondents at baseline and 496 at end line. An interviewer administered questionnaire was employed to collect data. SPSS version 22 was used to analyse data. Awareness and screening for both breast and cervical cancer were the main outcomes of the study. Data was analyzed by use of descriptive statistics. Z-scores and DiD were calculated to establish change in proportions between baseline and endline. A binary logistic regression model that provided for both crude and adjusted ODDS ratios OR was used to test the hypothesis. At endline respondents in the intervention site were 3.8 times more likely to know the danger signs of breast cancer Adj. OR3.895 P0.001 95CI: 2.538-5.979.
The results were also similar for cervical cancer with respondents in the intervention site being 4.9 times more likely to be aware of the danger signs of cervical cancer at endline compared to baseline Adj. OR4.991 P0.001 95CI: 3.554-7.008. The intervention increased breast cancer screening by 4.458 Adj. OR4.458 P0.05 95CI: 3.204-6.202. Subsequently at end line respondents in Kitui East were ten 10 times more likely to screen for cervical cancer Adj. OR10.307 P0.05 95CI: 6.284-16.904
This study concludes that the intervention increased awareness and promoted screening for both breast and cervical cancers. However there is still a big proportion of women of reproductive age who are not aware of both breast and cervical cancers and are therefore exposed to the risk of developing these cancers
Publication Information
Focus County(s):
Kitui County
Programme Area(s):
Research Priority Area(s):
Disease Domain(s):
Breast Cervical cancer
Document History:
Publication Date: 14.Oct.2022
Conference Title: