DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20211223

Uptake of clinical breast examination services at an urban health centre following community-based awareness programme

Padmavathi V. Dyavarishetty, Shobha S. Kowli, Prachi D. Sondankar, Padmaja K. Chowdary, Anjali A. Nimbalkar, Varsha V. Pai

Abstract


Background: A significant proportion of women present in advanced stages of breast cancer due to lack of awareness and non-availability of preventive health checkups. Annual clinical breast examination (CBE) in women aged 40-60 years is estimated to reduce mortality in India comparable to that achieved by biennial mammography at considerably low cost. Aim of the project was to encourage women aged 30-70 years to regularly undergo annual CBE.

Methods: The five year project was implemented in Mumbai in an estimated population of 15120 distributed in slums and low income group buildings. The beneficiaries of the project were women aged 30-70 years. Two Interventions, i.e. breast cancer education and screening were implemented by the project. List of women eligible for breast cancer screening, was used to track the utilisation of services.

Results: Over the period of five years, 14249 one-one health education interactions took place and fourteen group health education sessions were conducted. 59.7% of the women had received health education at least once. Proportion of women trained in doing SBE was 51%. Proportion of women undergoing at least one CBE was 44.1%. Age was significantly associated with availing of services. Two women were detected with breast cancer.

Conclusions: This project demonstrated that it is possible to motivate a large number of women to undergo screening, and such health education programmes will slowly improve the awareness and change health seeking behaviour.

 


Keywords


Clinical breast examination, Breast cancer, India

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References


World statistics on Cancer. GLOBOCAN. 2018. http://gco.iarc.fr/today/data/factsheets/populations/900-world-fact-sheets.pdf. Last accessed on 2nd November, 2020.

India statistics on Cancer. GLOBOCAN. 2018. http://gco.iarc.fr/today/data/factsheets/populations/356-india-fact-sheets.pdf. Last accessed on 2nd November, 2020.

Three year report of population based cancer registries 2012–2014. Incidence, Distribution, Trends in Incidence Rates and Projections of Burden of Cancer. Report of 27 Population Based Cancer Registries in India. National Cancer Registry Programme. National Centre for Disease Informatics and Research. Indian Council of Medical Research.2016. http://ncdirindia.org/NCRP/ALL_ NCRP_REPORTS/PBCR_REPORT_2012_2014/ALL_CONTENT/Printed_Version.htm. Last accessed on 2nd November, 2020.

Centers for Disease Control and Prevention. What are the risk factors for breast cancer. https://www.cdc.gov/cancer/breast/basic_info/risk_factors.htm. Last accessed 2nd November, 2020.

Leong SP, Shen ZZ, Liu TJ. Is breast cancer the same disease in Asian and Western countries? World J Surg. 2010;34:2308-24.

Kakarala M, Rozek L, Cote M, Liyanage S, Brenner D. Breast cancer histology and receptor status characterization in Asian Indian and Pakistani women in the U.S. - a SEER analysis. BMC Cancer. 2010;10:191.

Sandhu DS, Sandhu S, Karwasra RK, Marwah S. Profile of breast cancer patients at a tertiary care hospital in north India. Indian J Cancer. 2010;47:16-22.

Chopra B, Kaur V, Singh K, Verma M, Singh S, Singh A. Age shift: Breast cancer is occurring in younger age groups – Is it true? Clin Cancer Investig J. 2014;3:526-9.

Thangjam S, Laishram RS, Debnath K. Breast carcinoma in young females below the age of 40 years: a histopathological perspective. South Asian J Cancer. 2014;3:97-100.

Paul EG, Kathrin SW, Brittany L, Lei F, Junjie Li, Yanin C et al. Challenges to effective cancer control in China, India, and Russia. The LAncet Oncology Commission 2014;15:489-538.

Singh S, Shrivastava JP, Dwivedi A. Breast cancer screening existence in India: a non-existing reality. Indian J Med Paediatr Oncol. 2015;36:207-9.

Okonkwo QL, Draisma G, der Kinderen A, Brown ML, de Koning HJ. Breast cancer screening policies in developing countries: a cost-effectiveness analysis for India. J Natl Cancer Inst. 2008;100:1290-300.

Mohandas KM, David GT, Rajendra AB, Goura KR, Shanta V, Pramesh CS. The growing burden of cancer in India: epidemiology and social context. Cancer burden and health systems in India.

Shreshtha M, Sarangadhara AB, Uma S. Saxena D, Saxena S. Epidemiology of breast cancer in Indian women. Asia-Pacific Journal of Clinical Oncology. 2017;13:289-95.

Gupta S. Breast cancer: Indian experience, data, and evidence. South Asian J Cancer. 2016;5:85-6.

National Cancer Control Programme. http://www.nihfw.org/NationalHealthProgramme/NATIONALCANCERCONTROLPROGRAMME.html. Lasr accessed on 2nd November, 2020.

National Programme for Prevention and Control of Cardiovascular disease, Stroke,Diabetes, Cancer. https://dghs.gov.in/content/1363_3_NationalProgrammePreventionControl.aspx. Last accessed on 2nd November, 2020.

Rath GK, Gandhi AK. National cancer control and registration program in India. Indian J Med Paediatr Oncol. 2014;35:288-90.

Delhi women Dey S, Sharma S, Mishra A, Krishnan S, Govil J, Dhillon P. Breast Cancer awareness and Prevention Behavior among Women of Delhi, India: Identifying Barriers to early detection. Breast Cancer: Basic Clin Res. 2016;10:147-56.

Tripathi N, Kadam YR, Dhobale RV, Gore AD. Barriers for early detection of cancer amongst Indian rural women. South Asian J Cancer. 2014;3:122-7.

Gupta A, Shridhar K, Dhillon PK. A review of breast cancer awareness among women in India: Cancer literate or awareness deficit? Eur J Cancer. 2015;51:2058-066.

Raj S, Piang LK, Nair KS, Tiwari VK, Kaur HSingh B. Awareness regarding risk factors, symptoms and treatment facilities for cancer in selected states of India. Asian Pac J Cancer Prev. 2012;13;4057-62.

Sirohi B. Cancer care delivery in India at the grassroot level: Improve outcomes. Indian J Med Paediatr Oncol. 2014;35:187-91.

Dinshaw K, Mishra G, Shastri S. Determinants of compliance in a cluster randomised controlled trial on screening of breast and cervix cancer in Mumbai, India. 1.Compliance to screening. Oncology. 2007;73:145-53.

Dyavarishetty PV, Kowli SS. Prevalence of risk factors for breast cancer in women aged 30 years and above in Mumbai. Int J Community Med Public Health. 2018;5:647-51.

Standards for Reporting Implementation Studies (STaRI) statement. http://www.equator-network.org/reporting-guidelines/stari-statement/. Last accessed on 2nd November, 2020.

Improving the reporting quality of non-randomised evaluations of behavioural and public health interventions: the TREND statement. http://www.equator-network.org/reporting-guidelines/improving-the-reporting-quality-of-nonrandomized-evaluations-of-behavioral-and-public-health-interventions-the-trend-statement/. Last accessed on 2nd November, 2020.

Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. http://www.equator-network.org/reporting-guidelines/tidier/. Last accessed on 2nd November, 2020.

Kulkarni SV, Mishra GA, Dusane RR. Determinants of Compliance to Breast Cancer Screening and Referral in Low Socio-economic regions of Urban India. Int J Prev Med. 2019;10:84.

Sepideh H, Katayon V, Khadijeh MN, Jalil H, Hamid RM. Effects of Education Based on the Health Belief Model on Breast Screening Behavior of High Risk Iranian Women. Asian Pacific J Cancer Prev. 2011;12; 49-4.

Kirstin GF, Kunnambath R, Gopan A, Beela SM, Richard M, Catherine S et al. Determinants of Participation in a Breast Cancer Screening Trial in Trivandrum District, India. Asian Pac J Cancer Prev. 14(12):7301-07.