Volume 6, Issue 5, October 2020, Page: 299-308
Knowledge Levels of Breast Cancer Among Women of Reproductive Age in Kenya, a Case Study of Kitui County
Fridah Ndinda Muinde, Department of Public Heath, Health Sciences, Jomo Kenyatta University, Nairobi, Kenya
Mohammed Karama, School of Public Health, Umma University, Kajiado, Kenya
Mativo Nzioki, Department of Public Heath, Health Sciences, Jomo Kenyatta University, Nairobi, Kenya
Koech Cheruiyot Fred, Department of Pure and Applied Sciences, Karatina University, Nairobi, Kenya
Received: Sep. 17, 2020;       Accepted: Sep. 29, 2020;       Published: Oct. 13, 2020
DOI: 10.11648/j.cajph.20200605.19      View  90      Downloads  22
Abstract
Background: Breast cancer is one of the leading causes of mortality among women in the world today. Therefore there is need for concerted efforts to advance interventions that seek to mitigate challenges associated with its screening. In Kenya, breast cancer accounts for 23% of cancerous diseases that affect women. The purpose of this study was to determine the knowledge levels on breast cancer among women of reproductive age in Kitui County, roll out community based health education intervention (CBHI) targeted at enhancing breast cancer knowledge, and finally to assess the effect of the CBHI on knowledge levels. Methods: The study design adopted was quasi-experimental. This was adopted because it enables researchers to evaluate causal relationships when interventions or agents of causation are induced. This study was undertaken with the causal mechanism being the rollout of CBHI and the impact in knowledge of breast cancer. Two groups were evaluated; intervention and control groups. The knowledge among these groups was evaluated between two time intervals; end line and at baseline. Data was collected using questionnaire instruments, analyzed using SPSS v23 and presented in form of tables and frequencies. Inferential analysis was achieved through binary logistic regression and Difference in Difference scores. Results: The individual score analysis on different aspect of breast cancer knowledge and awareness indicated that there was a direct positive impact of the CBHI on the knowledge on breast cancer among the respondents. Significant changes observed upon the implementation of CBHI on breast cancer included; respondents in the intervention group who knew at least two danger signs for breast cancer increased to 3.8 (Adj. OR=3.895, P<0.05, 95%CI: 2.538-5.979), those who knew the age related risks associated with breast cancer increased by 4.1 (Adj. OR=4.128, P<0.05, 95%CI: 2.940-5.797), and finally, those who knew at least one Breast cancer screening method increased 7 fold among the intervention group after the rollout of CBHI (Adj. OR=7.011, P<0.05, 95%CI: 4.138-11.880). Conclusion: The impact of CBHI on knowledge of breast cancer was significant. As a result, more people in the intervention group were cognizant of different warning signs of breast cancer, breast cancer screening methods, and that these opportunities facilitate early detection of breast cancer. The actionable strategies recommended by this study is implementation of community based strategies to enhance knowledge levels on breast cancer in order to improve screening uptake and therefore early detection of breast cancer.
Keywords
Breast Cancer Knowledge, Mammogram, Screening, Danger Signs, Community Based Health Intervention
To cite this article
Fridah Ndinda Muinde, Mohammed Karama, Mativo Nzioki, Koech Cheruiyot Fred, Knowledge Levels of Breast Cancer Among Women of Reproductive Age in Kenya, a Case Study of Kitui County, Central African Journal of Public Health. Vol. 6, No. 5, 2020, pp. 299-308. doi: 10.11648/j.cajph.20200605.19
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Prolla, C. M., Silva, P. S., Netto, C. B., Goldim, J. R., & Ashton-Prolla, P. (2015). Knowledge about breast cancer and hereditary breast cancer among nurses in a public hospital. Revista latino-americana de enfermagem, 90-97.
[2]
Sayed, S., Ngugi, K. A., Mahoney, R. M., Kurji, J., Talib, M. Z., Macfarlane, B. S.,... Zujewski, A. J. (2019). Breast Cancer knowledge, perceptions and practices in a rural Community in Coastal Kenya. BMC Public Health, 180.
[3]
Center for Disease Control. (2014). Increasing Population-based Breast and Cervical Cancer Screenings An Action Guide to Facilitate Evidence-based Strategies. Atlanta: U.S. Department of Health and Human Services. Retrieved from http://www.cdc.gov/cancer/nbccedp/pdf/breastcanceractionguide.pdf.
[4]
Cecilio, A. P., Takakura, E. T., Jumes, J. J., Dos Santos, J. W., Herrera, A. C., Victorino, V. J., & Panis, C. (2015). Breast cancer in Brazil: Epidemiology and treatment challenges. Breast Cancer: Targets and Therapy.
[5]
Bärnighausen, T., Tugwell, P., Røttingen, J. A., Shemilt, I., Rockers, P., Geldsetzer, P.,... Atun, R. (2017). Quasi-experimental study designs series—paper 4: uses and value. Journal of clinical epidemiology, 21-29.
[6]
Ajayi, I. O., Onibokun, A. C., & Soyannwo, O. A. (2013). Breast and Cervical Cancers Awareness and Screening Practices among Rural Women in Ona-ara Local Government Area. African Journal of Biomedical Research, 95-99.
[7]
Anastasi, N., & Lusher, J. (2017). The impact of breast cancer awareness interventions on breast screening uptake among women in the United Kingdom: A systematic review. Journal of Health Psychology, 113-124.
[8]
Agide, F. D., Sadeghi, R., & Tigabu, B. M. (2018). A systematic review of health promotion interventions to increase breast cancer screening uptake: from the last 12 years. European journal of public health, 1149-1155.
[9]
Lassi, Z. S., Das, J. K., Salam, R. A., & Bhutta, Z. A. (2014). Evidence from community level inputs to improve quality of care for maternal and newborn health: interventions and findings. Reproductive Health.
[10]
Quayyum, Z., Khan, M. U., Quayyum, T., Nasreen, H. E., Chowdhury, M., & Ensor, T. (2013). “Can community level interventions have an impact on equity and utilization of maternal health care” – Evidence from rural Bangladesh. International Journal for Equity in Health, 22.
[11]
Wambalaba, F. W., Son, B., Wambalaba, A. E., Nyong’o, D., & Nyong’o, A. (2019). Prevalence and Capacity of Cancer Diagnostics and Treatment: A Demand and Supply Survey of Health-Care Facilities in Kenya. Cancer Control.
[12]
Pace, L. E., & Katz, I. T. (2015). Breast and cervical cancer screening: Investing in health care systems. Harvard Public Health.
[13]
da Silva, P. S., Prolla, D. C., Netto, B. C., Goldim, R. J., & Ashton-Prolla, P. (2015). Knowledge about breast cancer and hereditary breast cancer among nurses in a public hospital. Revista latino-americana de enfermagem, 90-97.
[14]
James, T. A. (2017). The impact of financial barriers on access to quality care in breast cancer.
[15]
Subramanian, S., Gakunga, R., Jones, M., Kinyanjui, A., Gikaara, N., Wata, D.,... & Ali, Z. (2019). Financial barriers related to breast cancer screening and treatment: A cross-sectional survey of women in Kenya. Journal of Cancer Policy, 22, 100206.
Browse journals by subject