EFFECTIVENESS OF AN EDUCATIONAL PROGRAM ABOUT BREAST CANCER AND BREAST CANCER SELF-EXAMINATION ON PERCEPTION AND PRACTICE AMONG WOMEN IN ALJEERAIF WEST ADMINISTRATIVE UNIT (2)

Author:

Elagib Amel Eltaib1,Mohammed Ibrahim Ismail2,Idris SamiaYousif3,Abdelrahman Omar Jaafar4,Babiker Somia Bilal5,Mohammed Isra khalil6

Affiliation:

1. Federal Ministry of Health, Khartoum state, Sudan.

2. Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.

3. Free lance community medicine consultant, Khartoum, Sudan.

4. Faculty of Medicine, Al Fashir University, Al Fashir, Sudan.

5. State Ministry of Health, North Darfur, Al Fashir, Sudan.

6. Federal Ministry of Health, Khartoum, Sudan

Abstract

In Sudan, cancer incidence has been growing considerably in recent years and is likely to continue to grow creating a big burden on the health system resources. The aim of this study is to assess the baseline Perception and Practice about breast cancer and breast self-examination (BSE) and to nd out the effectiveness of an educational program about breast cancer and BSE on Perception and Practice among women in AlJeeraif West Administrative Unit. Community based intervention study with pre-post and control was carried out among 200 women who were recruited by means of multistage sampling. The sample size was divided equally into intervention and control groups. Baseline data was collected from both groups through direct interview, using structured close ended questionnaire. Educational program was implemented for the intervention group. Four months after the intervention, women in the study and control groups were exposed to the same questionnaire. Chi-square, paired t-test and independent t-test (difference of difference) were conducted in the course of the data analyses. There was statistically signicant difference in the intervention group pre-post program in all of the HBM components in the intervention group (p value0.000), while in the control group statistically signicant difference existed only in perceived barrier (p value.004) and perceived benet (p value.000) and over all perception (p value .016) with no signicant difference in other (HBM) components. In the intervention group practice and performance scores were highly signicant pre-post program (p value 0.000), where as in the control group only practice was signicant (p value 0.001). There were statistically signicant differences in the mean difference of performance, practice and perceptions between the intervention and control groups (p-value .000). The results of this study have conrmed the effectiveness of educational program based on the health belief model on improving perceptions and practice of breast cancer and breast self-examination.

Publisher

World Wide Journals

Reference25 articles.

1. Abdelrahman SA, Ahmed MAH. Self examination of breast for early detection of breast cancer. Sudanese Journal of Public Health Jan. 2006;1:1-88.

2. Abuidris DO, Elsheikh A, Ali M, Musa H, Elgaili E, Ahmed AO, et al. Breast-cancer screening with trained volunteers in a rural area of Sudan: a pilot study. The lancet oncology. 2013;14(4):363-70.

3. Aghamolaei T, Hasani L, Tavafian SS, Zare S. Improving breast self-examination: An educational intervention based on health belief model. Iranian Journal of Cancer Prevention. 2011;4(2):82-7.

4. Ahmed H, Ali A, Almobarak A. Frequency of breast cancer among Sudanese patients with breast palpable lumps. Indian journal of cancer. 2010;47(1):23.

5. Ahmed IH, Elnimeiri MKM. Knowledge, Attitude and Practice of Sudanese Women in Reproductive age (15–49 years) towards Breast Self–Examination. 2013.

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