What is it about?

It is a 'before and after' real-time population study that examined use of the health workers trained to become community health educators and the impact of their training on uptake of breast and cervical cancer screening services within rural communities in South-East Nigeria. The skills these CHEs acquired include skills for cervical and breast cancer prevention education, visual inspection of the cervix with acetic acid (VIA), visual inspection of the cervix with Lugol’s iodine (VILI), HPV vaccination, cervical cryotherapy, and clinical breast examination (CBE).The trained workers were deployed to the field to conduct house-to-house as well as face-to-face education of women on cervical and breast cancer prevention. This intervention of home-delivered cervical and breast cancer prevention education was found to significantly increase the awareness and voluntary uptake of cervical and breast cancer prevention services by local/rural women in four communities in South-East Nigeria.

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Why is it important?

There is currently a low level of awareness of cervical and breast cancer prevention by the population. Once awareness is increased, compliance with uptake of allied services will ensure that breast and cervical cancers are detected at very early stages, thus reducing the high mortality that results from late presentation of these disease. It will also help to ensure that patients begin their treatments on time, right after diagnosis.

Perspectives

I believe that oncologists living in similar resource-constrained environment like ours, can learn a thing or two from this research in order to improve on their practice to the teeming population of women with breast or cervical cancer. It will go a long way to reducing the cancer burden especially on the African continent.

Professor TONIA Chinyelu ONYEKA
College of Medicine,University of Nigeria, Ituku Ozalla Campus

Read the Original

This page is a summary of: The impact of community health educators on uptake of cervical and breast cancer prevention services in Nigeria, International Journal of Gynecology & Obstetrics, March 2017, Wiley,
DOI: 10.1002/ijgo.12150.
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