Experiences and perceptions regarding clinical breast exam screening by trained laywomen in Malawi
- 17 January 2017
- journal article
- research article
- Published by Springer Science and Business Media LLC in Cancer Causes & Control
- Vol. 28 (2), 137-143
- https://doi.org/10.1007/s10552-016-0844-0
Abstract
Purpose Despite the increasing burden, breast cancer control in sub-Saharan Africa is insufficient. Late diagnosis and lack of early detection and screening services contribute to high mortality. Clinical breast exam (CBE) screening can be valuable in low-income countries, including use of community health workers and non-health professionals to conduct exams. We assessed experiences of women who underwent CBE screening by trained laywomen in Lilongwe, Malawi, as part of a pilot program. Methods The pilot study invited women attending urban health clinics to a breast cancer educational talk followed by CBE screening by trained laywomen. We purposively sampled participants from the pilot study and interviewed them about the screening experience and future cancer education programs and services. Results Overall participants had positive experiences and were willing to undergo CBE screening by trained laywomen. Participants were motivated by the educational talk, shared newly acquired cancer knowledge with their social networks, and encouraged others to seek screening. Screened women suggested strategies for future interventions including combining breast and cervical cancer screening, using female providers, partnering with community leaders to increase uptake, and expanding services into the community. Conclusions Asymptomatic Malawian women accepted CBE screening by trained laywomen and considered breast cancer an important health issue. Women appreciated combined education and screening services and proposed further linkage of breast and cervical cancer screening. Based on our results, training laywomen to educate the public on breast cancer and conduct CBE is a feasible breast cancer control strategy in sub-Saharan Africa.Keywords
Funding Information
- National Cancer Institute (R25 CA116339)
- Fogarty International Center (R25 TW009340)
This publication has 20 references indexed in Scilit:
- A framework for improving early detection of breast cancer in sub-Saharan Africa: A qualitative study of help-seeking behaviors among Malawian womenPatient Education and Counseling, 2016
- Clinical breast examination screening by trained laywomen in Malawi integrated with other health servicesJournal of Surgical Research, 2016
- From Community Laywomen to Breast Health Workers: A Pilot Training Model to Implement Clinical Breast Exam Screening in MalawiPLOS ONE, 2016
- Breast Cancer Screening in Low- and Middle-Income Countries: A Perspective From MalawiJournal of Global Oncology, 2016
- International Variation in Female Breast Cancer Incidence and Mortality RatesCancer Epidemiology, Biomarkers & Prevention, 2015
- Pathologically confirmed breast cancer in Malawi: a descriptive study: Clinical profile of breast cancerMalawi Medical Journal, 2015
- Global uptake of BHGI guidelines for breast cancerThe Lancet Oncology, 2014
- Breast Cancer in Low and Middle Income Countries (LMICs): A Shifting Tide in Global HealthThe Breast Journal, 2014
- Cancer in Africa 2012Cancer Epidemiology, Biomarkers & Prevention, 2014
- The role of pictures in improving health communication: A review of research on attention, comprehension, recall, and adherencePatient Education and Counseling, 2006