Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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Quality of Breast Cancer Early Detection Services Conducted by Well Woman Clinics in the District of Gampaha, Sri Lanka

  • Vithana, Palatiyana Vithanage Sajeewanie Chiranthika (National Cancer Control Programme, Ministry of Health) ;
  • Ariyaratne, M.A.Y. (National Cancer Institute) ;
  • Jayawardana, P.L. (Faculty of Medicine, University of Kelaniya)
  • Published : 2013.01.31
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Abstract

Background: Breast cancer is the most common cancer diagnosed in females in Sri Lanka and early detection can lead to reduction in morbidity and mortality. Aim: To evaluate selected aspects of breast cancer early detection services implemented through well woman clinics (WWCs) in the Gampaha District. Methods: The study consisted of two components. A retrospective descriptive arm assessed clinical breast examination (CBE) coverage of target age group women (TGW) of 35-59 years in all the WWCs in Gampaha district over 2003-2007. A cross sectional descriptive study additionally assessed quality of breast cancer early detection services. The Lot Quality Assurance Sampling (LQAS) technique was used to decide on the lot size and threshold values, which were computed as twenty and six clinics. Checklists were employed in assessing coverage, physical facilities and clinic activities. Client satisfaction on WWC services was assessed among 200 TGW attending 20 WWCs using an interviewer-administered questionnaire. Results: CBE coverage in the Gampaha district increased only from 1.1-2.2% over 2003-2007. With regard to physical facilities, the number of clinics that were rated substandard varied between 7-18 (35-90%). The items that were lacking included dust bins, notice boards, stationary, furniture and linen, and cleanliness of outside premises and toilets. With regard to clinic activities, punctuality of staff, late commencement of clinics, provision of health education, supervision, CBE and breast self-examination (BSE) were substandard in 7-20 clinics (35-100%). Client satisfaction for WWC services was 45.2% (IQR: 38.7-54.8%) and only 11% had a score of ${\geq}70%$, the cut off set for satisfaction. Conclusions: Breast cancer early detection service coverage in the Gampaha district remained low (2.2%) in 2007, 11 years after commencing WWCs. All 20 clinics were substandard for overall CBE and BSE.

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References

  1. Coughlin SS, Sabatino SA, Shaw KM (2008). What factors are associated with where women undergo clinical breast examination? Results from the 2005. National Hlth Interview Survey Open Clin Cancer J, 2, 32-43. https://doi.org/10.2174/1874189400802010032
  2. Department of Census and Statistics Sri Lanka (2003). Census population and housing 2001 Sri Lanka: District report Gampaha. Colombo: Department of Census and Statistics.
  3. Family Health Bureau Sri Lanka (2009). Annual report of family health Sri Lanka 2006-2007, Family Health Bureau, Colombo.
  4. Fung SY (1998). Factors associated with breast self-examination behaviour among Chinese women in Hong Kong. Patient Education and Counselling, 33, 233-43. https://doi.org/10.1016/S0738-3991(98)00023-8
  5. Jayatissa KLR (1997). An analysis of utilization, quality and costs of maternal and child health clinic services. MD Thesis (community medicine). Post graduate institute of medicine. University of Colombo, Sri Lanka, 156.
  6. Lemeshow S, Taber S (1991). Lot quality assurance sampling: single- and double-sampling plans. World Hlth Stat Q, 44, 115-32.
  7. Liyanage DTP (2002). Evaluation of selected aspects of Cervical Cancer Screening Programme in Kalutara Districts and the effectiveness of an educational intervention. MD Thesis (Community Medicine), Post Graduate Institute of Medicine. University of Colombo, Sri Lanka, 165.
  8. Lwanga SK, Lemeshow S (1991). Lot Quality Assurance Sampling. Sample size determination in health studies. World Health Organization, Geneva, 6-33.
  9. Mccarney R, Warner J, Iliffe S, et al (2007). The hawthorne effect: a randomised, controlled trial. Bio Med Central Med Res Methodology, 7, 30. https://doi.org/10.1186/1471-2288-7-30
  10. Ministry of Health, Sri Lanka (2008). Annual Health Statistics-2007, Sri Lanka (online). Available from:http://203.94.76.60/AHB2007/Annual%20Health%20Statistics%2007.PDF (Accessed on 27 October 2009).
  11. National Cancer Control Programme Sri Lanka (2009). Cancer incidence data: Sri Lanka Year 2001-2005. Cancer registry, National Cancer Control programme, Colombo.
  12. Parkin DM, Bray F, Ferlay J, Pisani P (2001). Estimating the world cancer burden: Globocan 2000. Int J Cancer, 94, 153-6. https://doi.org/10.1002/ijc.1440
  13. Pinidiyapathirage MJ (2003). Assessment of quality of care provided at antenatal clinics in the Gampaha district, MSc Dissertation (Community Medicine), Post Graduate Institute of Medicine. University of Colombo, Sri Lanka, 165.
  14. Ries LAG, Eisner MP, Kosary CL (2003). SEER Cancer Statistics Review, 1975-2000.
  15. Yang TC, Matthews SA, Hillemeier M (2011). Is health care system distrust a barrier to breast and cervical cancer screening? Evidence from Philadelphia. Am J Public Hlth, 101, 1297-305. https://doi.org/10.2105/AJPH.2010.300061

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