PERCEPTIONS ON CERVICAL AND BREAST CANCER IN BUSIA AND TRANS NZOIA COUNTIES KENYA
Abstract
Introduction: Breast and cervical cancers are increasing in Kenya. Community perceptions on these two cancers are often overlooked during research and programming. This study explores perceptions on breast and cervical cancer, focused on knowledge of severity, causes, signs, symptoms, prevention, and treatment. The goal was to use this knowledge to inform preventive and care programs for both conditions in Kenya.
Methods: The study took place in Busia and Trans-Nzoia counties, Kenya. A total of 129 participants engaged in 14 focus group discussions (FGDs) including patients, community members, and healthcare workers (HCWs). FGDs were facilitated by trained moderators and captured using audio recorders and field notes. Data were transcribed and translated into English, coded, and categorized thematically.
Findings: Misconceptions about breast and cervical cancers persist in Busia and Trans-Nzoia. Participants felt the need for more treatment services, and increased research and trainings on both cancers. Furthermore, socio-economic support of patients and political goodwill were seen as promising enablers in the prevention and care of both cancers.
Conclusion: Understanding local perceptions on diseases informs programming of care. Key stakeholders can suggest multifaceted interventions that can expand health education and trainings, treatment resources, and social programs for patients with breast or cervical cancers
Keywords
Full Text:
PDFReferences
Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: a cancer journal for clinicians, 71(3), 209–249. https://doi.org/10.3322/caac.21660
Arbyn, M., Weiderpass, E., Bruni, L., de Sanjosé, S., Saraiya, M., Ferlay, J., & Bray, F. (2020). Estimates of incidence and mortality of cervical cancer in 2018: a worldwide analysis. The Lancet. Global health, 8(2), e191–e203. https://doi.org/10.1016/S2214-109X(19)30482-6
Shah S.C., Kayamba V., Peek R.M., Heimburger, D. (2019). Cancer control in Low- and Middle-Income countries: Is it time to consider screening? J. Glob. Oncol, 5:1–8.
Andale T.O., Kirui N., Author, et al. (2020). Primary Health Care Integration for Four Chronic Diseases in Western Kenya: The PIC4C Baseline Study. Journal of Kenya Association of Physicians, 3(2): 46-56
Brinton, L.A., Figueroa, J.D., Awuah, B., Yarney, J., Wiafe, S., Wood, S.N., Ansong, D., Nyarko, K., Wiafe-Addai, B., & Clegg-Lamptey, J.N. (2014). Breast cancer in Sub-Saharan Africa: opportunities for prevention. Breast cancer research and treatment, 144(3), 467–478. https://doi.org/10.1007/s10549-014-2868-z
Jedy-Agba, E., Joko, W. Y., Liu, B., Buziba, N. G., Borok, M., Korir, A., Masamba, L., Manraj, S. S., Finesse, A., Wabinga, H., Somdyala, N., & Parkin, D. M. (2020). Trends in cervical cancer incidence in sub-Saharan Africa. British journal of cancer, 123(1), 148–154. https://doi.org/10.1038/s41416-020-0831-9
Foerster, M., Anderson, B. O., McKenzie, F., Galukande, M., Anele, A., Adisa, C., Zietsman, A., Schuz, J., Dos Santos Silva, I., & McCormack, V. (2019). Inequities in breast cancer treatment in sub-Saharan Africa: findings from a prospective multi-country observational study. Breast cancer research: BCR, 21(1), 93. https://doi.org/10.1186/s13058-019-1174-4
Joko-Fru Y.W., Haemmerl L, Griesel M et al. (2018). Breast cancer treatment in Sub-Saharan
Africa: A population-based registry study. J. Glob. Oncology, 4(Suppl. 3): 20s – 20s.
Gatumo, M., Gacheri, S., Sayed, A. R., & Scheibe, A. (2018). Women's knowledge and attitudes related to cervical cancer and cervical cancer screening in Isiolo and Tharaka Nithi counties, Kenya: a cross-sectional study. BMC cancer, 18(1), 745. https://doi.org/10.1186/s12885-018-4642-9
Ba, D. M., Ssentongo, P., Agbese, E., Yang, Y., Cisse, R., Diakite, B., Traore, C. B., Kamate, B., Kassogue, Y., Dolo, G., Dembele, E., Diallo, H., & Maiga, M. (2020). Prevalence and determinants of breast cancer screening in four sub-Saharan African countries: a population-based study. BMJ open, 10(10), e039464. https://doi.org/10.1136/bmjopen-2020-039464
Author, Asirwa, C. F., Wachira, J., Busakhala, N., Kisuya, J., Otieno, G., Keter, A., Mwangi, A., Omenge, O. E., & Inui, T. (2015). Lay perceptions of breast cancer in Western Kenya. World journal of clinical oncology, 6(5), 147–155. https://doi.org/10.5306/wjco.v6.i5.147
Morris, B. J., Hankins, C. A., Banerjee, J., Lumbers, E. R., Mindel, A., Klausner, J. D., & Krieger, J. N. (2019). Does Male Circumcision Reduce Women's Risk of Sexually Transmitted Infections, Cervical Cancer, and Associated Conditions? Frontiers in public health, 7, 4. https://doi.org/10.3389/fpubh.2019.00004
Chalkidou, K., Marquez, P., Dhillon, P. K., Teerawattananon, Y., Anothaisintawee, T., Gadelha, C. A., & Sullivan, R. (2014). Evidence-informed frameworks for cost-effective cancer care and prevention in low, middle, and high-income countries. The Lancet. Oncology, 15(3), e119–e131. https://doi.org/10.1016/S1470-2045(13)70547-3
de Souza, J. A., Hunt, B., Asirwa, F. C., Adebamowo, C., & Lopes, G. (2016). Global Health Equity: Cancer Care Outcome Disparities in High-, Middle-, and Low-Income Countries. Journal of clinical oncology: official journal of the American Society of Clinical Oncology, 34(1), 6–13. https://doi.org/10.1200/JCO.2015.62.2860
Tetteh, D. A., & Faulkner, S. L. (2016). Sociocultural factors and breast cancer in sub-Saharan Africa: implications for diagnosis and management. Women's health (London, England), 12(1), 147–156. https://doi.org/10.2217/whe.15.76
Muthoni, A and Miller A.N. (2010). An exploration of rural and urban Kenyan women’s knowledge and attitudes regarding breast cancer and breast cancer early detection measures. Health Care Women Int., 31:801–816
Sayed, S., Moloo, Z., Ngugi, A., Allidina, A., Ndumia, R., Mutuiri, A., Wasike, R., Wahome, C., Abdihakin, M., Kasmani, R., Spears, C. D., Oigara, R., Mwachiro, E. B., Busarla, S. V., Kibor, K., Ahmed, A., Wawire, J., Sherman, O., Saleh, M., Zujewski, J. A., … Dawsey, S. M. (2016). Breast Camps for Awareness and Early Diagnosis of Breast Cancer in Countries with Limited Resources: A Multidisciplinary Model from Kenya. The oncologist, 21(9), 1138–1148. https://doi.org/10.1634/theoncologist.2016-0004
Kisuya, J., Wachira, J., Busakhala, N., Author., Chite, A. F., Omenge, O., Otieno, G., Keter, A., Mwangi, A., & Inui, T. (2015). Impact of an educational intervention on breast cancer knowledge in western Kenya. Health education research, 30(5), 786–796. https://doi.org/10.1093/her/cyv043
Pierz, A. J., Randall, T. C., Castle, P. E., Adedimeji, A., Ingabire, C., Kubwimana, G., Uwinkindi, F., Hagenimana, M., Businge, L., Musabyimana, F., Munyaneza, A., & Murenzi, G. (2020). A scoping review: Facilitators and barriers of cervical cancer screening and early diagnosis of breast cancer in Sub-Saharan African health settings. Gynecologic oncology reports, 33, 100605. https://doi.org/10.1016/j.gore.2020.100605
Refbacks
- There are currently no refbacks.
Copyright (c) 2022 Violet Naanyu
© Numid Publishers ISSN: 2518-8631