Ko-Pamoja: the feasibility of a lay health educator-led breast and cervical screening program for Black women in Ontario, Canada (short report)

Lofters, Aisha; Jain, Ankur; Siu, Winnie; Kyte, Meghan; Lee-Foon, Nakia; Scott, Fran; Nnorom, Onye

doi:10.1007/s10552-017-0920-0

Cited by 9 publications

(9 citation statements)

References 19 publications

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“…Utilization of community structures offers the most sustainable awareness creation and screening invitation approaches in LMIC settings or even high‐income settings with health disparities. 17 , 18 …”

Section: Discussionmentioning

confidence: 99%

“…While mass media approaches in increasing breast health awareness and uptake of screening has been demonstrated in other settings, 15,16 cost and sustainability in LMIC settings is a major barrier to their wide adoption. Utilization of community structures offers the most sustainable awareness creation and screening invitation approaches in LMIC settings or even high‐income settings with health disparities 17,18 …”

Section: Discussionmentioning

confidence: 99%

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Breast health awareness campaign and screening pilot in a Kenyan County: Findings and lessons

et al. 2021

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Background and Aim Breast cancer is the leading cancer in terms of incidence in Kenya. We conducted a breast cancer awareness and screening pilot to assess feasibility of rolling out a national screening program in Kenya. Methods Conducted in Nyeri County during October–November 2019, the pilot had three phases; awareness creation, screening (clinical breast examination and/or imaging) and final evaluation (post‐screening exit interviews and retrospective screening data review). Descriptive statistics on awareness, screening process and outputs were derived. Results During the pilot, 1813 CBE, 217 breast ultrasounds and 600 mammograms were performed. Mammography equipment utilization increased from 11% to 83%. Of 49 women with suspicious lesions on mammography, only 22 (44.9%) had been linked to care 4 months after the campaign. Of 532 exit interview respondents; 95% (505/532) were ≥35 years of age; 80% (426/532) had been reached by the awareness campaign. Majority (75% [399/532]) had received information from community health volunteers; 68% through social groups. Majority (79% [420/532]) felt the campaign had changed their behavior on breast health. Although 77% (407/532) had knowledge on self breast examination (SBE); only 13% practiced monthly SBE. More than half (58% [306/532]) had previously undertaken a CBE. Approximately 70% (375/528) were unaware of mammography before the pilot; 86% (459/532) had never previously undertaken a mammogram. Fifty‐five percent (293/532) of respondents had screening waiting times of >120 min. Conclusion Community health workers can create breast cancer screening demand sustainably. Adequate personnel and effective follow‐up are crucial before national roll‐out of a breast cancer screening program.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Breast health awareness campaign and screening pilot in a Kenyan County: Findings and lessons

et al. 2021

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“…The calls were managed in a culturally safe way, avoiding the word cancer over the telephone (based on feedback from previous consultations with community members for a church-and community-based cancer education program). 20 If a patient consented to screening, an RN and PA were then responsible for providing education on cancer screening (using the term cancer in the clinical setting), performing Pap tests, ordering FOBTs, and ordering mammography. Patients who were identified during the clinical encounter as not meeting the low-risk eligibility criteria set out by Cancer Care Ontario, or who were otherwise deemed inappropriate for the call-back program by their primary care provider, were not seen by the RN or PA but were booked with their provider for cancer screening.…”

Section: Cancer Screening Call-back Programmentioning

confidence: 99%

“…Based on feedback elicited from patients, 20 educational pamphlets about cancer screening were developed by TAIBU using a culturally appropriate approach to reflect the racial diversity of patients and staff. TAIBU staff volunteered to develop a screening pamphlet with photos of vocationally, racially, and gender-diverse TAIBU providers, and the heading: "We are up-to-date on our screening.…”

Section: Patient Education Programmentioning

confidence: 99%

“…[17][18][19] Interventions to increase screening uptake in visible minority and immigrant populations have included peer-led outreach and education groups, language-specific services and information, transportation programs, and patient call-back or reminder letter programs. [20][21][22] Program objective TAIBU Community Health Centre (CHC) provides primary health care services to the Black population in the greater Toronto area, as well as the largely immigrant population in the Malvern area (Scarborough, Ont). TAIBU CHC's patient population is 85% foreignborn and 59% Black (Table 1); Afrocentricity is one of its core values (ie, anchored in African values of cooperation, focusing on the collective for input).…”

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confidence: 99%

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Afrocentric screening program for breast, colorectal, and cervical cancer among immigrant patients in Ontario

et al. 2021

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Program DescriptionEditor's key points  Immigrant and racialized populations in Canada are not being screened at a rate comparable to the rate for white Canadian populations, predisposing them to increased cancer morbidity and mortality. Engagement of the community throughout the quality improvement process was of paramount importance in sustaining participation in cancer screening. TAIBU Community Health Centre used information from surveys and focus groups to tailor its educational content to address important barriers to screening. TAIBU Community Health Centre's Afrocentric quality improvement program for cancer screening was successful in increasing cancer screening rates sustainably in a racially and socioeconomically diverse clinic.

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Factors promoting breast, cervical and colorectal cancer screenings participation: A systematic review

et al. 2022

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Objective: The present study aims at systematically reviewing research conducted on factors promoting breast, cervical and colorectal cancer screenings participation. Methods: A literature search in MEDLINE/PubMed and PsycInfo from January 2017 to October 2021 was performed. Data extraction, researchers' full agreement and the inclusion criteria produced 102 eligible studies. Data were narratively synthesized and critically interpreted. Results: Multiple factors favoring or hindering breast, cervical and colorectal cancer screenings were identified and summarized as factors operating at the individual level (background information, individual characteristics, emotions related to screening procedure and to cancer, knowledge and awareness), at the relational level (relationships with healthcare staff, significant others, community members), and at the healthcare system level (systems barriers/policy, lack of staff). A critical appraisal of studies revealed a fragmentation in the literature, with a compartmentalization of studies by type of cancer screening, country and specific populations of destination. Conclusions: Overall findings indicated that greater integration of research results obtained independently for each cancer diagnosis and within the different countries/populations could foster a more comprehensive understanding of factors potentially enhancing the participation in breast, cervical and colorectal cancer screenings worldwide. This review, which is grounded in the current context of globalization and superdiversification in population, can help to enhance a better integration between research and practices, by supporting the development of more effective and inclusive evidence-based interventions and health-promotion campaigns worldwide. Research and practical implications are highlighted and discussed.

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Ko-Pamoja: the feasibility of a lay health educator-led breast and cervical screening program for Black women in Ontario, Canada (short report)

Cited by 9 publications

References 19 publications

Breast health awareness campaign and screening pilot in a Kenyan County: Findings and lessons

Breast health awareness campaign and screening pilot in a Kenyan County: Findings and lessons

Afrocentric screening program for breast, colorectal, and cervical cancer among immigrant patients in Ontario

Factors promoting breast, cervical and colorectal cancer screenings participation: A systematic review

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