Practice, Perceptions, and Prospects of Mammography Screening in Nigeria: Insights From a National Survey of Female Health Workers

Omisore, Adeleye Dorcas; Odedeyi, Akinola Ayodeji; Famurewa, O.; Olasehinde, Olalekan; Olugbade, Olukemi Titilope; Esan, Oluwadare; Aderibigbe, Adeniyi Sunday; Akinola, Racheal Adeyanju

doi:10.1016/j.clbc.2022.02.009

Cited by 4 publications

(1 citation statement)

References 16 publications

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“…Some experts have suggested that the rising incidence can reflect a growing awareness of breast cancer and improvements in availability of screening and diagnostics in the region. However, many reports have shown the poor availability of screening services, diagnostic skills and technology within the region; therefore, this is not conclusive 23 24. The increasing population and life expectancy for women in sub-Saharan Africa secondary to improvement of other healthcare indices such as infectious disease control have also been proposed to contribute to the rising incidence of the disease.…”

Section: Discussionmentioning

confidence: 99%

Comparative examination of breast cancer burden in sub-Saharan Africa, 1990–2019: estimates from Global Burden of Disease 2019 study

Igbokwe

2024

BMJ Open

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ObjectivesIn view of the widening gap in survival data between high-income and low-income countries, this study aimed to evaluate the most up-to-date burden of female breast cancer and analyse the leading risk factors in countries and regions in sub-Saharan Africa.DesignAn analysis of Global Burden of Disease (GBD) data.SettingThe data of incidences, deaths, disability-adjusted life years (DALYs) and age-standardised rates (ASR) were retrieved from GBD Results Tool (1 January 1990─31 December 2019) covering 4 sub-Saharan African regions and 44 countries. The burden estimable to the risk factors of breast cancer was also estimated. All estimates were presented as counts and ASR per 100 000 population.ParticipantsParticipants included patients with female breast cancer.Main outcomes and measuresAbsolute numbers and ASR/estimates of incidence, deaths and DALY of female breast cancer by location in 1990 and 2019, with their percentage changes from 1990 to 2019. The leading risk factors (eg, alcohol consumption) of breast cancer in sub-Saharan Africa.ResultsIn sub-Saharan Africa, the incidences of breast cancer increased by 247% in 2019 from 1990, with the highest incidence recorded in Nigeria. The deaths and DALYs of breast cancer increased by 184% and 178%, respectively. From 1990 to 2019, the mortality ASR and DALY ASR increased throughout the region, mostly in Equatorial and Gabon. With varying trends between countries, alcohol consumption and high fasting plasma glucose were noted to be significant contributors to breast cancer deaths between 1990 and 2019.ConclusionThe results show the increasing burden of breast cancer in sub-Saharan Africa and provide valuable information on the trends of breast cancer and the risk factors attributable to breast cancer across sociodemographic index, region and country. These findings may inform health policies and improve the rational allocation of health resources.

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Section: Discussionmentioning

confidence: 99%

Comparative examination of breast cancer burden in sub-Saharan Africa, 1990–2019: estimates from Global Burden of Disease 2019 study

Igbokwe

2024

BMJ Open

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Cost–benefit analysis of mammography screening: the perspective of Nigerian healthcare providers

Nduka,

Umeh,

Okafor

et al. 2024

bmjph

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IntroductionThere is no national breast cancer screening implemented in Nigeria. The National Cancer Control Plan (NCCP) has a goal of making screening services and early detection of cancer available for all Nigerians. Health financing is predominantly through out-of-pocket (OOP) spending. As it could take a while for the NCCP to figure out a financing mechanism to make screening widely available, it is necessary to assess if mammography screening could be potentially funded by OOP by ascertaining the value that eligible women place on it. This study assessed the cost–benefit of mammography screening from the healthcare provider’s perspective.MethodsThis hospital-based cross-sectional study assessed the potential benefit of mammography using participants’ willingness to pay (WTP) for the service. Average WTP was determined using contingent valuation. Binary logistic regression was used to assess predictors of WTP acceptance while multiple linear regression was used to model the relationship between the independent variables and WTP amount. The cost of mammography was estimated from the healthcare provider’s perspective. Probabilistic sensitivity analysis was used to account for parameter uncertainty. The benefit–cost ratio (BCR) was calculated.Results767 respondents participated in the study. The stated average WTP amount (minimum-maximum) was US$10.26 (US$0.0–US$46.20). Participants who had never noticed a breast change were 2.5 times more likely to be willing to pay for mammography screening. A unit increase in income level led to a US$9.185 increase in WTP amount for mammography screening. Also, a unit increase in breast self-examination led to a US$2.797 increase in WTP amount for mammography screening. The average cost (minimum-maximum) of mammography was US$23.02 (US$13.20–US$33.00). The BCR of mammography screening was 0.45 (95% CI 0.44 to 0.46).ConclusionsMammography screening is not cost–beneficial to the healthcare provider when clients are asked to pay OOP. This highlights the need to explore sustainable health financing mechanisms to support mammography screening in Nigeria.

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Lessons learned: audit of the record-keeping quality of a tertiary hospital’s mammography service

Nnamani,

Iloanusi,

Dim

et al. 2023

Ann Clin Biomed Res

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Breast cancer is the most common cancer worldwide. In diagnostic centers offering mammography, periodic audit of medical archived procedures is an important component of a quality assurance program; this ensures optimal follow-up of positive cases and establishment of measures to combat any deficiencies. The study aimed to audit the record-keeping of the mammography service in a tertiary institution, with a view to improving its efficiency. A retrospective audit of request forms, questionnaires, mammograms, and reports of 1,098 women who had mammography at the radiology department of a public tertiary hospital between 2011 and 2018. An internal audit of records evaluated the completeness of clinical information on the request forms, questionnaires, accuracy of diagnosis, and state of stored mammographic films, years later. Microsoft Excel and SPSS version 23 were used for the analysis of descriptive and inferential statistics, respectively. Two hundred and thirty (21%) and 791 (72%) women had screening and diagnostic mammography, respectively; their ages ranged from 31 to 85 years. Indication of study was not stated on 73 (7%) request forms and 281 (26%) request forms were improperly filled. There were 52 (4.7%) women not clerked with the questionnaire, while 158 (14%) had no clinical breast examination prior to imaging. One hundred and thirty (12%) mammograms were damaged, while 2 were missing and not reviewed. Our study revealed a significant lapse in quality of our mammography record archival system. Evidence obtained helped institute necessary measures in place for digitization and quality control of mammography services.

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Practice, Perceptions, and Prospects of Mammography Screening in Nigeria: Insights From a National Survey of Female Health Workers

Cited by 4 publications

References 16 publications

Comparative examination of breast cancer burden in sub-Saharan Africa, 1990–2019: estimates from Global Burden of Disease 2019 study

Comparative examination of breast cancer burden in sub-Saharan Africa, 1990–2019: estimates from Global Burden of Disease 2019 study

Cost–benefit analysis of mammography screening: the perspective of Nigerian healthcare providers

Lessons learned: audit of the record-keeping quality of a tertiary hospital’s mammography service

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