The Vave campaign: impact evaluation of a cancer awareness raising multi-media campaign in Samoa

Abstract

Summary Cancer is a leading cause of premature death and disability in Samoa. Recognizing the importance of symptom awareness and early detection, the Samoa Cancer Society (SCS) developed the ‘Vave’ (quickly) campaign as the first multi-media cancer awareness campaign in Samoa. The campaign adopted a three-pronged community engagement approach including mass media; printed resources; and community outreach at culturally appropriate locations including churches, villages and schools. The campaign promoted three key messages: detect signs and symptoms quickly; quickly see a doctor; and quickly call SCS. To measure impact, data were collected using several methods around the outreach education sessions (pre- and post-surveys), campaign recall (survey) and Vave-related enquiries received by SCS. The findings revealed the campaign was effective in increasing awareness of cancer and importance of early detection demonstrated through community recall of campaign messages, increased enquiries to SCS and improved knowledge. However, it is of note that almost 30% of campaign recall respondents stated they were unsure or would not see a doctor if concerned about a sign of cancer. The reasons given being a lack of knowledge, lack of trust in hospitals and preference for traditional healing. This suggests more targeted culturally sensitive strategies are needed including partnering with traditional healers. Further, advocacy efforts are needed to address the structural barriers to cancer detection and treatment together with continuing education around causes and symptoms of cancer targeting the hard-to-reach communities in Samoa.

The relationship between patient enablement and help‐seeking in the context of blood cancer symptoms

“…The role of public awareness of cancer symptoms is well recognised, with health campaigns instigated globally to improve cancer symptom knowledge and encourage prompt help‐seeking (defined as the time between perceiving a reason to seek medical help to first contact with a healthcare professional) 1 . These campaigns show promise, with consistent evidence supporting improved knowledge, 2–6 and expedited help‐seeking for potential cancer symptoms 2,3 . There is also evidence of a positive impact on diagnosis (incidence and stage), 3,6,7 although this is not as reliable, 6,8 and the longer‐term impact on survival is harder to ascertain 3 …”