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Ouedraogo S, Bamogo A, Tiendrebeogo G, Kaboré S, Turcotte-Tremblay AM, Maiga M, Kagoné ST, Lompo OM, Meda N. Cervical cancer prevention in Burkina Faso: a stakeholder's collaboration for the development of awareness messaging. Front Oncol 2024; 14:1383133. [PMID: 38800380 PMCID: PMC11116777 DOI: 10.3389/fonc.2024.1383133] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Accepted: 04/23/2024] [Indexed: 05/29/2024] Open
Abstract
Background Cervical Cancer stands as the second leading cause of both incident female cancers and deaths in Burkina Faso. Unfortunately, the prevention, early detection, and care of cervical cancers are suboptimal at individual, institutional, and national levels. In October 2023, we organized a stakeholder's workshop to develop cervical cancer awareness messaging for disease control in the country. Methods A one-text workshop was organized with stakeholders working toward improving health in general or women's health and well-being. A participatory, learning, and adaptive approach was used to facilitate discussions and activities, ensuring the contribution of all participants. Contextual evidence-based and empirical elements about cervical cancer burden and preventive strategies were presented to the participants by key informants. These served as the foundation for a collaborative formulation of messaging content that aimed at raising awareness about cervical cancer. Results Sixty-two participants from 28 organizations attended the workshop. They work mainly at local and international non-governmental organizations, civil society organizations, universities, university hospitals, research centers, and the Ministry of Health. During the first and second days of the workshop, the participants explored cervical cancer data, its preventive and treatment options available in Burkina Faso, communication strategies for behavioral change, and determinants of the use of prevention and health promotion services. During the following three days, 3 working groups were formed to define strategies, and key messages adapted to diverse tools and targeted audiences. All information was validated during plenary sessions before the end of the workshop and available to all participants and their organizations for cancer awareness activities. Conclusion Upon conclusion of the workshop, the participants provided insightful information for the development of cervical awareness messaging in Burkina Faso. They formed the first community of practice to serve as a dynamic platform for implementation, monitoring, evaluation, and continued learning activities.
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Affiliation(s)
- Samiratou Ouedraogo
- Oliver Reginald (OR) Tambo Africa Research Chair “Research and Action Against Cancer”, Faculty of Health Sciences, University Joseph KI-ZERBO, Ouagadougou, Burkina Faso
- Observatoire National de la Santé de la Population (ONSP), Institut National de Santé Publique (INSP), Ouagadougou, Burkina Faso
- Department of Public Health, Faculty of Health Sciences, University Joseph KI-ZERBO, Ouagadougou, Burkina Faso
- Department of Global and Public Health, McGill School of Population and Global Health, McGill University, Montreal, QC, Canada
| | - Assanatou Bamogo
- Department of Maternal and Child Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
- Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD, United States
| | - Georges Tiendrebeogo
- Association d’Anthropologie Médicale et de la Santé (AMADES), Ouagadougou, Burkina Faso
| | - Simon Kaboré
- Réseaux Accès aux Médicaments Essentiels, Ouagadougou, Burkina Faso
| | | | - Mamoudou Maiga
- Center for Global Oncology, Northwestern University, Chicago, IL, United States
| | | | - Olga Mélanie Lompo
- Oliver Reginald (OR) Tambo Africa Research Chair “Research and Action Against Cancer”, Faculty of Health Sciences, University Joseph KI-ZERBO, Ouagadougou, Burkina Faso
- Laboratory of Pathological Anatomy and Cytology, Yalgado Ouedraogo University Hospital, Ouagadougou, Burkina Faso
| | - Nicolas Meda
- Department of Public Health, Faculty of Health Sciences, University Joseph KI-ZERBO, Ouagadougou, Burkina Faso
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Smith P, Moody G, Clarke E, Hiscock J, Cannings-John R, Townson J, Edwards A, Quinn-Scoggins HD, Sewell B, Jones D, Lloydwin C, Thomas S, Casey D, Lloyd-Bennett C, Stanton H, Lugg-Widger FV, Huws D, Watkins A, Newton G, Thomas AM, McCutchan GM, Brain K. Protocol for a feasibility study of a cancer symptom awareness campaign to support the rapid diagnostic centre referral pathway in a socioeconomically deprived area: Targeted Intensive Community-based campaign To Optimise Cancer awareness (TIC-TOC). BMJ Open 2022; 12:e063280. [PMID: 36223970 PMCID: PMC9562715 DOI: 10.1136/bmjopen-2022-063280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
INTRODUCTION Rapid diagnostic centres (RDCs) are being implemented across the UK to accelerate the assessment of vague suspected cancer symptoms. Targeted behavioural interventions are needed to augment RDCs that serve socioeconomically deprived populations who are disproportionately affected by cancer, have lower cancer symptom awareness and are less likely to seek help for cancer symptoms. The aim of this study is to assess the feasibility and acceptability of delivering and evaluating a community-based vague cancer symptom awareness intervention in an area of high socioeconomic deprivation. METHODS AND ANALYSIS Intervention materials and messages were coproduced with local stakeholders in Cwm Taf Morgannwg, Wales. Cancer champions will be trained to deliver intervention messages and distribute intervention materials using broadcast media (eg, local radio), printed media (eg, branded pharmacy bags, posters, leaflets), social media (eg, Facebook) and attending local community events. A cross-sectional questionnaire will include self-reported patient interval (time between noticing symptoms to contacting the general practitioner), cancer symptom recognition, cancer beliefs and barriers to presentation, awareness of campaign messages, healthcare resource use, generic quality of life and individual and area-level deprivation indicators. Consent rates and proportion of missing data for patient questionnaires (n=189) attending RDCs will be measured. Qualitative interviews and focus groups will assess intervention acceptability and barriers/facilitators to delivery. ETHICS AND DISSEMINATION Ethical approval for this study was given by the London-West London & GTAC Research Ethics (21/LO/0402). This project will inform a potential future controlled study to assess intervention effectiveness in reducing the patient interval for vague cancer symptoms. The results will be critical to informing national policy and practice regarding behavioural interventions to support RDCs in highly deprived populations.
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Affiliation(s)
- Pamela Smith
- Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK
| | | | - Eleanor Clarke
- Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK
| | - Julia Hiscock
- North Wales Centre for Primary Care Research, Bangor Institute for Health and Medical Research, Bangor University, Bangor University, Wrexham, UK
| | | | - Julia Townson
- Centre for Trials Research, Cardiff University, Cardiff, UK
| | - Adrian Edwards
- Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK
| | | | - Bernadette Sewell
- Swansea Centre for Health Economics, Swansea University, Swansea, Wales, UK
| | - Daniel Jones
- Leeds Institute of Health Sciences, University of Leeds, Leeds, UK
| | | | - Sara Thomas
- Cwm Taf Public Health Team, Public Health Wales, Public Health Wales, Merthyr Tydfil, UK
| | - Dawn Casey
- Cwm Taf Morgannwg University Health Board, Cwm Taf, UK
| | | | - Helen Stanton
- Centre for Trials Research, Cardiff University, Cardiff, UK
| | | | - Dyfed Huws
- Public Health Wales, Welsh Cancer Intelligence & Surveillance Unit, Cardiff, Wales, UK
- Population Data Science, Swansea University Medical School, Swansea University, Swansea, West Glamorgan, UK
| | - Angela Watkins
- Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK
| | - Gareth Newton
- Centre for Trials Research, Cardiff University, Cardiff, UK
- Patient and Public Involvement, Cardiff University, Cardiff, UK
| | | | - Grace M McCutchan
- Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK
| | - Kate Brain
- Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK
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Bourmaud A, Chauvin F. Which communication strategies can improve interventions aimed at tackling social inequalities in organized cancer screening in France? Glob Health Promot 2021; 28:89-92. [PMID: 33843345 PMCID: PMC7897540 DOI: 10.1177/1757975921989505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Accepted: 11/20/2020] [Indexed: 11/15/2022]
Abstract
Interventions to increase participation in cancer screening programs have been developed and evaluated by our research team. The results observed provide an opportunity to consider which methods of communication should be encouraged to improve those interventions. The objective of this commentary is to recommend communication strategies which should be adopted to efficiently reach and support disadvantaged individuals to engage in cancer screening, as a healthy behaviour.
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Affiliation(s)
- Aurelie Bourmaud
- Clinical Epidemiology Unit, Universitary Hospital Robert Debré, Université de Paris, Institut national de la santé et de la recherche médicale (Inserm) ECEVE 1123, Paris, France
| | - Franck Chauvin
- Institut national de la santé et de la recherche médicale (Inserm) CIC 1408, High Council for Public Health, Jean Monnet University, Saint Etienne, France
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Schliemann D, Htay MNN, Dahlui M, Paramasivam D, Cardwell CR, Ibrahim Tamin NSB, Somasundaram S, Donnelly C, Su TT, Donnelly M. Impact of a mass media campaign on breast cancer symptoms awareness and screening uptake in Malaysia: findings from a quasi-experimental study. BMJ Open 2020; 10:e036503. [PMID: 32819988 PMCID: PMC7443282 DOI: 10.1136/bmjopen-2019-036503] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/17/2019] [Revised: 06/23/2020] [Accepted: 06/30/2020] [Indexed: 12/21/2022] Open
Abstract
OBJECTIVE To evaluate the impact of a mass media campaign in terms of improving breast cancer (BC) symptoms awareness and screening uptake. DESIGN Before-and after-study with comparator groups. SETTING Selangor State, Malaysia. PARTICIPANTS Malaysian women aged >40 years (n=676) from randomly selected households. INTERVENTION A culturally adapted mass media campaign (TV, radio, print media and social media). PRIMARY AND SECONDARY OUTCOME MEASURES The primary endpoint was BC symptoms awareness, which was assessed with the Breast Cancer Awareness Measure precampaign and postcampaign. Secondary outcomes included campaign reach, self-efficacy to notice BC symptoms and clinical outcomes. Clinical breast examination and mammogram screening data were collected from hospitals and clinics. RESULTS Most participants recognised at least one of the campaign materials (65.2%). The odds of seeing the campaign were lowest for Chinese women (adjusted OR 0.25, 95% CI 0.15 to 0.40) compared with Malays and for women aged >70 years (adjusted OR 0.47, 95% CI 0.23 to 0.94) compared with younger women. Participants who recognised the campaign were significantly more likely to have improved awareness postcampaign compared with non-recognisers particularly for key symptoms such as 'a lump or thickening in your breast' (88.9% vs 62.1%) and 'discharge or bleeding from nipple' (79.7% vs 55.3%). Improvement in symptoms awareness scores was not associated with sociodemographic variables. CONCLUSIONS Implementation in Malaysia of an evidence-based mass media campaign from the UK that was culturally adapted appeared to lead to improved awareness about some BC symptoms, though various modes of media communication and perhaps other health education approaches may be required to extend the reach to diverse, multiethnic populations and all age groups.
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Affiliation(s)
- Désirée Schliemann
- Centre for Public Health and UKCRC Centre of Excellence for Public Health, Queen's University Belfast, Belfast, United Kingdom
| | - Mila Nu Nu Htay
- Centre for Population Health (CePH), Department of Social and Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia
- Department of Community Medicine, Melaka-Manipal Medical College, Manipal Academy of Higher Education (MAHE), Melaka, Malaysia
| | - Maznah Dahlui
- Centre for Population Health (CePH), Department of Social and Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia
- Facultas Public Health, University Airlangga, Surabaya, Indonesia
| | - Darishiani Paramasivam
- Centre for Population Health (CePH), Department of Social and Preventive Medicine, University of Malaya, Kuala Lumpur, Malaysia
| | - Christopher R Cardwell
- Centre for Public Health and UKCRC Centre of Excellence for Public Health, Queen's University Belfast, Belfast, United Kingdom
| | | | | | | | - Tin Tin Su
- South East Asia Community Observatory (SEACO), Jeffrey Cheah School of Medicine and Health Sciences, Monash University Malaysia, Kuala Lumpur, Malaysia
| | - Michael Donnelly
- Centre for Public Health and UKCRC Centre of Excellence for Public Health, Queen's University Belfast, Belfast, United Kingdom
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