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Quality of breast cancer early detection services conducted by well woman clinics in the district of Gampaha, Sri Lanka

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dc.contributor.author Vithana, P. V. en_US
dc.contributor.author Ariyaratne, M. en_US
dc.contributor.author Jayawardana, P. en_US
dc.date.accessioned 2014-10-29T09:41:43Z
dc.date.available 2014-10-29T09:41:43Z
dc.date.issued 2013 en_US
dc.identifier.citation Asian Pacific Journal of Cancer Prevention; 14(1): pp.75-80 en_US
dc.identifier.issn 1513-7368 (Print) en_US
dc.identifier.uri http://repository.kln.ac.lk/handle/123456789/2294
dc.description.abstract BACKGROUND: Breast cancer is the most common cancer diagnosed in females in Sri Lanka and early detection can lead to reduction in morbidity and mortality. AIM: To evaluate selected aspects of breast cancer early detection services implemented through well woman clinics (WWCs) in the Gampaha District. METHODS: The study consisted of two components. A retrospective descriptive arm assessed clinical breast examination (CBE) coverage of target age group women (TGW) of 35-59 years in all the WWCs in Gampaha district over 2003- 2007. A cross sectional descriptive study additionally assessed quality of breast cancer early detection services. The Lot Quality Assurance Sampling (LQAS) technique was used to decide on the lot size and threshold values, which were computed as twenty and six clinics. Checklists were employed in assessing coverage, physical facilities and clinic activities. Client satisfaction on WWC services was assessed among 200 TGW attending 20 WWCs using an interviewer-administered questionnaire. RESULTS: CBE coverage in the Gampaha district increased only from 1.1-2.2% over 2003-2007. With regard to physical facilities, the number of clinics that were rated substandard varied between 7-18 (35- 90%). The items that were lacking included dust bins, notice boards, stationary, furniture and linen, and cleanliness of outside premises and toilets. With regard to clinic activities, punctuality of staff, late commencement of clinics, provision of health education, supervision, CBE and breast self-examination (BSE) were substandard in 7- 20clinics (35-100%). Client satisfaction for WWC services was 45.2% (IQR: 38.7-54.8%) and only 11% had a score of ≥70%, the cut off set for satisfaction. CONCLUSIONS: Breast cancer early detection service coverage in the Gampaha district remained low (2.2%) in 2007, 11 years after commencing WWCs. All 20 clinics were substandard for overall CBE and BSE
dc.publisher Asian Pacific Organization for Cancer Prevention en_US
dc.title Quality of breast cancer early detection services conducted by well woman clinics in the district of Gampaha, Sri Lanka en_US
dc.type Article en_US
dc.identifier.department Public Health en_US
dc.creator.corporateauthor Asian Pacific Organization for Cancer Prevention en_US
dc.creator.corporateauthor International Association of Cancer Registries en_US
dc.description.note Indexed in mEDLINE en_US


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