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Thursday, April 30, 2009
Sadrivaan A and B (The Hilton Istanbul Hotel )
Breast cancer (BC) is the first cause of death by cancer among women in the City of Sao Paulo . Most cases are detected in late stages of the disease accounting for high mortality rates. This suggests that there is still little concern about this problem of the primary health care (PHC). The PHC is done through family health teams (FHT) which comprise a general practitioner, a nurse, two nurse attendant and 6 community health workers (CHW) that are responsible for a territory with around 1000 families.
Objective: To improve early breast cancer detection at PHC level we implemented a pilot intervention in 16 PHC teams which assist over 60.000 inhabitants through a comprehensive intervention witch involves improve clinical skills, health planning and community approach.
Methods: Sensibilization of the 16 PHC team; Improvement of physicians and nurses clinical skills in BC detection; Workshops on health planning for PHC teams in order to achieve high coverage of the population intervention; PHC team training to conduct workshops to empower women and to teach breast self-examination.
Results: All 16 PHC teams participated in workshops of sensibilization, health planning, and group conduction. 32 physicians and nurses were trained for BC detection. The 16 PHC team developed and implemented an intervention plan. A survey was conducted to identify women with familiar risk for breast cancer and who haven’t done mammography or cervical cytology.
The PHC team conducted a total of 190 groups with 3800 women of the community in 4 months. Self-esteem, self-care and reproductive health were approached in these groups. Additionally an educational material was elaborated by the women in these groups. Increased number of physicians performed correct breast and gynecological examination.
Lessons learned: Multifaceted intervention approach involving PHC team and community participation, clinical skills and community education shows are important to achieve effective results
Objective: To improve early breast cancer detection at PHC level we implemented a pilot intervention in 16 PHC teams which assist over 60.000 inhabitants through a comprehensive intervention witch involves improve clinical skills, health planning and community approach.
Methods: Sensibilization of the 16 PHC team; Improvement of physicians and nurses clinical skills in BC detection; Workshops on health planning for PHC teams in order to achieve high coverage of the population intervention; PHC team training to conduct workshops to empower women and to teach breast self-examination.
Results: All 16 PHC teams participated in workshops of sensibilization, health planning, and group conduction. 32 physicians and nurses were trained for BC detection. The 16 PHC team developed and implemented an intervention plan. A survey was conducted to identify women with familiar risk for breast cancer and who haven’t done mammography or cervical cytology.
The PHC team conducted a total of 190 groups with 3800 women of the community in 4 months. Self-esteem, self-care and reproductive health were approached in these groups. Additionally an educational material was elaborated by the women in these groups. Increased number of physicians performed correct breast and gynecological examination.
Lessons learned: Multifaceted intervention approach involving PHC team and community participation, clinical skills and community education shows are important to achieve effective results
Learning Objectives: 1.Describe a capacity building experience in primary health care (PHC) care setting for breast cancer early detection 2 Develope an articulated multifaceted intervention involving different PHC professionals and community 3. PHC team were trained to design and implement an multifaceted intervention for early detection of breast cancer and promote women´s health. 3.
See more of: Poster: Health Promotion as a Strategy for Intersectoral Action
See more of: Public Health Practices Around the Globe
See more of: Public Health Practices Around the Globe
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