Home / Breast Cancer Awareness and Free Screening Programme

Breast Cancer Awareness and Free Screening Programme

BREAST CANCER AWARENESS AND FREE SCREENING PROGRAMME
Introduction
All over the world, breast cancer has been identified as the leading cause of mortality from cancers among women. The life time risk of a woman developing breast cancer is said to be about 10%. Annual number of cases is about 33.6/100,000, yet the breast cancer remains one of the cancers for which total cure can be achieved if detected and treated early.

Background
In recognition of the disease burden and resultant effect, the Lagos State Ministry of Health conducted a rapid assessment survey to obtain a baseline on knowledge, attitude and practice of breast self examination among women in Lagos state on breast cancer in Somolu and Ikeja local Governments.
The survey identified inadequate knowledge of women as to the cause, risk factors, method of diagnosis and uptake of cancer screening. As such, the Free Breast Cancer Awareness and Screening program was launched officially in 2006 by the former First Lady, Chief (Mrs) Oluremi Tinubu in collaboration with the Ministry of Women Affairs and Poverty Alleviation.

Goal of the breast cancer awareness and free screening program
To increase the awareness of women on breast cancer and ultimately reduce morbidity and mortality associated with the disease.

Thematic Areas of Intervention
The government came up with a policy which makes treatment for those captured during outreaches free, and covering the following areas of intervention that will assist in reducing the scourge of the disease and its resultant effect on the women. These are:

-Intensive and sustained public enlightenment and awareness campaign.

-Free screening at the local government level.

-Free treatment of affected women captured during the outreach.

In addition, there are:

-Designated hospitals for breast cancer treatment (LASUTH, Orile- Agege, Ikorodu, Lagos Island, Epe and Badagry General Hospitals)
-Establishment of a cancer treatment center as part of the general refurbishment of LASUTH, this also include installation of mammography machines.
– Lagos State has 5 functional mammogram machines; with three installed in LASUTH, one in Orile Agege General Hospital and another in General Hospital, Lagos.

Activities
The Lagos State Government through the Ministry of Health from the year 2005 conducted Breast Cancer screening program as “stand-alone” awareness and screening programs until 2012. Of note is that these held at different times of the year. In 2012, the Ministry commenced thecombined breast and cervical awareness and screening program in realization of the fact that the clients for both programs are essentially same i.e. women in their reproductive ages. Arising from this was the lesson learnt in implementation efficiency, effectiveness and curtailing of missed opportunities which was the case in the stand-alone screening as a woman who presented for cancer of the breast screening would sometimes not show up for that of the cervix.

In recognition of risk factors of unhealthy diet, alcohol, tobacco, and lack of physical exercise common to the aforementioned diseases under the NCD awareness and screening program, the Ministry commenced in 2013 an integrated health screening package referred to as theStatewide Wellness Week of which two rounds have been successfully implemented (2013 and 2014). The program involved creating awareness and screening for hypertension and diabetes as well as screenings for cancers of the breast, cervix and prostate. Hypertension and diabetes screening took place simultaneously in all the 57 LGAs and LCDAs while screenings for cancer of the breast, cervix and prostate took place in one (1) LGA per senatorial district alongside their respective LCDA(s).

Evidence from the 1st and 2nd Rounds of the Statewide Wellness Week is supportive of the delivery of a higher social impact and substantial reduction in missed opportunities as the same clients that presented for the hypertension and diabetes screening were simultaneously screened for the cancers as applicable between the male and female genders. The resultant effect was thus greater efficiency as return on each naira spent was potentiated. This paradigm shift is also in consonance with the cardio-metabolic and cancer screening system being institutionalized in the Flagship PHC centres under the Primary Health Care Revitalization Program.

Statistics
With regard to the cancer of the breast awareness and screening program, 20 rounds have been implemented since inception in 2005 with a total of 20,223 women screened. Activities at each community storm include measurement of weight and height, blood pressure measurement, counseling, watching videos on breast self examination and referral where applicable. The exercise has also been carried out on request from women biased societies and clusters (e.g. Committee of Wives of Lagos State Officials {COWLSO}, Redeemed Christian Church of God {RCCG}) within religious, political or non-governmental organizations.

Relevant NGOs (The Bloom, COPE, MWAN, Genevieve) are also collaborating with the Ministry on this program. Each LGA has a focal person who does follow-up of clients referred in that LGA and report back to the Ministry.

As at March 2010, one hundred and thirty (130) women reported at the referral hospitals out of which thirty (30) or 25% had been diagnosed with cancer managed free. Others with non cancerous lesions were managed appropriately.

Conclusion
The responsive governance of Lagos State has continued to attract people from the neighboring states to take advantage of the health services offered by our various hospitals.

DATA GENERATED FROM FREE LAGOS STATE FREE BREAST CANCER SCREENING FROM INCEPTION TILL DATE
ROUND DATE VENUE TOTAL NO. SCREENED NO REFERRED FOR BREAST LUMP
1 2005 PILOT-SHOMOLU&IKEJA LGAs 616 28
2 04/12/06 ELF PHC, ALIMOSHO (LAGOS WEST) 329 11
3 20/09/07 OGUDU PHC, KOSOFE (LAGOS EAST) 460 14
4 29/11/07 IWAYA PHC, MAINLAND (LAGOS CENTRAL) 419 19
5 27/02/08 SANGO PHC, (IKEJA DIV) 710 39
6 17-18/04/08 AJEROMI IFELODUN LGA (BADAGRY) 1,065 43
7 11-12/10/08 LAGOS ISLAND LGA 804 46
8 27-28/11/08 COKER AGUDA/ ITIRE IKATE 972 77
9
10-11/06/09
IKORODU CENTRAL 1,339 72
BADAGRY LGA 1,180 30
10 24-25/09/09 IFAKO IJAYE LGA 1,061 52
11 20-21/07/10 IBEJU LEKKI LGA 471 17
12 19-20/10/10 OJO LGA 544 31
13 07-08/06/11 MUSHIN LGA/ ODI OLOWO LCDA 911 52
14 26-27/06/11 APAPA LGA 665 44

15 30/01- 03/02/12 OSHODI, OSHODI-ISOLO, EJIGBO 1,482 64
16 04-08/06/12 ETI OSA LGA, IKOYI/ OBALENDE,IRU/VICTORIA ISLAND, ETI OSA EAST LCDA 1,342 28
17 24-28/9/12 EPE LGA 1,086 27
18 17-21/12/12 STATE SECRETARIAT FOR FEMALE CIVIL SERVANTS 1,672 38
SUB-TOTAL 17,128 732

LAGOS STATE WELLNESS WEEK

19 25-29/11/13 (1STROUND) ALIMOSHO, L/ISLAND & SHOMOLU LGAs 3,095 82
20 16-20/12/14 (2NDROUND) IKEJA & L/MAINLAND 1,200 41
GRAND TOTAL 20,223 855 (4.0%)

Copyright Reserved 2016 Lagos State Government | Powered by Ministry of Science & Technology