Effect of health education on knowledge regarding breast cancer and breast self-examination among women in an urban slum of Raipur: An interventional study

Breast cancer is the commonest cancer among women in developed and developing countries making it second only to lung cancer as the cause of cancer related deaths among women as it has poor prognosis on late detection and poor awareness is the cause of late detection. Objective of study is to assess the effect of health education on improvement of knowledge regarding breast cancer and breast self-examination among women residing in an urban slum of Raipur and to assess the determinants of knowledge regarding breast cancer and breast self-examination. This will be an interventional study. (With intervention in two streets and no intervention in other two street). Women residing in urban field practice area of AIIMS Raipur are taken as the study population. Women belonging to the age group of 18 to 65 years are included in study. Women not able to comprehend the instruction, pregnant and lactating women, women not able to contact after 3 visits are excluded from the study. The estimated sample size for my study is 104. Cluster randomized sampling will be used to select street and recruit study participants. Each ward has 7 to 8 streets, each street will be considered as one cluster. From each ward two streets/clusters will be selected randomly by lottery method. Randomization of streets will be done to intervention and control arm. Total 4 streets will be selected (two for intervention and two as control). From each street/cluster, 26 study participants will be recruited. Baseline data will be collected before imparting health education in intervention area, data will be collected again after 3 months from both the areas after health education. Total duration of study is 2 years (18 month after IEC approval). Predesigned pre- tested questionnaire will be used with three subparts. Part 1 consisting of sociodemographic information. Part 2 consists of knowledge on symptoms and risk factors of breast cancer and Part 3 consists of knowledge related to breast self-examination. Health education regarding breast cancer (symptoms and risk factor) and breast self-examination will be given by delivering a talk and showing images related to breast self-examination from NPNCD guidelines and videos from other authentic sources like WHO. Data will be analyzed by using appropriate statistical tools like percentages, proportions, measures of central tendency, measures of dispersion, standard error of mean and tests of significance by using SPSS version 21computer software etc. Chi square test, t test and paired t test will be used to assess the effect of intervention. Chi square test will be used to find out association between categorical data like (knowledge and various socio demographic factors).