PMID- 23534807
OWN - NLM
STAT- MEDLINE
DCOM- 20131203
LR  - 20211203
IS  - 2476-762X (Electronic)
IS  - 1513-7368 (Linking)
VI  - 14
IP  - 1
DP  - 2013
TI  - Quality of breast cancer early detection services conducted by well woman clinics 
      in the district of Gampaha, Sri Lanka.
PG  - 75-80
AB  - 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- 20 clinics 
      (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.
FAU - Vithana, Palatiyana Vithanage Sajeewanie Chiranthika
AU  - Vithana PV
AD  - National Cancer Control Programme, Ministry of Health, Maharagama, Sri Lanka. 
      cvithana1@gmail.com
FAU - Ariyaratne, May
AU  - Ariyaratne M
FAU - Jayawardana, Pl
AU  - Jayawardana P
LA  - eng
PT  - Journal Article
PL  - Thailand
TA  - Asian Pac J Cancer Prev
JT  - Asian Pacific journal of cancer prevention : APJCP
JID - 101130625
SB  - IM
MH  - Adult
MH  - Ambulatory Care Facilities/organization & administration/*standards
MH  - Appointments and Schedules
MH  - Breast Neoplasms/*diagnosis
MH  - Breast Self-Examination/standards
MH  - Cross-Sectional Studies
MH  - Early Detection of Cancer/*standards
MH  - Female
MH  - Household Work/standards
MH  - Humans
MH  - Interior Design and Furnishings/standards
MH  - Middle Aged
MH  - Patient Education as Topic/standards
MH  - *Patient Satisfaction
MH  - *Quality Assurance, Health Care
MH  - Retrospective Studies
MH  - Sri Lanka
MH  - Surveys and Questionnaires
MH  - Women's Health Services/*standards
EDAT- 2013/03/29 06:00
MHDA- 2013/12/16 06:00
CRDT- 2013/03/29 06:00
PHST- 2013/03/29 06:00 [entrez]
PHST- 2013/03/29 06:00 [pubmed]
PHST- 2013/12/16 06:00 [medline]
AID - 10.7314/apjcp.2013.14.1.75 [doi]
PST - ppublish
SO  - Asian Pac J Cancer Prev. 2013;14(1):75-80. doi: 10.7314/apjcp.2013.14.1.75.