Strengthening Breast Cancer Screening Mammography Services in Pakistan Using Islamabad Capital Territory as a Pilot Public Health Intervention

被引:1
作者
Majeed, Ayesha Isani [1 ,2 ]
Hafeez, Assad [1 ]
Khan, Shahzad Ali [1 ]
机构
[1] Quaid I Azam Univ, Hlth Serv Acad HSA, Islamabad 44000, Pakistan
[2] Pakistan Inst Med Sci PIMS, Dept Radiol, Islamabad 44000, Pakistan
关键词
breast cancer; screening mammography; health system strengthening; awareness campaigns; cancer prevention; CARE;
D O I
10.3390/healthcare10061106
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Late diagnosis of treatable breast cancer is the reason for higher breast cancer mortality. Until now, no public breast cancer facility has been established in the Islamabad Capital Territory. First, a Federal Breast Screening Center (FBSC) was established. Afterward, awareness campaigns about breast cancer were organized among the public. Subsequently, women above 40 years of age were provided with mammography screenings. Data were analyzed in SPSS version 22.0. An intervention was performed using a six tier approach to strengthening the health system. Utilizing the offices of the FBSC and the national breast cancer screening campaign, breast cancer awareness has become a national cause and is being advocated by the highest offices of the country. The number of females undergoing mammography has increased each year, starting from 39 in 2015 to 1403 in 2019. Most of the cases were BI-RAD I (n = 2201, 50.74%) followed by BI-RAD II (n = 864, 19.92%), BI-RAD III (n = 516, 11.89%), BI-RAD IV (n = 384, 8.85%), BI-RAD V (n = 161, 3.71%), and BI-RVAD VI (n = 60, 1.38%). The current study has theoretical and practical implications for the contemplation of policymakers. The FBSC can serve as a model center for the establishment of centers in other parts of the country, thereby promoting nationwide screening coverage.
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页数:14
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