title: Evaluation of efficacy of self breast examination for breast cancer prevention: a cost effective screening tool.
abstract: Breast cancer is the most prevalent neoplasm among females and every year the number of associated deaths increases so that there is a dire need for implementation of cancer screening and early detection. A survey conducted by various locally organised cancer registries indicated breast cancer to be the most prevalent cancer among females and the second most common cause of cancer deaths among Pakistani women. Since Pakistani females do not generally engage in screening practices we argue that nurses and lady health workers should team up to educate women for the possible early detection of cancer using Self Breast Examination as a screening tool. In this paper, we attempt to evaluate the primary efficacy of self breast examination as an early and cost effective cancer screening measure, and to discuss the relation of community health nurses as well as the lady health workers to education of females of low income countries such as Pakistan to possibly lower the cancer burden.
authors.affiliation: Aga Khan University, P.O. Box 3500, Stadium Road, Karachi, 74800 Pakistan. sanah.baig@aku.edu
authors.forename: Sanah
authors.initials: S
authors.lastname: Baig
authors.forename: Tazeen Saeed
authors.initials: TS
authors.lastname: Ali
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D001294:Attitude to Health; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000453:epidemiology; D016504:Breast Self-Examination / Q000191:economics* / Q000379:methods*; D003362:Cost-Benefit Analysis; D003906:Developing Countries; D005260:Female; D006801:Humans; D015994:Incidence; D008403:Mass Screening / Q000191:economics* / Q000379:methods; D008875:Middle Aged; D010154:Pakistan / Q000453:epidemiology; D018570:Risk Assessment; D012959:Socioeconomic Factors