title: The Jordanian primary healthcare practitioner in cancer control.
abstract: Aim To measure the knowledge, perceptions, and practices of Jordanian primary healthcare practitioners (PHCPs) (physicians, nurses, midwives, and nurse aids) employed in Jordanian Ministry of Health (MoH) primary health clinics with respect to counseling on cancer (cancer screening, the signs and symptoms of cancer, and referral for specialized care).
  
  
  
  Integration of oncology services within primary care is a means of enhancing cancer early detection, and requires involvement of skilled. In the Middle East, little is known about PHCPs' potential to be providers of such services.
  
  
  
  A questionnaire measuring PHCP perceptions and practices related to counseling on cancer screening and diagnosis was distributed to PHCPs across MoH clinics covering the main regions of Jordan. Findings A total of 322 practitioners responded (75.1% response). Across most activities involving cancer detection, no more than 30% reported performing activities. Roughly half of PHCPs expressed discomfort at providing cancer-related counseling and at least 43% of non-physicians expressed limited confidence in cancer-related counseling. Confidence was a consistent predictor of provision of counseling and confidence in turn was associated with having greater knowledge, having positive a valuation of counseling, and being a physician. Results reveal points where educational efforts can strengthen PHCPs' provision of cancer control-related services.
authors.affiliation: 1Cancer Control Office,King Hussein Cancer Center,Amman,Jordan.
authors.forename: Nour A
authors.initials: NA
authors.lastname: Obeidat
authors.affiliation: 1Cancer Control Office,King Hussein Cancer Center,Amman,Jordan.
authors.forename: Feras I
authors.initials: FI
authors.lastname: Hawari
authors.affiliation: 2Awareness and Communication Health Directorate,Ministry of Health,Amman,Jordan.
authors.forename: Malek A
authors.initials: MA
authors.lastname: Habashneh
authors.affiliation: 1Cancer Control Office,King Hussein Cancer Center,Amman,Jordan.
authors.forename: Rawan A
authors.initials: RA
authors.lastname: Shihab
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007597:Jordan; D008297:Male; D009369:Neoplasms / Q000175:diagnosis*; D010820:Physicians / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000379:methods*; D012017:Referral and Consultation / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires
keywords: cancer; healthcare providers; perceptions; practices; primary care