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Effectiveness of a Community Health Worker-Led Intervention on Knowledge, Perception, and Prostate Cancer Screening
Ruth Gathoni Mbugua1, Simon Karanja2, Sherry Oluchina3
1Mount Kenya University, Department of Community Health, P.O. Box 342-01000, Thika, Kenya.
Advances in Preventive Medicine
|August 18, 2022
Summary
Community health worker education significantly improved prostate cancer (PC) awareness, knowledge, and screening uptake in Kenyan men. This intervention highlights the effectiveness of community health workers in enhancing PC screening in underserved populations.
Area of Science:
- Public Health
- Cancer Epidemiology
- Health Education
Background:
- Prostate cancer (PC) mortality is a global challenge, disproportionately affecting low and middle-income countries.
- PC is a leading cause of cancer death among men in sub-Saharan Africa, with low awareness and screening rates in Kenya.
- Many Kenyan men present with advanced PC, underscoring the need for effective early detection strategies.
Purpose of the Study:
- To evaluate the effectiveness of a community health worker-led education intervention on prostate cancer (PC) knowledge, perception, and screening.
- To assess the impact of health education on improving PC screening uptake among Kenyan men.
- To determine if community health worker interventions can enhance PC awareness and early detection.
Main Methods:
- A quasiexperimental study conducted in Gatundu North and Kiambu subcounties, Kenya, involving 576 men aged 40-69 years.
- Stratified random sampling used to select participants, with data collected via interviewer-administered questionnaires at baseline and 6 months postintervention.
- Pearson's chi-square test employed for statistical analysis to compare outcomes between intervention and control groups.
Main Results:
- Significant increase in prostate cancer (PC) awareness and knowledge postintervention (49% to 76.4% good knowledge) in the intervention arm (P < 0.05).
- Improved perception of self-vulnerability to PC (26% to 42.1%) and a substantial rise in PC screening rates (4.5% to 20.4%) in the intervention group (P < 0.05).
- Statistically significant higher proportion of men screened for PC in the intervention arm compared to the control arm postintervention (P < 0.05).
Conclusions:
- Community health worker-delivered health education effectively increased prostate cancer (PC) awareness, knowledge, and screening uptake.
- Household-based education by community health workers is a viable and effective strategy for enhancing PC screening.
- Integrating community health worker programs into healthcare systems can improve PC early detection and outcomes.
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