Evidence map›Paper›PMID 40936080›Full record

ArticleBMC health services research2025

Practice of opportunistic breast cancer screening and health education among healthcare workers in public health facilities in Ogun state, Southwest Nigeria: a qualitative study of barriers and facilitators.

Tope Olubodun, Abimbola Olaniran, Funmilola Olanike Wuraola, Imran O Morhason-Bello, Mobolanle Balogun, Taiwo Gboluwaga Amole, Tolulope Soyannwo, Olusegun I Adebisi, Kamarudeen Olaitan Issa, Solomon Olorunsaiye Olorunfemi and 3 more

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Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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2citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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2 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Tope OlubodunDepartment of Community Medicine and Primary Care, Federal Medical Center Abeokuta, Abeokuta, Ogun State, Nigeria. oluboduntope@gmail.com.
Abimbola OlaniranKIT Royal Tropical Institute, Amsterdam, Netherlands.
Funmilola Olanike WuraolaDepartment of Surgery, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
Imran O Morhason-BelloDepartment of Obstetrics and Gynaecology, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria.
Mobolanle BalogunDepartment of Community Health and Primary Care, College of Medicine, University of Lagos, Surulere, Lagos State, Nigeria.
Taiwo Gboluwaga AmoleAfrica Center of Excellence for Population Health and Policy, Bayero University, Kano, Kano State, Nigeria.
Tolulope SoyannwoDepartment of Community Medicine and Primary Care, Federal Medical Center Abeokuta, Abeokuta, Ogun State, Nigeria.
Olusegun I AdebisiDepartment of Community Medicine and Primary Care, Federal Medical Center Abeokuta, Abeokuta, Ogun State, Nigeria.
Kamarudeen Olaitan IssaDepartment of Community Medicine and Primary Care, Federal Medical Center Abeokuta, Abeokuta, Ogun State, Nigeria.
Solomon Olorunsaiye OlorunfemiDepartment of Community Medicine and Primary Care, Federal Medical Center Abeokuta, Abeokuta, Ogun State, Nigeria.
Ephraim OhazurikeDepartment of Obstetrics and Gynaecology, College of Medicine, University of Lagos, Surulere, Lagos State, Nigeria.
Peter KinghamDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Olusegun Isaac AlatiseDepartment of Surgery, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundGlobally, breast cancer is the most common cancer among women. Nigeria has the highest age-standardized breast cancer mortality rates in Africa, at 25.5 per 100,000. In the absence of organised breast cancer screening, opportunistic screening and health education during maternal health visits provide a crucial avenue for early detection and awareness. This study assessed the practices, barriers and facilitators of opportunistic breast cancer screening and health education among health workers in public health facilities in Ogun State, Nigeria.

methodsThis qualitative study utilized in-depth interviews (IDIs) with 43 healthcare providers (doctors, nurses, and community health extension workers) across primary, secondary, and tertiary health facilities.

resultsAcross all levels of healthcare, health education on breast cancer is sometimes done during group health education sessions at antenatal clinics, postnatal clinics, infant immunization clinics and family planning clinics. In some health facilities, breast cancer health education is rarely done except when women complain of breast symptoms. Health education on breast cancer prevention focuses more on breastfeeding to prevent breast cancer, and self breast examination. No health worker mentioned advising women on yearly clinical breast examinations (CBE). Some health workers routinely perform CBE during antenatal visits, postnatal visits and family planning visits; some only do so when women have breast symptoms and others rarely do. The major facilitator to breast cancer screening and health education was health workers passion that women should not suffer from preventable cancers. Barriers to breast cancer screening and health education include manpower shortages, lack of facilities for screening in secondary facilities, geographic barriers, women's ignorance, cultural/religious beliefs.

conclusionIntegrating opportunistic breast cancer screening and health education into routine maternal health services can bridge critical gaps in early detection. Strengthening health system infrastructure, workforce capacity, and public awareness is essential to improving breast cancer screening uptake in Nigeria.

Indexed as

Breast NeoplasmsEarly Detection of CancerHealth EducationHealth PersonnelAdultFemaleHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMiddle AgedNigeriaQualitative ResearchBreast cancerHealthcare workersHealth educationNigeriaOpportunistic screening

Identifiers

PMID40936080
PMCPMC12424201

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.