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Journal of Oncology
Volume 2011, Article ID 150423, 8 pages
http://dx.doi.org/10.1155/2011/150423
Research Article

Improving Breast Cancer Control via the Use of Community Health Workers in South Africa: A Critical Review

1Division of Public Health Practice, Harvard School of Public Health, 677 Huntington Avenue, Landmark 3rd Floor East, Boston, MA 02115, USA
2Department of Epidemiology, Boston University School of Public Health, 715 Albany St, Talbot Building, Boston, MA 02118, USA
3Center for Community-Based Research, Cantor Center for Nursing Research and Patient Care Services, Dana-Farber Cancer Institute, 44 Binney Street, Boston, MA 02115, USA

Received 14 May 2010; Accepted 23 August 2010

Academic Editor: Malcolm Moore

Copyright © 2011 Brianna M. Wadler et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. R. R. Love, “Defining a global research agenda for breast cancer,” Cancer, vol. 113, no. 8, pp. 2366–2371, 2008. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  2. F. Kamangar, G. M. Dores, and W. F. Anderson, “Patterns of cancer incidence, mortality, and prevalence across five continents: defining priorities to reduce cancer disparities in different geographic regions of the world,” Journal of Clinical Oncology, vol. 24, no. 14, pp. 2137–2150, 2006. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  3. B. O. Anderson, C.-H. Yip, R. A. Smith et al., “Guideline implementation for breast healthcare in low-income and middle-income countries: overview of the breast health global initiative Global Summit 2007,” Cancer, vol. 113, supplement 8, pp. 2221–2243, 2008. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  4. “International Agency for Research on Cancer (IARC),” World Cancer Report (WCR), 2008.
  5. Institute of Medicine (IOM), Cancer Control Opportunities in Low- and Middle-Income Countries, http://www.iom.edu/Reports/2007/Cancer-Control-Opportunities-Low-Middle-Income-Countries.aspx, 2007.
  6. J. Harford, E. Azavedo, and M. Fischietto, “Guideline implementation for breast healthcare in low- and middle-income countries: breast healthcare program resource allocation,” Cancer, vol. 113, no. 8, pp. 2282–2296, 2008. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  7. M. M. Rizwan and M. Saadullah, “Lack of awareness about breast cancer and its screening in developing countries,” Indian Journal of Cancer, vol. 46, no. 3, pp. 252–253, 2009. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  8. World Bank. List of economieshttp://www.iqla.org/joining/World-Bank_Classification-List_2009.pdf.
  9. J. P. Apffelstaedt, V. Steenkamp, and K. Baatjes, “Performance data of screening mammography at a dedicated breast health centre,” South African Medical Journal, vol. 98, no. 12, pp. 950–953, 2008. View at Google Scholar · View at Scopus
  10. R. P. Abratt and D. A. Vorobiof, “Cancer in Africa,” Lancet Oncology, vol. 4, no. 7, pp. 394–396, 2003. View at Publisher · View at Google Scholar · View at Scopus
  11. U. Lehmann, I. Friedman, and D. Sanders, Review of the Utilisation and Effectiveness of Community-Based Health Workers in Africa. For a Joint Learning Initiative: Human Resources for Health and Development, JLI Working Paper 4–1, 2004.
  12. I. Friedman, M. Ramalepe, F. Matjuis et al., Moving Towards Best Practice: Documenting and Learning from Existing Community Health/Care Worker Programmes, Health Systems Trust, Durban, South Africa, 2007.
  13. J. Ferlay, F. Bray, P. Pisani, and D. M. Parkin, GLOBOCAN 2002: Cancer Incidence, Mortality and Prevalence Worldwide. IARC CancerBase No. 5. Lyon, IARCPress, http://www-dep.iarc.fr/.
  14. Harvard University, “Speaker Biographies,” Breast Cancer in the Developing World: Meeting the Unforeseen Challenge to Women, Health and Equity, 2009.
  15. National Cancer Registry (NCR) of South Africa (2000-2001), http://www.nioh.ac.za/site.php?main=3&sub=32&item=3210&itemSub=32101.
  16. N. I. M. Somdyala, D. Bradshaw, W. C. A. Gelderblom, and D. M. Parkin, “Cancer incidence in a rural population of South Africa, 1998–2002,” International Journal of Cancer. In press. View at Publisher · View at Google Scholar · View at PubMed
  17. National Cancer Institute, “DCCPS: About Cancer Control & Population Sciences: Cancer Control Continuum,” http://cancercontrol.cancer.gov/OD/continuum.html, 2007.
  18. World Health Organization, “Strengthening the performance of community health workers in primary health care: report of a WHO study group,” Tech. Rep. no. 780., World Health Organization, Geneva, Switzerland, 1989. View at Google Scholar
  19. Health Resources and Services Administration (HRSA) & Bureau of Health Professions, Community Health Worker National Workforce Study, Department of Health & Human Services, Washington, DC, USA, 2007.
  20. Partners in Health (PIH), “Community Health Workers,” http://model.pih.org/community_health_workers, 2010.
  21. U. Lehmann and D. Sanders, Community health workers: what do we know about them? The state of the evidence on programmes, activities, costs and impact on health outcomes of using community health workers, World Health Organization, Geneva, Switzerland, 2007.
  22. D. Dohan and D. Schrag, “Using navigators to improve care of underserved patients: current practices and approaches,” Cancer, vol. 104, no. 4, pp. 848–855, 2005. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  23. Departments of Health and Social Development, Republic of South Africa, Community Care Worker Management Policy Framework (Draft Version 6.0), 2009, http://www.doh.gov.za/docs/policy/comcare-f.html.
  24. M. Tipke, V. R. Louis, M. Yé et al., “Access to malaria treatment in young children of rural Burkina Faso,” Malaria Journal, vol. 8, article no. 266, 2009. View at Google Scholar
  25. G. Jerome and L. C. Ivers, “Community health workers in health systems strengthening: a qualitative evaluation from rural Haiti,” AIDS, vol. 24, supplement 1, pp. S67–S72, 2010. View at Google Scholar
  26. M. Clarke, J. Dick, and S. Lewin, “Community health workers in South Africa: where in this maze do we find ourselves?” South African Medical Journal, vol. 98, no. 9, pp. 680–681, 2008. View at Google Scholar · View at Scopus
  27. S. Lewin, S. Munabi-Babigumira, C. Glenton et al., “Lay health workers in primary and community health care for maternal and child health and the management of infectious diseases,” Cochrane Database System Review, vol. 3, article no. CD004015, 2010. View at Google Scholar
  28. P. J. Cooper, M. Tomlinson, L. Swartz et al., “Improving quality of mother-infant relationship and infant attachment in socioeconomically deprived community in South Africa: randomised controlled trial,” British Medical Journal, vol. 338, article no. b974, 2009. View at Publisher · View at Google Scholar · View at Scopus
  29. P. J. Winch, K. E. Gilroy, C. Wolfheim et al., “Intervention models for the management of children with signs of pneumonia or malaria by community health workers,” Health Policy and Planning, vol. 20, no. 4, pp. 199–212, 2005. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  30. H. Schneider, H. Hlophe, and D. Van Rensburg, “Community health workers and the response to HIV/AIDS in South Africa: tensions and prospects,” Health Policy and Planning, vol. 23, no. 3, pp. 179–187, 2008. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  31. E. Wouters, W. Van Damme, F. Van Loon, D. van Rensburg, and H. Meulemans, “Public-sector ART in the Free State Province, South Africa: community support as an important determinant of outcome,” Social Science and Medicine, vol. 69, no. 8, pp. 1177–1185, 2009. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  32. A. Suri, K. Gan, and S. Carpenter, “Voices from the field: perspectives from community health workers on health care delivery in rural KwaZulu-Natal, South Africa,” Journal of Infectious Diseases, vol. 196, supplement 3, pp. S505–S511, 2007. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  33. J. D. Goldhaber-Fiebert, L. E. Denny, M. De Souza, T. C. Wright Jr., L. Kuhn, and S. J. Goldie, “The costs of reducing loss to follow-up in South African cervical cancer screening,” Cost Effectiveness and Resource Allocation, vol. 3, article no. 11, 2005. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  34. B. O. Anderson and E. Cazap, “Breast health global initiative (BHGI) outline for program development in Latin America,” Salud Pública de México, vol. 51, supplement 2, pp. S309–S315, 2009. View at Google Scholar
  35. A. Fregene and L. A. Newman, “Breast cancer in sub-Saharan Africa: how does it relate to breast cancer in African-American women?” Cancer, vol. 103, no. 8, pp. 1540–1550, 2005. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  36. A. L. Pillay, “Rural and urban South African women's awareness of cancers of the breast and cervix,” Ethnicity and Health, vol. 7, no. 2, pp. 103–114, 2002. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  37. S. V. Wright, “An investigation into the causes of absconding among black African breast cancer patients,” South African Medical Journal, vol. 87, no. 11, pp. 1540–1543, 1997. View at Google Scholar · View at Scopus
  38. E. M. Murray, “Medical and radiation oncology for breast cancer in developing countries with particular reference to locally advanced breast cancer,” World Journal of Surgery, vol. 27, no. 8, pp. 924–927, 2003. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  39. G. Agarwal, P. Ramakant, E. R. Sánchez Forgach et al., “Breast cancer care in developing countries,” World Journal of Surgery, vol. 33, no. 10, pp. 2069–2076, 2009. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  40. I. Mittra, G. A. Mishra, S. Singh et al., “A cluster randomized, controlled trial of breast and cervix cancer screening in Mumbai, India: methodology and interim results after three rounds of screening,” in International Journal of Cancer, vol. 126, pp. 976–984, 2010. View at Google Scholar
  41. C. H. Sox, A. J. Dietrich, D. C. Goldman, and E. M. Provost, “Improved access to women's health services for Alaska natives through Community Health Aide training,” Journal of Community Health, vol. 24, no. 4, pp. 313–323, 1999. View at Publisher · View at Google Scholar · View at Scopus
  42. N. F. Ahsen, S. A. Batul, A. N. Ahmed et al., “On training: developing counseling skills through pre-recorded videos and role play: a pre- and post-intervention study in a Pakistani medical school,” BMC Medical Education, vol. 10, no. 1, article no. 7, 2010. View at Google Scholar
  43. C.-H. Yip, R. A. Smith, B. O. Anderson et al., “Guideline implementation for breast healthcare in low- and middle-income countries: early detection resource allocation,” Cancer, vol. 113, supplement 8, pp. 2244–2256, 2008. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  44. G. N. Hortobágyi, “A time for creative collaboration,” Cancer, vol. 113, no. 8, pp. 2217–2220, 2008. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  45. H. K. Koh, S. Massin-Short, L. Elqura, and C. M. Judge, “Poverty, socioeconomic position, and cancer disparities: global challenges and opportunities,” Georgetown Journal on Poverty Law and Policy, vol. 15, no. 3, pp. 663–689, 2008. View at Google Scholar
  46. A. B. Miller, “Practical applications for clinical breast examination (CBE) and breast self-examination (BSE) in screening and early detection of breast cancer,” Breast Care, vol. 3, no. 1, pp. 17–20, 2008. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  47. B. C. R. Devi, T. S. Tang, and M. Corbex, “Reducing by half the percentage of late-stage presentation for breast and cervix cancer over 4 years: a pilot study of clinical downstaging in Sarawak, Malaysia,” Annals of Oncology, vol. 18, no. 7, pp. 1172–1176, 2007. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  48. H.-R. Han, K. B. Kim, and M. T. Kim, “Evaluation of the training of Korean community health workers for chronic disease management,” Health Education Research, vol. 22, no. 4, pp. 513–521, 2007. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  49. T. D. Dye, S. Bogale, C. Hobden et al., “Complex care systems in developing countries: breast cancer patient navigation in Ethiopia,” Cancer, vol. 116, pp. 577–585, 2010. View at Google Scholar
  50. National Cancer Institute (NCI), “Patient Navigator Research Program,” http://www.cancer.gov/images/documents/1bde4059-5d72-4ed2-92e1-428a53870251/Fs1_25.pdf, 2005.
  51. J. A. Earp, E. Eng, M. S. O'Malley et al., “Increasing use of mammography among older, rural African American women: results from a community trial,” American Journal of Public Health, vol. 92, no. 4, pp. 646–654, 2002. View at Google Scholar · View at Scopus
  52. J. J. Kim, J. A. Salomon, M. C. Weinstein, and S. J. Goldie, “Packaging health services when resources are limited: the example of a cervical cancer screening visit,” PLoS Medicine, vol. 3, no. 11, pp. 2031–2038, 2006. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  53. S. Simon, K. Chu, M. Frieden et al., “An integrated approach of community health worker support for HIV/AIDS and TB care in Angónia district, Mozambique,” BMC International Health and Human Rights, vol. 9, no. 1, article no. 13, 2009. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  54. A. Reeler, Y. Qiao, L. Dare, J. Li, A. L. Zhang, and J. Saba, “Women's cancers in developing countries: from research to an integrated health systems approach,” Asian Pacific Journal of Cancer Prevention, vol. 10, pp. 519–525, 2009. View at Google Scholar
  55. F. Knaul, F. Bustreo, E. Ha, and A. Langer, “Breast cancer: why link early detection to reproductive health interventions in developing countries?” Salud Pública de México, vol. 51, supplement 2, pp. S220–S227, 2009. View at Google Scholar
  56. Q. L. Okonkwo, G. Draisma, A. Der Kinderen, M. L. Brown, and H. J. De Koning, “Breast cancer screening policies in developing countries: a cost-effectiveness analysis for India,” Journal of the National Cancer Institute, vol. 100, no. 18, pp. 1290–1300, 2008. View at Publisher · View at Google Scholar · View at PubMed · View at Scopus
  57. Breast Health Global Initiative (BHGI), “Africa—Home: Ghana Breast Cancer Specialty Training Course,” http://portal.bhgi.org/GlobalPortfolio/Africa/default.aspx.