Breast Self-Examination (BSE) has a greatest role in the early discovery of breast cancer and it is still an important screening tool for early detection of Breast Cancer (BC) in developing countries. The study aimed to: Assess the impact of training program on improving knowledge and practices of rural community health workers regarding BC and BSE. Subjects and Methods: Design: Quasi-experimental research design. Sample: A total of 74 rural community health workers recruited in this study. Tools of the study: Two tools used; Tool (I): Self-administrated questionnaire; which divided into two parts, Part (1): Included participants' personal data, Part (2): Included questions to assess knowledge about BC and BSE. Tool (II): BSE performance checklist. Results: The participants were aged less than 20 years with university education (54.1% and 51.4% respectively); 73% of them were from rural area and 13.5% had family history of BC. There were highly statistical significant differences between total score of knowledge and practice during the three phases of the study pre, post and follow-up test p-values 0.000. Conclusion: A remarkable improvement was noticed in the participants' level of knowledge and practices during the posttest and after three months of follow-up. Recommendation: Establishment of ongoing training intervention to increase rural community health workers' confidence and skills for teaching preventive health behaviors including BSE to larger society.
Background: Early awareness of pregnant women about neonatal jaundice (NNJ) has an essential role in preventing severe hyperbilirubinemia and its dangerous complications. Aim: the study aimed to assess the level of knowledge and attitude of pregnant women regarding NNJ and to evaluate the effect of an educational program for neonatal jaundice among the target population. Subject and methods: three hundred pregnant women attended the Antenatal Clinic at Women Health Hospital in Assiut University were divided into 150 pregnant women as study and 150 as control groups. Quasi-experimental research design was applied. Tool: Using a structured interview questionnaire including five parts; personal data, obstetric, medical and family history, assessment of knowledge, attitude toward neonatal jaundice, and neonatal follow up. Results: There was a statistically significance difference between level of knowledge and attitude in pre-vs. post-test in the study group compared with the control group and there was statistical evidence of neonatal outcomes for improving women's breast feeding and decrease number of jaundice days. Conclusion: This study revealed that pregnant women had inadequate knowledge regarding NNJ and their attitude was negative while the application of an educational program has led to significant improvement in the level of women's knowledge and attitude in the study group, which was reflected on the newborn positively. Recommendations: Implementing a routine health education program for pregnant women about NNJ and raising awareness of the relatives as they were identified as the main source of knowledge.
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