Background: Carcinoma of the breast is an important public health problem in Nigeria and studies have reported low levels of awareness and practice of breast self examination as an important method of prevention. Breast self examination is a cost-effective method of early detection of cancer of the breast especially in resource poor countries. We assessed knowledge and practice of breast-self examination (BSE) among female undergraduate students of Ahmadu Bello University Zaria, Nigeria. Method: In this study, knowledge and practice of BSE were examined among 221 female students aged 16 -28 years old studying at Ahmadu Bello University Zaria using self administered questionnaires. Results: It was found that despite nearly three quarter of the respondents (87.7%) had heard of BSE, only 19.0% of them were performing this examination monthly. Regarding the sources of information about BSE among respondents, media was found to be most common followed by health workers accounting for 45.5% and 32.2% respectively. Regular performance of BSE was significantly correlated with duration of stay in the University (X 2 = 81.9, df = 3, P < .05) and family history of breast cancer (X 2 = 17.4, df = 2, P < .05). Conclusion:We observed a disparity between high levels of knowledge of BSE compared to a low level of practice. Public health education using the media could significantly reduce the knowledge-practice gap and early detection of breast lump. Key words: Breast-self examination, breast cancer, health educationRésumé Fond: Le carcinome du sein est un problème important de santé publique au Nigéria et les études ont indiqué les niveaux bas de la conscience et la pratique de l'examen de conscience de sein comme méthode importante d'empêchement. L'examen de conscience de sein est une méthode rentable de dépistage précoce du cancer du sein particulièrement dans les pays pauvres de ressource. Nous la connaissance et pratique évaluées de l'examen de sein-individu (ESB) parmi les étudiants d'étudiant préparant une licence féminins de l'université Zaria, Nigéria d'Ahmadu Bello. Méthode: Dans cette étude, la connaissance et la pratique de l'ESB ont été examinées parmi 221 étudiants féminins âgés 16 -28 ans de étudier à l'université Zaria d'Ahmadu Bello en utilisant les questionnaires administrés par individu. Résultats :On l'a constaté qu'en dépit presque de de trois quarts des répondants (87.7%) avait entendu parler de l'ESB, seulement 19.0% d'entre eux exécutaient cette revue mensuelle d'examen. Concernant les sources d' informations sur l'ESB parmi des répondants, des médias se sont avérés plus terrain Knowledge and practice of breast self-examination among female undergraduate students. Gwarzo U. M. D. et al.

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BackgroundDue to Lesotho's high adult HIV prevalence (23%), considerable resources have been allocated to the HIV/AIDS response, while resources for non-communicable diseases have lagged. Since November 2011, the Elizabeth Glaser Pediatric AIDS Foundation (EGPAF) has supported Lesotho Ministry of Health to roll out Family Health Days (FHDs), an innovative strategy to increase community access to integrated health services, with a focus on hard-to-reach areas where immunization coverage, HIV service uptake, and screening and treatment for chronic diseases are low.MethodsServices were provided at mobile service delivery points from 17th October to 25th November 2011. Delivery points located in rural setting were staffed by multi-disciplinary teams of doctors, nurses, community workers, nutritionists, AIDS officers, and pharmacists (30-40 health professionals present).ResultsDuring this campaign, 8,396 adults were tested for HIV (67.3% female; 32.6% male). In all, 588 (7%) tested HIV-positive (6.7% female; 7.1% male). Among those testing HIV-positive, 68.5% (403) received CD4 testing and 36.6% were enrolled into HIV care at their nearest clinics. A total of 324 ART defaulters were identified and linked back to care. Follow-up with referral facilities showed 100% of patients (defaulters and newly enrolled) linked to care were enrolled at a facility. Standard immunizations were administered to 990 children. 4,454 adults (24.7% male; 75.3% female) were screened for hypertension, and of those screened, 24.2% had elevated blood pressure and were linked to care centers. Addtitionally, 3,045 adults had blood sugar tests (27.0% males; 73.0% females); 3.1% had elevated blood sugar and were linked to care facilities.ConclusionOffering integrated services within hard-to-reach communities can increase access to a variety of critical health services, including those for non-communicable diseases, and can link ART clients lost to follow-up back to facilities. This approach will be scaled up throughout Lesotho as a strategy to reach all populations in the country.