Developing Screening Clinical Breast Examination Implementation Strategies in South Africa

Yale University80 enrolled

Overview

The goal of this observational study is to engage with multilevel stakeholders to collaboratively and to systematically develop a suite of strategies for implementing breast cancer screening using clinical breast examination (CBE) in the primary health centers within the catchment area of Chris Hani Baragwanath Academic Hospital (Bara Hospital), Johannesburg, South Africa. The main questions it aims to answer are: What barriers and facilitators exist to conducting screening CBE in Soweto's primary care setting and what implementation strategies would support CBE in primary care clinics? Participants will: * Allow observation of study clinic workflows * Participate in focus group discussions regarding screening CBE implementation

Study Type

OBSERVATIONAL

Enrollment

Conditions

Breast Cancer

Eligibility

Sex: ALLHealthy volunteers:

Medical Language ↔ Plain English

In order to be eligible for inclusion in the focus group discussions held with screening CBE "adopters" and "implementers," an individual must meet all of the following criteria: 1. Be an employee or volunteer working at a participating PHC OR Be an employee or volunteer working at South Africa's National Department of Health OR Be an employee or volunteer working with a non-governmental organization that performs breast cancer related activities within the catchment area of a participating PHC 2. Be willing to commit to keeping the content of focus group discussions confidential In order to be eligible for inclusion in the focus group discussions held with screening CBE "recipients," an individual must meet all of the following criteria: 1. Be female 2. Be between the ages of 40 and 65 years 3. Be living within the catchment area of a participating PHC 4. Be willing to commit to keeping the content of focus group discussions confidential

Outcomes

Primary Outcomes

Implementation Strategies Suite

A collection of strategies for implementing routine screening clinical breast examination in Soweto's primary care clinics.

Time frame: 2 years

Secondary Outcomes

Intervention Domain Characteristics

Characteristics of routine clinical breast examination itself that are potential barriers and facilitators to screening implementation

Time frame: 2 years

Inner Setting Domain Characteristics

Characteristics of the primary care clinics that are potential barriers and facilitators to screening implementation

Time frame: 2 years

Outer Setting Domain Characteristics

Characteristics of both the community surrounding the clinics and the district-wide health system that are potential barriers and facilitators to screening implementation

Time frame: 2 years

Individuals Domain Characteristics

Characteristics of individuals involved in screening that are potential barriers and facilitators to screening implementation

Time frame: 2 years

Implementation Domain Characteristics

Characteristics of activities and strategies used to implement screening that are potential barriers and facilitators to screening implementation

Time frame: 2 years

Change Matrices

Matrices for all individuals relevant to implementation that define performance objectives and corresponding performance determinants

Time frame: 2 years

Developing Screening Clinical Breast Examination Implementation Strategies in South Africa

Overview

Conditions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes