ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 78
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Knowledge, attitude and practice on prostate cancer
screening of primary healthcare providers in the Free State
Dr Matthew Olukayode Abiodun Benedict
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University of The Free State
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Background
Prostate cancer is topmost in terms of incidence and mortality among men in sub-Saharan Africa,
including South Africa. Prostate cancer screening is beneficial only to certain categories of men,
making a rational screening approach necessary.
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Aim
This study aimed to assess the knowledge, attitudes and practice (KAP) regarding prostate cancer
screening among primary healthcare (PHC) providers in the Free State, South Africa.
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Setting
Selected district hospitals, local clinics and general practice rooms.
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Methods
This was a cross-sectional analytical survey. Participating nurses and community health workers
(CHWs) were selected through stratified random sampling. All available medical doctors and clinical
associates were approached to participate, totalling 548 participants. Relevant information was
obtained from these PHC providers using self-administered questionnaires. Both descriptive and
analytical statistics were computed using Statistical Analysis System (SAS) Version 9. P < 0.05 was
considered significant.
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Results
Most participants had poor knowledge (64.8%), neutral attitudes (58.6%) and poor practice (40.0%).
Female PHC providers, lower cadre nurses and CHWs had lower mean knowledge scores. Not
participating in prostate cancer-related continuing medical education was associated with poor
knowledge (P < 0.001), negative attitudes (P = 0.047) and poor practice (P < 0.001).
Conclusion
This study established appreciable KAP gaps relating to prostate cancer screening among PHC
providers. Identified gaps should be addressed through the preferred teaching and learning strategies
suggested by the participants.
Contribution
This study establishes the need to address KAP gaps regarding prostate cancer screening among
PHC providers, therefore necessitating the capacity-building roles of district family physicians.
Key words
knowledge, attitude and practice, primary healthcare practitioners, primary healthcare providers,
prostate cancer screening, early diagnosis.
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