Abstract

Effectiveness and Results of Iraqi Breast Cancer Screening Program Applied at Primary Health Care Centers

Background: The most frequent malignancy among women worldwide is breast cancer, it accounts for 25% of all cancers. The aim of screening programs is to recognize individuals through the asymptomatic stages for possible recognition of cancer during preclinical phases of the disease. Objectives: To evaluate the breast cancer screening program result in Baghdad Al-Russafa Health sectors during 2015 and to estimate breast cancer screening program’s effectiveness. Methodology: A cross-sectional study was conducted At Baghdad Al-Russafa Health districts, over the period from first January to December 2015. Data was collected from the database related to the program that was kept at Al-Russafa health sectors in a special form that was adopted by Iraqi ministry of health, true positive results of mammography was collected from the hospital Results: The total coverage rate of AlRussafa Health Directorate/ Baghdad was 71% and the number required to screen and to identify one case of breast cancer was 38. The percent of patients with positive screening test was11%. Detection ability of Baghdad Al Russafa Health Directorate was 3%. Percentage of positive predictive value of Baghdad alrussafa health directorate was 0.42%. Conclusion: The program had a high coverage rate in Al-russafa Health Directorate and the end results of diagnosed cases were low & it consisted of less than one-third of definitely screened cases. There was a high detection ability of the whole program. The number needed to screen to identify one case of breasts cancer was lower than those needed to be screened to identify one case in the screening program of other countries with low Positive predictive value.

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