June 30, 2026 Thesis Open Access

DANIEL FIKADU

DCAT Export

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        <foaf:name>DANIEL FIKADU</foaf:name>
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    <dct:title>BREAST SELF- EXAMINATION PRACTICE AND ASSOCIATED FACTORS AMONG WOMEN ATTENDING MATERNAL AND CHILD HEALTH UNITS IN PUBLIC HEALTH FACILITIES IN NEKEMTE TOWN, EAST WOLLEGA, OROMIA REGION, WESTERN ETHIOPIA</dct:title>
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    <dct:issued rdf:datatype="http://www.w3.org/2001/XMLSchema#date">2026-06-30</dct:issued>
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    <dct:description>&lt;p&gt;ABSTRACT&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Breast self-examination serves as a critical, cost-effective strategy for early detection of breast cancer, the second most prevalent malignancy among women globally. In Ethiopia, where access to mammography is limited, breast self-examination remains a critical screening tool. This study addresses critical evidence gaps regarding Breast self-examination practices in western Ethiopia.&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Objectives&lt;/strong&gt;: To assess Breast self-examination practice and associated factors among women attending public health facilities in Nekemte town, western Ethiopia, in 2025.&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Methods:&lt;/strong&gt; A facility-based cross-sectional study was conducted from January to February 2025 across four public health facilities in Nekemte. Using systematic random sampling with proportional allocation Data were collected through pretested interviewer-administered questionnaires adapted from validated tools, 418 women attending maternal-child health services were enrolled (99.8% response rate). Analysis included bivariate logistic regression (p&amp;lt;0.25 entry threshold) and multivariable modeling with verification of assumptions: Hosmer-Lemeshow goodness-of-fit (p=0.658), variance inflation factors &amp;lt;10, and 86.1% classification accuracy.&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Result:&lt;/strong&gt; Breast self-examination practice prevalence was 26.3% (95% CI: 22.3 &amp;ndash; 30.7), with only 20% (22/110) demonstrating &amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp;&amp;nbsp; good Breast self-examination practice. Significant predictors included: history of breast affliction (AOR=4.43; 95%CI: 1.27-15.45), high perceived susceptibility (AOR=10.20; 95%CI: 1.87-55.61), adequate knowledge (AOR=3.68; 95%CI: 1.09-12.38), and high barriers (AOR=0.25; 95%CI: 0.07-0.90).&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Conclusion:&lt;/strong&gt; The findings reveal critically low Breast self-examination uptake in Nekemte, primarily constrained by knowledge gaps and perceptual barriers. Recommended interventions include: facility-based Breast self-examination training programs, community awareness movements, and integration of BSE education into routine health services. These evidence-based strategies could strengthen Ethiopia&amp;#39;s national cancer control efforts in resource-limited settings..&lt;/p&gt; &lt;p&gt;&lt;strong&gt;Keywords&lt;/strong&gt;: Breast cancer, breast self-examination, early detection, screening practices, Ethiopia, Health Belief Model&lt;/p&gt;</dct:description>
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