June 30, 2026 Thesis Open Access

DANIEL FIKADU

DataCite XML Export

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  <identifier identifierType="DOI">10.20372/nadre:25606</identifier>
  <creators>
    <creator>
      <creatorName>DANIEL FIKADU</creatorName>
    </creator>
  </creators>
  <titles>
    <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</title>
  </titles>
  <publisher>Zenodo</publisher>
  <publicationYear>2026</publicationYear>
  <dates>
    <date dateType="Issued">2026-06-30</date>
  </dates>
  <resourceType resourceTypeGeneral="Text">Thesis</resourceType>
  <alternateIdentifiers>
    <alternateIdentifier alternateIdentifierType="url">https://nadre.ethernet.edu.et/record/25606</alternateIdentifier>
  </alternateIdentifiers>
  <relatedIdentifiers>
    <relatedIdentifier relatedIdentifierType="DOI" relationType="IsVersionOf">10.20372/nadre:25605</relatedIdentifier>
    <relatedIdentifier relatedIdentifierType="URL" relationType="IsPartOf">https://nadre.ethernet.edu.et/communities/20-25</relatedIdentifier>
  </relatedIdentifiers>
  <rightsList>
    <rights rightsURI="http://www.opendefinition.org/licenses/odc-odbl">Open Data Commons Open Database License (ODbL)</rights>
    <rights rightsURI="info:eu-repo/semantics/openAccess">Open Access</rights>
  </rightsList>
  <descriptions>
    <description descriptionType="Abstract">&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;</description>
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