PRESS RELEASE 24TH OCTOBER 2011 Kenyan women courting death due to not screening for breast and cervical cancers.… Six out of seven women in Kenya have not been screened for breast cancer despite aggressive and sustained awareness campaigns by government, private hospitals and NGOs. This was the key finding of a study conducted by Ipsos-Synovate in 13 urban towns in Kenya in the month of October, which is dedicated to raising awareness and screening for the disease. An almost similar proportion of those surveyed (83 per cent) had not been screened for cervical cancer or diabetes in the past year. In the past one year, have you been screened for any of the following illnesses / diseases? YES 100% 85% NO 83% 83% 80% 60% 40% 20% 15% 17% 17% 0% Breast cancer Cervical cancer Diabetes Base: n=703 (All respondents) These findings suggest a policy failure in the current awareness and prevention strategies being employed to tackle these diseases. Even more worrying, these findings come amid a backdrop of the first global analysis of incidence and mortality trends for breast and cervical cancers over the last 30 years which shows that the two cancers are on the rise worldwide, with African women most at risk along with those from other developing countries in East Asia and Latin America. The research published in the September 2011 issue of the medical journal Lancet, indicated that in 2010, there were over 1.6 million women diagnosed with breast cancer, compared to only 641,000 in 1980. The increase in prevalence for cervical cancer was more modest but the two cancers together accounted for the deaths of 625,000 women in 2010, compared to 424,000 in 1980. Of more concern to policy makers in Kenya is the finding by researchers that the burden was uneven, with deaths and incidence rising most in developing countries but decreasing in industrialised countries. “Women younger than 50 in developing countries accounted for 23 per cent of global breast cancer deaths and 34 per cent of global cervical cancer deaths, whereas their peers in developed nations accounted for 10 per cent of both,” said the Lancet report. The Ipsos-Synovate survey showed that older women were more likely to have been screened for breast and cervical cancer than their younger counterparts. Overall, women in Kisumu led when it came to screening with a quarter having been screened for breast cancer and almost one third (30 per cent) having been screened for cervical cancer. Ironically, the town trails when it comes to screening for diabetes with only nine per cent of women there having gone through the procedure over the last year. Garissa was the worst as none of the women surveyed had been screened for breast cancer and only 13 per cent for diabetes. “The remoteness of the area has affected provision of all health services so these findings were not surprising,” says Maggie Ireri, managing director, Ipsos-Synovate Kenya. “Overall, only a quarter of the women in our survey have no formal schooling. The fact that so few women in the total population have screened for these three diseases despite the concerted campaigns to enhance awareness point to a serious problem. These are women in urban areas with access to most communication channels but the message about the seriousness of these diseases, especially breast and cervical cancer is not sinking in,” she says. The Synovate study was conducted in Nairobi, Kisumu, Mombasa, Embu, Nakuru, Meru, Nyeri, Thika, Machakos, Kakamega, Kisii, Garissa and Eldoret. Afya Kenya Foundation estimates that one in nine women develop breast cancer during their lifetime, and about one third succumb to the disease. “Breast cancer is commonly found among women with a family history of breast cancer in first degree relatives which means one’s mother or sister. Other groups include older women and although it rarely develops before 25, women below that age have been known to get the disease,” says Oduwo Noah Akala, chairman of the Foundation. Women with no children have a higher risk of contracting breast cancer as are those who are obese, having their first child after the age of 30 and smokers, he adds. About the survey: The target population for this survey was adult urban females in Kenya aged 18 and above. A sample size of 703 respondents was as per the 2009 census data. The margin of error attributed to sampling and other random effects of this poll’s sample size is +/- 3.7% margin at 95% confidence level. This sample size is large enough to make reliable estimates on the target population opinion at a national level. The fieldwork for this survey was conducted between 11th and 19th October 2011. Data was collected through telephonic interviews from the Ipso-Synovate CATI polling centre. For further details please contact: Maggie Ireri Managing Director Ipsos-Synovate (Kenya) Tel: + 254 20 4450 196 Maggie.Ireri@synovate.com Reference: The Lancet; Source reference: Forouzanfar MH, et al “Breast and cervical cancer in 187 countries between 1980 and 2010: a systematic analysis” Lancet 2011; DOI: 10.1016/S0140- 6736(11)613512.; Additional source: The Lancet; Source reference: Coebergh JW “What global protection against women's cancers?” Lancet 2011; DOI: 10.1016/S0140- 6736(11)61459-1.