Community Health Worker Breast Cancer Education

Because Rwanda and South Africa have different stage distributions, the study applied a relative intervention effect rather than directly transferring Rwandan stage proportions. The intervention trained community health workers to recognise breast cancer symptoms and encourage earlier presentation to care. The modelled programme also trained primary healthcare nurses in breast cancer symptom recognition, clinical breast examination, and clinical algorithms. The intervention was based on a Rwanda cluster randomised trial where community health worker education increased early-stage breast cancer presentation.