Integration of Clinical Breast Examination Services into Family Health Posts: Changes in Knowledge and Attitudes Toward Early Breast Cancer Detection

Abstract

Background: In 2023, only 165 of 5,595 women of reproductive age in the Sedau Community Health Center area had received clinical breast examination (CBE; SADANIS). Objective: To assess changes in knowledge and attitudes after CBE services were integrated into family integrated health posts (Posyandu Keluarga). Methods: A one-group pretest–posttest study involved 70 purposively selected women aged 15–49 years. Pre- and post-intervention scores were compared using the Wilcoxon signed-rank test. Results: Mean knowledge scores increased from 23.93 to 27.67 (change: 3.74), and mean attitude scores increased from 20.89 to 26.70 (change: 5.81); both differences were statistically significant (p < 0.001). Two women (2.9%) had palpable breast lumps and were referred for further evaluation. Conclusion: CBE service integration was associated with improved knowledge and attitudes; causal effects cannot be established without a comparison group.