%0 Journal Article
%T Identifying Clusters of Reproductive-Age Women Not Screened for Cervical and Breast Cancer in Ghana
%A Clement Kwabena Apaw
%A Ruthie Sophie Mnyanga
%A Christiana Asiedu
%A Jonathan Teye
%J Advances in Breast Cancer Research
%P 29-49
%@ 2168-1597
%D 2025
%I Scientific Research Publishing
%R 10.4236/abcr.2025.141003
%X <b>Purpose</b>: There is a significant rise in mortality rates from breast and cervical cancers in Low- and Middle-Income Countries. In Ghana, approximately 4482 women are diagnosed with these diseases at advanced stages. Unfortunately, the early detection rate for these cancers is low compared to other women&#8217;s health services. This situation underscores the need to identify the locations of reproductive-age women who have not been screened for these cancers, to implement targeted public health interventions. This study aims to pinpoint these women&#8217;s locations for tailored interventions. <b>Method</b>: Bivariate analysis assessed the relationship between the independent and outcome variables. Hot spot analysis and Kriging Ordinary interpolation were employed to pinpoint the locations of these women. <b>Results:</b> Breast cancer examination and cervical cancer test rates were low, with a strong association between the two screening services. Several significant variables were identified: place of residence (p &lt; 0.001), combined wealth index (p &lt; 0.001), visits by fieldworkers (p &lt; 0.001), coverage by a National Health Insurance (p &lt; 0.001), and awareness of family planning through various media in the past few months. It was predicted that non-screened reproductive-age women were densely concentrated in areas far from the three publicly funded hospitals designated for cancer screening. <b>Conclusion: </b>Low participation in these screening services was related to women&#8217;s age and the outreach efforts of fieldworkers. Breast and cervical cancer screenings are interconnected and could be combined to improve attendance rates. The Community-based Health Planning and Services (CHPS) implementation strategy could be cost-effective for screening women through targeted interventions, especially in identified clusters.
%K Breast Cancer Examination
%K Cervical Cancer Screening
%K Family Planning
%K Community-Based Health and Planning Services (CHPS)
%K Kriging Ordinary Analysis
%K Non-Screened Reproductive-Age Women
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=140073