Group 1 - Puso para Sa Kasuso - Health and Wellness Program

Calamba Doctors’ College
Virborough Subdivision, Parian, Calamba City, Laguna

College of Nursing
“Puso Para Sa Kasuso”

Health and Wellness Program
Bachelor of Science in Nursing III
Group 1
Group Members:
Abesamis, Jamaeca J.
Condarilla, Miguel
Dowden, Hazel M.
Guillen, Jasper Andre P.
Hina, Eunice C.
Molina, Honey Krizel T.
Perea, Charlotte M.
Perey, Cherry Anne Victoria M.
Rodriguez, Jarena M.
Samosa, Jans Ray R.
Thaobunyuen, Leya S.
Tuvilla, Andrea Lyka S.
Clinical Instructors:
Eliezer Gellido, MAN
John Mark Lingcon, MAN
Desiree Sulit, MAN
June 2021
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TABLE OF CONTENTS
Title Page…………………………………………………………………………………………1
Table of Contents………………………………………………………………………………...2
Acknowledgement…………………………………………………………………….………….3
Dedication………………………………………………………………………………………...4
Part I. Mission Statement And Introduction………………..……...……………………..……4
Part II. Goals and Objectives ………………………………………….…………………..……6
Goals……………………………………………………………………………….……...7
Objectives………………………………………………………………………...…..……7
Part III. Background and Literature Review……………………………………………......…7
Part IV. Need & Justification, Demographics and Assessment of Existing Resources….…23
Need and Justification…………………………………………………………...….……23
Demographics……………………………………………………………………………23
Assessment of Existing Resources …………………………………………….........……24
Part V. Resources Needed and Platform ………………………………………………..……24
Resources Needed……………………………………………………..…………………24
Platform…………………………………………………………...……………...……...25
Part VI. Program Development………………………….……………………………….……26
Implementation…………………………………………………………………..………26
Activities…………………………………………………………………………….……27
Timeline Of Activities………………………………………………………………….…29
Part VII. Evaluation and Feedback………………………………………………………...…33
Part VIII. Recommendation…………….………………………………………………..……40
Part IX. Documentation ………………………………………..…………………………..… 41
References ………………………………………………………………………………………44
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ACKNOWLEDGEMENT
We would like to thank and express our special gratitude to the following people for providing us
with inspiration, knowledge, and assistance in creating this health awareness program:
 Dean Felicidad Daquis for the trust, support, and encouragement;
 Our clinical instructors Mr. John Mark Lingcon, Mr. Eliezer Gellido, and Ms. Desiree
Sulit for the guidance and constant supervision as well as for providing necessary
information regarding this Health and Wellness Program;
 Our family and friends for moral support and affection that gives us source of
inspiration;
 Group members who cooperates and put a lot of time and efforts in the completion of
this project;
 Consumers and supporters for their participation and purchasing our product without
them this would not be possible;
 Above all, God Almighty for the knowledge and wisdom he bestowed upon us.
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DEDICATION
We humbly dedicate this output to our beloved parents for always supporting us in view
of the fact that they are the driving force in our life and career. Without their love and support,
none of this would matter. Throughout our life, they have actively supported us in our
determination to find and realize our potential, and to make this contribution to our country.
Moreover, we dedicate this work to our hard working and respected Dean and professors,
Dean Felicidad G. Daquis, Mr. John Mark Lingcon, Mr. Eliezer Gellido and Ms. Desiree Sulit
for sharing their knowledge and who encourage and influence us to be a responsible citizens of
this country.
And most of all to our great creator, our Almighty God the author of knowledge and
wisdom who made this thing possible.
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PART I. MISSION STATEMENT AND INTRODUCTION
Among Asian countries, the Philippines has the No.1 incidence of breast cancer. ―Three
out of 100 (Filipino) women will get breast cancer before age 75 and one out of 100 will die
before reaching 75,‖ an official of the Philippine Society of Medical Oncology reported.
Breast cancer accounts for 15 percent of all new cancer cases in the country for both sexes and 8
percent of all cancer deaths. And yet, not too many really know about the disease. ―Public
awareness on cancer prevention is low,‖ the oncology society deplored. ―Most Filipino patients
consult a doctor only when their cancer is already in its advanced stage.‖ As a result, ―survival
rates in the country are relatively low.‖ Curiously enough, men are not spared from breast
cancer. ―Many people associate breast cancer only with women,‖ said Dr. Kevin D. Maupin, a
specialist in internal medicine. This may be because male breast cancer is rare.
The mission of Puso Para sa Kasuso program is to raise awareness and knowledge
regarding early detection of breast cancer through social media platform. Also, to give help in
some breast cancer patients. The said program will be implemented through posting guides and
ways on how to do breast cancer self-examination to encourage early detection of breast cancer,
myths and facts about breast cancer for the people to understand more about the disease,
including related videos and gif to be catchier for our target audience. We will be having
giveaways of boobie pots and tote bags in promoting our program to make our supporter active
and giving back to them. We will be also selling boobie pots for people who wants to avail our
boobie pots in order to help and support our program with the same goal of us and the funds will
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be donated to our chosen patient whose undergone breast cancer therapy. We will be going to
share some stories/journeys of the breast cancer survivors to know how they survive, what
struggles they face, and advice from their experience. We will include leaflets for boobie pots
that will be giveaway, purchase, and gift for testimonies to provide a copy and brief information
about breast cancer self-exam.
PART II. GOALS AND OBJECTIVES
GOALS
The overall goal of this program is to increase women awareness and knowledge
regarding early detection of breast cancer. The most important and beneficial area of protection
activities is the early detection of breast cancer. Diagnosis of breast cancer during the early
stages of disease has been positively linked to a decrease in the mortality and morbidity of the
illness. The goal of an early detection programme is diagnosing cancer at its earliest stages when
it is localized to the organ of origin, without metastasis to other organs or the surrounding tissue.
Public education seeks to educate the women regarding the risks and symptoms of breast
cancer with the goal of increasing early diagnosis of the disease and reduce the number of
women diagnosed with late stage breast cancer. Breast cancer is most easily and effectively
treated in its early stages. Survival rates drop dramatically when women present with advanced
cases regardless of the setting; therefore, a primary strategy for reducing breast cancer mortality
is increasing the proportion of cases that are detected during the early stages of the disease
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OBJECTIVES
The objectives of this program is to increase the knowledge of the public on the benefits
of early detection, changing attitudes and behaviors to seek early detection services and raising
awareness around breast cancer. Help people recognize the early signs and symptoms of breast
cancer, thus enabling them to seek treatment at an early stage.
To help emphasize that a woman should promptly seek and receive care when she notices
a breast mass, thickening or other new persistent findings. Provide an opportunity to help educate
the public on the health impact of breast cancer, and the importance of taking personal
responsibility health.
PART III. BACKGROUND AND LITERATURE REVIEW
Breast cancer awareness is an effort to raise awareness and reduce the stigma of breast
cancer through education on symptoms and treatment. Supporters hope that greater knowledge
will lead to earlier detection of breast cancer, which is associated with higher long-term survival
rates, and that money raised for breast cancer will produce a reliable, permanent cure.
Breast cancer awareness month, marked in countries across the world every October,
helps to increase attention and support for the awareness , early detection and treatment as well
as palliative care of this disease. Currently there is not sufficient knowledge on the causes of
breast cancer, therefore, early detection of the disease remains the cornerstone of breast cancer
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control. When breast cancer is detected early, and if adequate diagnosis and treatment are
available, there is a good chance that breast cancer can be cured. If detected late, however,
curative treatment is often no longer an option. In such cases, palliative care to relief the
suffering of patients and their families is needed. World health organization promotes
comprehensive breast cancer control programs as part of national cancer control plans. The
recommended early detection strategies for low-and middle income countries are awareness of
early signs and symptoms and screening by clinical breast examination in demonstration areas.
Mammography screening is very costly and is feasible only in countries with good health
infrastructure that can afford a long-term program.
Awareness and Attitudes Regarding Breast Cancer and Breast Self-examination
among Female Jordanian Students.
In contrast to western nations, most patients in developing countries, including Jordan,
present with an advanced stage of cancer, when little or no benefit can be derived from therapy.
The findings of this study are in keeping with previous research in which breast cancer
awareness has been found to be low among women in developing countries. Breast cancer
awareness among Jordanian students was less than 50% and knowledge was limited in its range
and accuracy. The findings of this study suggest a number of avenues for future research and
could be used to contribute to the development of preventative and screening programs for breast
cancer across the population. This study emphasizes the need to raise breast cancer awareness
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and to teach individuals about the importance of practices for early detection techniques, such as
BSE, which will enable breast cancer to be detected at an earlier stage. Interventions should be
developed with the aim of providing information and services for all age groups, educational
levels, cultures and social strata. In order to improve women's awareness and knowledge of
breast cancer, it is important to initiate interventions that seek to provide health education, and to
encourage preventive healthcare behaviors. The data presented here indicate an important myths
factors about breast cancer among female Jordanian students that can provide insight and
background, into exploring the strategies for promoting awareness among women according to
the students.
Study on Awareness about Breast Carcinoma and Practice of Breast Self-
Examination among Basic Sciences’ College Students, Bengaluru
The study revealed that the study population was aware of cancer breast. However, the
knowledge regarding risk factors and signs was poor. Risk factors are important to know as they
can control their risk factors by assessing their risk category, which can help in early detection of
the disease which tremendously increases their chance of survival.
A review of the literature reveals low breast cancer literacy with regard to risk factors
among Indian women, irrespective of their socioeconomic and educational backgrounds, with
little correlation between awareness levels and strength of evidence of the risk factors.
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Studies have shown that there is no increase in the cancer literacy over time; low levels of
awareness were consistently observed for important risk factors such as age at menarche, age at
menopause, and age at birth of first child in the general population.
A consensus review from the Breast Health Global Initiative 2010 Global Summit
summarizing barriers to breast cancer care highlighted the lack of or very limited access to
treatment and limited knowledge of health professionals as major barriers to cancer prevention
and detection in developing countries.
Studies done by Kumar et al. and Seth et al. have shown low awareness levels of risk
factors, which is similar to the present study. Low awareness levels are also a consequence of
low informed coverage through different forms of media, including television and newspaper.
Different types of screening methods are available among which BSE is the best way for early
detection, which is also cost-effective. If women are educated properly on BSE, it can be the best
tool for screening the disease; however, in our study, only 18% women had knowledge regarding
BSE.
In a similar study done by Lemlem et al., 57.8% of study women were aware of the breast
carcinoma and its screening methods.[13] This knowledge level is poor and is comparable to a
similar study in Nigeria among school teachers, where only 27% of the participants were able to
identify three risk factors correctly.
In general, it is found relatively low, and wide, variation in awareness of risk factors for
breast cancer among women in India over the 8-year period of publications even as breast cancer
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became the most common cancer in the country. Women more commonly believed that
unhealthy habits related to alcohol and tobacco consumption were more important risk factors
than reproductive history, which is a much stronger determinant of breast cancer.
Knowledge and practice about BSE are also very low in the present study, which is
similar to the other studies. It is proved that that screening by mammography can reduce the
mortality in women over 50 years. However, this technique is expensive, and for this reason, it is
difficult to adopt in India as a routine public health measure. A cohort study in Finland and a
case–control study in Canada suggested BSE be beneficial at all ages. Awareness and practice of
BSE can help women to seek medical care and advice immediately.
WHO stresses on promoting awareness in the community and encouraging early
diagnosis of breast cancer for women who are attending primary health centers or hospital for
other reasons, by offering clinical breast examinations.
As the source of knowledge is also very important, majority of women were educated by
health personnel. Hence, health personnel should be both knowledgeable and trained properly
regarding signs and symptoms of the disease. As education of women itself is a factor which can
improve the knowledge, emphasis should be laid on women literacy.
There is an urgent need to explore the drives of awareness deficits and stigma
surrounding breast cancer, in the general population, as incidence and mortality rates continue to
raise. Understanding the drives and barriers is important for strategic and effective awareness
campaigns and/or interventions on prevention and early detection.
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The study concluded that the awareness of breast cancer in our study population was
good. The knowledge and awareness regarding BSE was poor which is utmost important for
early detection and in reduction of mortality.
Indian women need to be aware of both modifiable and nonmodifiable risk factors for
breast cancer to adopt appropriate practices for prevention. Breast cancer is a topic that is not
freely discussed in India because of the cultural taboo. Hence, there is an urgent call for more
effective nation-wide and state-wide cancer literacy programs, as well as engagements with
community-level organizations and health system. The government should utilize good examples
of famous personalities who have revived from the disease. Health education at the college level
should be done more aggressively regarding various aspects ranging from risk factors to various
methods of screening. BSE should be encouraged especially in women with family history.
With wide variations in the state-level burden, a coordinated, intensive health promotion
intervention program on risk factors, prevention, screening, and management for breast cancer is
prudent. Training on risk factors should be offered to healthcare providers to raise their cancer
literacy, so they can then transmit this knowledge to other sections of the society. It is also to be
seen that the information needs to be disseminated in a form which is appealing to the society.
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Breast Cancer Awareness and Barriers to Early Presentation in the Gaza-Strip: A
Cross-Sectional Study | JCO Global Oncology
The overall awareness of BC in this study was suboptimal. Adult women demonstrated
higher awareness than adolescents, especially in observations about breast changes and
knowledge about the age-related risk. A major difference was observed in the emotional barriers;
feeling embarrassed was reported as the most common barrier to seeing a doctor by adolescents,
and being scared was the most common barrier reported by adults.
To our knowledge, this is the first study to examine BC awareness in Gaza and Palestine,
where—given the difficult economic circumstances and high prevalence of BC—effective
prevention strategies and early recognition are essential to increase BC survival to international
levels. Awareness of BC symptoms and risk factors as well as reduction of the barriers to
seeking medical advice are crucial to achieve this goal. This study looked at these factors to
support the development of effective policies in the public health and education sectors.
BSE is one of the most cost effective and accessible interval screening methods
available.7 However, only 35.8% of participants reported BSE performance compared with
87.8% in a study from Bangladesh.16 Forbes et al20 found that 52.0% of women in East London
were fairly or very confident in the ability to notice any breast change, and this rate was higher
than the proportion found in this study—46.4%. In the same study,20 23.0% checked their breast
at least once a month compared with only 14.7% in this study. The congruent decrease of BSE
performance and confidence in the ability to detect breast changes in this study could be
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explained by the fact that BSE increases body awareness, so there is heightened awareness of
changes that may be detected if BSE is performed regularly.21 Reasons for the poor performance
in BSE among Palestinian adolescents and women might be poor body awareness and lack of
self-confidence to detect changes as well as the belief that a health care professional is needed
for recognition of abnormalities. BSE is rarely talked about in the Gazan public, and findings of
this study demonstrate the urgent need for public education of adolescents and women of all ages
about BSE.
In contrast to this study, other studies showed better knowledge of age-related BC
risk.20,22 This might reflect poor health education about the age-related risks of BC in the Gaza
Strip. Similar to participants of studies conducted in India and Malaysia, participants in this
study were able to recognize BC symptoms when asked closed questions.23,24 However, only a
minority demonstrated accurate knowledge when asked open-ended (recall) questions, which
reflects the greater difficulty of recall questions. In concordance with other studies from Kuwait
and Jordan, breast lump or thickening was reported as the most frequently recognized BC
symptom among women in this study.25,26 This result confirms the common belief that a breast
lump is the most concerning BC symptom, from the participants’ perspectives, for which they
will seek medical advice when recognized.
Interestingly, women in Gaza were more aware about the BC risk factors than those in
the United States.27 It is thought that the social interactions and life in extended families, which
are common in Gaza, may play roles in this discrepancy, because people can talk more with one
another in person and share information from personal and family stories about BC. Another
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explanation could be the increased fear that participants in this study reported, which prevented
them from presenting early to a doctor but also caused a heightened awareness of risk factors.
Older women had greater BC awareness than adolescents in the Gaza Strip. This was also
observed in other studies in Qatar,12 Malaysia,23 and Bangladesh.28 A possible reason for this
is that such issues are not part of the regular school curriculum; also, adolescent girls might not
be interested in this issue. Adults, conversely, already had the opportunity to acquire knowledge
from encountering similar problems over time or from reading and hearing from their friends or
relatives. In addition, female adolescents possibly feel shy about reading or talking about BC or
symptoms they might experience, which is in concordance with embarrassment as the most
frequent barrier for presentation to a doctor in this study.
Awareness of the availability of a BC screening program in Gaza (60.4%) is slightly
lower than that in Bangladesh (67.0%).28 Surprisingly, though, it is still higher than the
awareness observed in East London, despite the fact that the UK breast screening program is
highly organized and invites eligible patients via letter or doctors.20 Conversely, Gaza women
rely entirely on their own motivation, initiative, and knowledge of the program to benefit from it.
Therefore, a higher awareness would have been expected among women in East London. These
unexpected findings might be caused by the high proportion of women in East London who
come from an immigrant community and who may have poor language skills or poor knowledge
of the local health system.
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Forbes et al20 surveyed 1,515 participants in East London and reported a mixture of
emotional and practical barriers most commonly encountered: 47.0% were worried about what
the doctor might find, 38.0% were embarrassed to see the doctor, 37.0% were worried about
wasting the doctor’s time, and 35.0% found it difficult to make an appointment. This is
consistent with another study, in which practical barriers were most frequently
reported.29 However, in this study, emotional barriers were the most commonly reported, and
higher percentages in all emotional barriers versus physical or practical ones were obtained for
each one. The poorer knowledge and awareness among Gaza women about BC, or local
experiences with poor outcomes because of more advanced-stage presentation, may explain this
variation. These reasons might drive emotional barriers (such as fear of diagnosis) higher in
Gaza compared with other places.20 Another explanation could be that barriers for seeking
medical help may depend on the presenting symptom. A previous study showed that women who
experienced a breast lump were less likely to have a delayed presentation than those with other
symptoms, like nipple discharge.30 Accordingly, Meechan et al31 found that although women
with breast lumps waited a shorter time before seeking help, there was no difference in the level
of emotional response to symptoms in the breast lump and non–breast-lump groups, which
suggests that these factors may be operating independently. In contrast, breast lump was the most
commonly reported BC symptom in this study, but most of the participants still reported
emotional barriers that could potentially delay presentation. This is in concordance with data
from Gaza, which showed that women with breast cancer are often diagnosed at more advanced
disease stages because of delayed presentation.32 Another factor that may contribute to this
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delay is the embarrassment reported as a barrier to seeing a doctor by both adolescents and
adults; embarrassment might be greater when faced with less well-recognized symptoms, such as
nipple discharge. This factor might be potentiated by the lack of female surgeons in Gaza. The
first female trainee only entered the surgical training in Gaza in 2016. Availability of female
breast surgeons might reduce the embarrassment factor that leads to the delay in presentation.
The main strength of this study is the large sample that gives a representative view of the
target population. Furthermore, the inclusion of women from different age groups and the high
response rate show general acceptance of such a survey by the target population.
Limitations of this study include the lack of socioeconomic data and level of education,
which can influence knowledge and awareness of BC, as well as the lack of additional
exploration about how much influence factors, such as family history of BC and familiarity with
the disease through friends and neighbors, had on the participants’ knowledge and awareness of
BC.
The recruitment of women in hospitals might have led to the selection of participants who
were more aware of health issues. Furthermore, the inclusion of visitors and the exclusion of
oncology departments for recruitment reduced the number of participants with special awareness
of BC because of illness of self or a close relative. An additional limitation was the lack of closer
examination of the barriers to visiting a doctor earlier, because that question required a different
study design.
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Early BC detection and disease downstaging remain the cornerstones of BC control to
improve its outcome and survival in low-income countries.33 This study provides evidence that
the knowledge about BSE practice, symptoms and risk factors of BC, and availability of BC
screening are low, which contributes to the advanced presentation and, hence, poor survival of
patients with BC in the Gaza Strip. Educational interventions to raise public awareness of BC
and to address the emotional barriers to presentation to a doctor, such as fear and embarrassment,
are needed to encourage early presentation and improve outcomes.29 More female breast
surgeons also must be available for consultation in the Gaza Strip to facilitate early presentation,
especially of younger women.
Promoting Breast Cancer Awareness and Screening Practices for Early Detection In
Low-Resource Settings
Philippines has one of the highest breast cancer mortality rates in both Asia and world-
wide (2, 21, 22). Although the Philippine government developed a national Breast Cancer
Control Program (BCCP) in 1998, the implementation has been suboptimal. Indeed, heightened
incidence and poor survival rates are believed to be underpinned by inadequate breast cancer
detection resources and low health literacy among the general population (23). The Philippines
can place itself in a prime position to reduce the disease burden related to breast cancer by
investing and implementing cost-effective programs for cancer control and early detection, such
as a population-based screening program. The absence of a population-based screening program
is a notable treatment barrier as the accurate and timely diagnoses of breast cancer primarily
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depends on the ―opportunist approach.‖ Given the challenges associated with low-resource
settings, it has been suggested that improving breast cancer awareness and utilization of CBE is a
practical alternative for early detection and cancer control (15). While the effectiveness of BSE
remains mixed (12, 24), it still warrants further consideration as breast health awareness can still
be important to a country with non-existent population screening practices (e.g., Philippines). In
an attempt to address this health disparity, the goal of this study was to examine Filipino
women’s knowledge of and perceptions toward breast cancer screening and their intention for
obtaining future breast cancer screening following receipt of breast health education from short-
term medical mission (STMM) providers through academiccommunity partnership. The breast
health content was informed by current breast cancer statistics and recommendations from the
Philippines Cancer Society and tailored to meet the local Filipino women’s needs. In addition,
participants were provided with opportunities for engaging in BSE demonstrations using silicone
breast models and were allowed time for questions and answers. Our findings are similar to
results from other studies on breast awareness programs in LMICs and show the benefit of
community-based intervention improved knowledge and attitudes among women from rural
Ghana (25) and Malaysia(26). In addition, training and involving local health workers reinforces
the sustainability of future education and screening program and strengthened the linkage for
medical assistance and referrals (27). Initially, more than half of the Filipino women participants
were not aware of BSE, CBE, and mammography. Not surprisingly, the practice of BSE, CBE,
and mammography among these participants were comparatively lower than rates found in other
parts of Asia such as China (28), Hong Kong (29), Malaysia (30), Singapore (31), Taiwan (32),
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and Turkey (33). Notably, less than 20% of this study’s participants has ever had a CBE, and an
even lower percentage of women (<10%) reported having completed a mammography in the
past. At baseline, despite the fact that more than 60% of the participants were aware of BSE,
only one-third were aware that this was recommended as a monthly check-up. Moreover, 60% of
the participants had never performed a BSE. After the STMM education programs, it is noted
that the majority of participants reported plans to obtain subsequent breast cancer screening.
Participants highlighted financial concerns as a major barrier to obtaining more expensive
screening procedures, such as mammograms. Participants also reported a number of negative
psychological impacts associated with screening procedures (e.g., fear and pain) and myths about
screening (e.g., feeling OK therefore screening is not needed). For younger participants (i.e. 40
years and younger), the study results suggested that additional instructions can strengthen their
confidence to perform BSE. In line with these findings, participants’ level of education was a
significant factor to breast cancer screening uptake in both mammogram and CBE (above and
beyond other demographic variables). This suggests that general educational attainment may
promote health equity and that more intensive interventions may be required for individuals with
lower education levels. Although our findings suggest a possible correlation between knowledge
of available breast screening methods and actual screening behaviors, it should be noted that the
majority of literature on this topic indicates only a weak or negligible relationship. For instance,
Dey’s review on the status of breast cancer screening/practices in low- and middle-income
countries revealed that knowledge regarding breast cancer screening does not have a strong
relationship with actual screening behaviors (34). However, as we note above, there may be a
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number of intervening factors (e.g., negative psychological impact associated with screening
behaviors) which may weaken the relationship between the two variables. Moreover, a review
article on breast cancer in Iran (35) highlighted that healthcare providers were often not at the top
of a participants’ list in terms of their importance as source of information; examining the
possible moderating role of the ―importance‖ of the information’s source on the relationship
between knowledge of screening practices and actual screening behaviors may be a possible
avenue of future research. As the Department of Health in the Philippines continues to place
emphasis on CBE and BSE as a part of the BCCP components, efforts to raise breast cancer
awareness may follow the programmatic strategies in the current study. For example, the public-
private collaboration model implemented in the current study may be useful and can potentially
extend to training health professionals in primary care for delivering similar community-based
education sessions and integrating breast cancer screening into existing women’s health services.
Training front-line health professionals in CBE as a screening methodfor breast cancer and
appropriate referral linkages has the potential to increase detection of breast cancer at an early
stage in LMCs like the Philippines. To our knowledge, the current study is the first to document
women’s knowledge and practices of breast cancer screening in the Philippines. In addition, this
study is the first to implement short-term medical mission (STMM) breast health and screening
programs in both urban and rural areas of the Philippines. Taken together, our findings provide
insight on how STMM healthcare providers may best work with local communities to improve
breast cancer awareness and screening practices. Limitations of this study include a sample
drawn from only three cities/provinces in the Philippines. Consequently, the results cannot be
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generalized to other settings. Relatedly, the inherent bias in our study’s sampling method (e.g.,
convenience sampling) means that our participants are unlikely to represent the population being
studied. Furthermore, our study did not differentiate if participants sought out mammography
due to an existing complaint (e.g., pain, mass, etc.) or for screening purpose. This is an important
distinction to make as a population-based screening program is predicated on routine screenings,
regardless of the presence of symptoms. In addition, our findings cannot determine any causal
inference about the relationship between the educational program and actual screening behaviors
due to its non-experimental study design. Future research should implement a pre- and post-
intervention design to evaluate the effectiveness of the program. Lastly, the collected data were
based on self-report and not verifiable medical records. Self-reports are often susceptible to
inaccurate perceptions of one’s attitudes, feelings, or behaviors (36) which may raise questions
about its reliability and validity. Despite these limitations, our study provides information that
may be useful for both researchers and policy makers involved in public health programs.
Increasing breast cancer awareness and promoting screening behaviors, by designing and
implementing effective educational programs, may reduce the economic and societal burden of
breast cancer among women in the Philippines and other countries in low-resource settings.
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PART IV. NEED & JUSTIFICATION, DEMOGRAPHICS AND ASSESSMENT OF

EXISTING RESOURCES
Need and Justification
In terms of spreading awareness, social media has always been the best platform to use.
We have decided to use Facebook as our main platform to help spread the awareness on breast
cancer. Facebook has over 1.86 billion monthly active users and with the help of boosts from
fellow group mates and affordable paid advertisements, a vast set of audience can be reached in a
day or less even hours. With this we can guarantee that our aim to spread awareness and help
raise funds will be met. We have also decided to raise funds, to help create an interactive
relationship with the audience, through selling products like hand-made ―Boobie Pots‖ and
custom-designed tote bags, where 80% of our sales are set aside to donate to patients with breast
cancer related-illnesses. For this wellness program we aim not only to spread awareness but to
help even in the smallest of ways. In line with this, to start our plans, we have all contributed 130
pesos each, with a total amount of 1560 pesos, to fund us for all the materials we need to make
our fund-raising products as well as paid advertisements.
Demographics
The target population will be everyone, women and men, who are age twenty (20) and
above, particularly those whose family history and backgrounds predispose them to a higher risk
for breast cancer at a young age, and those presenting early signs and symptoms suggesting
cancer.
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Assessment of existing resources
To get more knowledge about Breast Cancer we created a page that brings people
awareness of the said disease, by posting about what are Breast Cancer, some Myths and Facts,
and Breast Self-Examination. Due to the pandemic, and we are not allowed to go outside for our
safety, at this present time, a lot of people spend more time on social media, which is maybe our
chance to still spread awareness of this disease.
By doing this program we all just need some access like internet connection, cellphone,
laptop, or personal computer. To gather all the information about Breast Cancer, and by posting
on it through Facebook.
To get more people to be interested, in our celebration of reaching 500+ likes we
orchestrated a giveaway to show our gratitude. And we also sell some handmade ―Boobie pots‖
and Tote Bags by contributing 130Php each of the group members, with the money, we can
raise, we decided to donate to all the patients with breast cancer related-illnesses.
PART V. RESOURCES NEEDED AND PLATFORM
Resources Needed
The wellness program is conducting a fundraising, as part of the Puso Para sa Kasuso
Program, we can support breast cancer patients through our Hand-crafted Boobie Pots and tote
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bags. Boobie pots are a hand-crafted pots made from air-dry clay. It aims to raise awareness
about breast cancer and campaign about body positivity. Hand-painted tote bags with
inspirational/motivational quotes for everyone related to breast cancer and breast self-
examination. 100% of the proceeds will go to selected breast cancer patients via
gogetfunding.com.
Platform
Facebook is used in promoting and spreading the information about the wellness
program, which is breast cancer awareness. Since currently, almost all have accounts and are
connected on Facebook, it is a great choice of platform for posting and promoting health
awareness where all can join and be educated. A Facebook page is created in order to raise
awareness about Breast Cancer, the Facebook page is named ―Puso Para sa Kasuso‖ which is
open for public especially for women. The contents of the page is about facts or trivia’s about
breast cancer, early detection of breast cancer, inspiring survivors of breast cancer and products
that are for sale, which will be used as donation for those breast cancer patients that needs help.
According to Mesfin Awoke Bekalu, people routinely use social media as part of their everyday
routine and responding to content that others share. Online social media platforms represent a
promising opportunity for public health promotion, effectiveness of social media at improving
knowledge and awareness of health topics and motivating healthy behavior change.
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PART VI. PROGRAM DEVELOPMENT
Implementation
Used as a support device for your strategic plan, an implementation plan maps out how to
bring your strategic plan to life by breaking it into identifiable steps, where each step is assigned
a to team member to complete on a set timeline. Thus, the implementation plan traces the edges
of that, mapping out how to best implement a strategic plan from the outset, and how to
effectively manage it as it gets put into place. The implementation plan plays a large role in the
success of your overall strategic plan. (Malsam, 2019).
We consider doing a giveaway to reach more audience for our program, since our
program is about breast cancer, we decided that the product we should give is connected to that
program and that is ―Boobie Pot‖. The challenge around running a successful giveaway is
making sure that you reach enough entrants to make it worth giving away a prize. Your existing
social channels are a great place to start when it comes to promoting your giveaway. Besides
organic posts, consider spending some ad boost to reach a larger audience, especially if you
haven’t established your own, yet. Besides sharing on your own profiles, reach out to people who
have interest with things you plan to giveaway and with a complementary audience to inquire
about cross-posting. Consider also posting about your giveaway on relevant Facebook Groups.
(Osman, 2019). Besides giveaway we have also planned in selling our own product for those
who didn’t have the chance to win and participate in the giveaway also by posting the product in
social media specifically in our Facebook page.
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Activities
Different activities are planned for the program to further support the objectives and
goals of the organization. Strategic planning that sets outcome goals and performance objectives
are necessary to continue to grow, and using common strategic management activities will help
you take your organization to the next level (Milano, 2021).
Creating a Facebook page will be the first activity the organization makes to set as the
platform of raising awareness about Breast Cancer. Based on Web.com Group, 2021, Facebook
is the most popular social network. There’s strength in numbers, and with over 1.4 billion users
and over 900 million of those users visiting the site every day, Facebook is undoubtedly the 800-
pound gorilla of social media. In addition to this, Facebook lets you spread the word to Friends
of Friends. When your target audience sees your Facebook posts or ads, their Facebook Friends
see them too, multiplying the effectiveness of your Facebook marketing efforts.
With the help of social media platform, different details about Breast Cancer such as
basic information, Breast self-examination, celebrity with Breast Cancer, myths and facts,
videos, and a survivor’s journey will be posted. Each activity has its corresponding objectives.
Publishing Basic Information about Breast Cancer gives background and information about the
disease. Publishing Breast Self-Examination provide understanding about the normal feel and
look of the breasts. Publishing about Celebrity with Breast Cancer inspire and gives hope to the
Breast Cancer Patients that they are not alone with this battle. Publishing about Myths & Facts
about Breast Cancer corrects the misconceptions about Breast Cancer. Publishing about Breast
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Cancer Survivor’s Journey convince women about the importance of early breast cancer
detection.
Publishing Video by far generates more engagements with our users (Hurff, 2021).
Videos force scrolling users to stop and pay an extra second of attention to the post before
understanding the gist.
Moreover, some strategic activities to expand and grow social reach, gain exposure and
engage people to the Awareness is by having a giveaway that will go for one month. According
Rafflecopter.com, running a giveaway is a fantastic way to build your social media following on
sites like Facebook. Also, running a giveaway can be an inexpensive & cost-effective marketing
channel; the cost associated with running a giveaway can be low and predictable. Just budget for
the cost of the prize, how you'll market it, and the time you spend on managing the process.
A two handcrafted pot made out of airdry clay with mastectomies design will be given to
first two winners while a hand-painted tote bag with an abstract design of naked women will be
given as the major prize. Mechanics of the giveaway are as follow:
1. Like our Facebook page & share this post with the hashtag #PusoParaSaKasusoGiveaway
(Reminder: Your post should be in PUBLIC).
2. Like all our posts on our page.
3. Comment Done and mention 3 friends in the comment section, you can enter multiple times!
More mention, more chances of winning!
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Finally, our major activity is by selling a handcrafted pot like mentioned above in the
giveaway. Different design has its specific price – ranges from 120 – 140 pesos. As planned by
the group, 80% of the net proceeds will be donated to selected breast cancer patients via
gogetfunding.me.
Manpower Materials Cost

Date Activity Objective
Needed Needed Requirement
Page To spread
March Internet,
Creation/Program Awareness about 12 0
20, 2021 Device
Introduction Breast Cancer.
Publishing Basic To give

March Information background and Internet,
12 0
24, 2021 about Breast information about Device
Cancer the disease.
To provide
understanding
March Publishing Breast Internet,
about the normal 12 0
29, 2021 Self-Examination Device
feel and look of
the breasts.
To inspire and
give hope to the
Publishing About
April 05, Breast Cancer Internet,
Celebrity with 12 0
2021 Patients that they Device
Breast Cancer
are not alone with
this battle.
Publishing About To correct the

April 09, Myths & Facts misconceptions Internet,
12 0
2021 about Breast about Breast Device
Cancer Cancer.
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Internet,
Strategy to expand
Device,
and grow social
April 16- Handcrafted
reach, gain
May16, Giveaway 12 Boobie Pot, ₱400
exposure and
2021 Hand-
engage people to
painted Tote
the Awareness.
Bag
To further expand
the dissemination
of knowledge Airdry clay,
about Breast Plastic Pot,
April 20, Boobie Pots For
Cancer, Breast 12 and ₱1, 160
2021 A Cause
Self-Examination Packaging
and to support Materials
patients with
Breast Cancer.
Publishing Video
To tackle breast
from ―Touch
cancer detection
Yourself: Breast
April 27, through humor, Internet,
Cancer 12 0
2021 straightforward Device
Campaign by
advice and positive
Nice and
way.
Serious‖
To covince women
Publishing About
about the
May 01, Breast Cancer Internet,
importance of 12 0
2021 Survivor’s Device
early breast cancer
Journey
detection.
To remind and
Final Post About sum up the overall
May 04, Internet,
Breast Cancer significance of the 12 0
2021 Device
Awareness program to
everyone.
May 10, To determine and Internet,

Evaluation assess the 12 0
2021 Device
achievements and
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to know what
could be
improved.
Table 1. Timeline of Activities
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April 16-
March 20, March 24, March 29, April 05, April 09, April 20, April 27, May 01, May 04, May 10,
May 16,
202 2021 2021 2021 2021 2021 2021 2021 2021 2021
2021
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PART VII. EVALUATION AND FEEDBACK
Figure 1.
The results of the evaluation shows the satisfaction of the audience towards the goal and
content of the ―Puso Para sa Kasuso‖ page. Reviews toward the objectives, explanations,
content, understanding and application of the Health and Wellness program towards and for the
audiences are positive.
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College of Nursing
Figure 2.
For the infographics, which are pictures and videos posted to help catch the viewers’
attention and to help them easily understand the information delivered, the audiences feedback
shows satisfaction. The audiences gave positive feedbacks towards the creativity, aesthetic,
content and understanding of the infographics.
Comment and suggestions on how we can improve our Health and Wellness Program:
 Its already perfect
 What a very nice program, it really helped in spreading awareness about Breast Cancer. It
is not just a program but it also aimed on helping other Breast Cancer Patients and
Survivor. They have very witty activities that can catch their target audience.
 Your program is nice
 More power po
 Very nice program

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College of Nursing
 Think about and share what supports your mental health at work. Think about and share
what makes you unwell at work. Think about and share things that can help keep you
well. Talk about what support you need for a specific mental health problem.
 Para po sakin okay na naman po lahat.
 Everything is great!
 Maybe try to ask some of the influencers to help your wellness plan
 Mas palawakin pursigihin nyo pa po lalo na sa mental spiritual support
 Wala po haha maganda na
 Try to expand your campaign to more women on remote places where this kind of
knowledge is unattainable
 Very Creative page
 The content of the page is very creative.
 The page is very helpful to all women.
 Your page is very inspiring.
 The purpose of page is very inspiring.
 The stories you've shared are really touching and inspiring.
 I hope you can share more inspiring stories of women with or who survive breast cancer.
 I hope you can help more breast cancer patients.
 Nothing at all. Everything is extremely perfect. Continue the great job. Aja!
 Webinars <33
 Nice program
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College of Nursing
 Post every day for more awareness about Breast Cancer
 More collaborations I think
 I suggest to post daily
 I suggest to have a webinar about breast cancer
 Continue to spread your wellness plan not only for women but for all the gender we have.
But thank you for being an instrument to share something about our safety and health.
 Maganda yung programa, naniniwala akong na-achieve niyo yung objectives niyo
tungkol sa early detection ng breast cancer. Nakakatuwa at gumamit kayo ng iba't ibang
pamamaraan upang makuha ang aming atensiyon.
 The program is actually nice. It might be very common, but the group think of ways on
how you will increase your target audience and to spread the awareness in different yet
very catching ways. KUDOS! :)
 Nakakatuwa, di lang kayo namahagi ng kaalaman, tumulong din kayo sa mga
nangangailangan :)) Keep up the good work guys!
 Among the groups, I have seen this program that exerted the most effort. The ideas are
very great and I think the objectives achieved. Congratulations to the group!
 Thank you for giving us a lot of information about Breast Cancer!
 THE BEST GROUP, INDEED! :)
 I am always updated with this program, and I was waiting for them to have a webinar, but
I think the group think of something which is way more helpful and engaging with its
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College of Nursing
audience. The giveaway and Boobie Pot for a Cause is the highlight of their program, and
both of these are a success. I praise you all for that, great job!
 It is not just a program who just wanted to share knowledge and give an awareness, yet it
is a program who also helped the Breast Cancer Patients and Survivors and for that, I
wanted to become part of your program
 The posts are inspiring
 5 stars
 Happy that there are programs like this ^^
 Godspeed
 I'M ALWAYS WAITING FOR THIS PAGE TO POST SO I CAN ALSO SPREAD
AWARENESS TO MY FAMILY
 Such an inspirational program..
 5 points lahat kasi alam ko namang nag-effort kayong lahat
 Nice platform. Good that you picked fb to spread an awareness
 Wouldn't like to compare po, but i think this is the most common program yet the best.
Why? kasi po based on the posts on your page, you all did a unique way to spread the
awareness. so galing po:)
 Grabe ang progrm n eto. Akla ko eh puro lng impormsyon s breast cancer eh tmulong dn
pla s iba hehehh
 Pagpalain nawa kayo ng Panginoon sa inyong pagtulong
 Ayos!
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College of Nursing
 If you will look with this program's page, I think everything is well-planned. From its
name which is very catchy, and every posts that surely give us an awareness and
something that are not repetitive, I am amazed.
 Yong pangalan po ng programa ninyo e tama po sa gusto ninyong iparating, "puso para
sa kasuso", talagang para po sa kasuso dahil kayo'y nakatulong
 Sana po marami pa kayong taong matulungan
 Dami kong natutunan sa page na 'to! :))
 Salamat at na-inspire ako sa inyo, gusto ko rin ang makatulong at makapamahagi ng
kaalaman tungkol sa mga ganan
 I think it is not just a program who wants us to become aware, but it is a program that
helped us to become open minded in such important matter. Other people might laugh
because its about breast, Its about SUSO, DEDE -- little did they know, this is something
big, something that everyone should know. Thank you for doing this
 Well-deserved program
 A great program, sana ay maraming pang kabataan ang gumaya sa inyo
 Ano man ang inyong gustong iparating, masisiguro ko na ito ay nakarating at
makakarating
 PERFECT
 God bless you all.
 None naman po
 Thank you for supporting breast cancer patient
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College of Nursing
 The best program no need to improve
 The best group
 I hope you continue your program. Fighting!!!
 Good Job to all people behind the page
 More giveaways please
 I love the concept and the goals. Keep it up!
 Very inspiring
 It really helps raise awareness to all women
 It will really help women be reminded
 Your page is a great platform to remind all women to protect themselves
 The stories you've shared will really inspire women to be aware
 It is a great reminder for all women that any size or look is beautiful
 It's a great reminder that any size you have matters
 Your platform is inspiring
 I hope you've had a chance to more women who have breast cancer
 This page is really great, I will support this all the way!
 Super ganda ng purpose ng page nyo.
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PART VIII. RECOMMENDATION
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PART IX. DOCUMENTATION
PART VIII.
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Handcrafted Boobie pots & Hand-painted tote bag for

Giveaway
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REFERENCES
Tacio, H.D. (2018). Breast Cancer: Women’s Enemy No.1

https://businessmirror.com.ph/2018/10/18/breast-cancer-womens-enemy-no-1/
American Association for Cancer Education (2018). Social Media. https://ndg.asc.upenn.edu/wp-

content/uploads/2016/01/Lyson2018_Article_SocialMediaAsAToolToPromoteHea.pdf
Malsam (2019). https://www.projectmanager.com/blog/implementation-plan
Osman (2019). https://wpsimplegiveaways.com/how-to-design-a-successful-business-giveaway-

promotion-plan/
Web.com group (2021). https://www.web.com/blog/grow/social-media/9-reasons-facebook-is-

the-most-effective-social-media-marketing-tool
Milano (2021). https://databox.com/videos-vs-images-in-facebook-ads
Hurff (2021). http://learn.rafflecopter.com/why-run

giveaway/benefits_of_running_a_giveaway.html
Suleiman A. K. (2014). Awareness and attitudes regarding breast cancer and breast self-
examination among female Jordanian students. Journal of basic and clinical pharmacy, 5(3), 74–
78 https://doi.org/10.4103/0976-0105.139730
Madhukumar, S., Thambiran, U. R., Basavaraju, B., & Bedadala, M. R. (2017). A study on
awareness about breast carcinoma and practice of breast self-examination among basic sciences'
college students, Bengaluru. Journal of family medicine and primary care, 6(3), 487–490.
https://doi.org/10.4103/2249-4863.222026
("Breast cancer awareness and barriers to early presentation in the Gaza-strip: A cross-sectional
study | JCO global oncology," 2018) https://ascopubs.org/doi/full/10.1200/JGO.18.00095
Tsu-Yin Wu, Joohyun Lee. (2019). Promoting Breast Cancer Awareness and Screening
Practices for Early Detection in Low-Resource
Settings. https://cms.galenos.com.tr/Uploads/Article_41966/ejbh-15-18-En.pdf
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Calamba Doctors’ College

Virborough Subdivision, Parian, Calamba City, Laguna

“Puso Para Sa Kasuso”

 Dean Felicidad Daquis for the trust, support, and encouragement;

information regarding this Health and Wellness Program;

them this would not be possible;

wisdom who made this thing possible.

PART I. MISSION STATEMENT AND INTRODUCTION

about breast cancer self-exam.

PART II. GOALS AND OBJECTIVES

cancer, thus enabling them to seek treatment at an early stage.

PART III. BACKGROUND AND LITERATURE REVIEW

infrastructure that can afford a long-term program.

Awareness and Attitudes Regarding Breast Cancer and Breast Self-examination

among Female Jordanian Students.

In contrast to western nations, most patients in developing countries, including Jordan,

Study on Awareness about Breast Carcinoma and Practice of Breast Self-

Examination among Basic Sciences’ College Students, Bengaluru

the disease which tremendously increases their chance of survival.

menopause, and age at birth of first child in the general population.

and detection in developing countries.

identify three risk factors correctly.

than reproductive history, which is a much stronger determinant of breast cancer.

WHO stresses on promoting awareness in the community and encouraging early

other reasons, by offering clinical breast examinations.

improve the knowledge, emphasis should be laid on women literacy.

campaigns and/or interventions on prevention and early detection.

early detection and in reduction of mortality.

Breast Cancer Awareness and Barriers to Early Presentation in the Gaza-Strip: A

Cross-Sectional Study | JCO Global Oncology

where—given the difficult economic circumstances and high prevalence of BC—effective

In contrast to this study, other studies showed better knowledge of age-related BC

will seek medical advice when recognized.

frequent barrier for presentation to a doctor in this study.

Awareness of the availability of a BC screening program in Gaza (60.4%) is slightly

of the local health system.

Early BC detection and disease downstaging remain the cornerstones of BC control to

especially of younger women.

as a population-based screening program. The absence of a population-based screening program

be important to a country with non-existent population screening practices (e.g., Philippines). In

Participants highlighted financial concerns as a major barrier to obtaining more expensive

screening procedures, such as mammograms. Participants also reported a number of negative

of a participants’ list in terms of their importance as source of information; examining the

distinction to make as a population-based screening program is predicated on routine screenings,

PART IV. NEED & JUSTIFICATION, DEMOGRAPHICS AND ASSESSMENT OF

Need and Justification

our fund-raising products as well as paid advertisements.

Assessment of existing resources

chance to still spread awareness of this disease.

To get more people to be interested, in our celebration of reaching 500+ likes we

PART V. RESOURCES NEEDED AND PLATFORM

PART VI. PROGRAM DEVELOPMENT

success of your overall strategic plan. (Malsam, 2019).

social media specifically in our Facebook page.

you take your organization to the next level (Milano, 2021).

understanding the gist.

given as the major prize. Mechanics of the giveaway are as follow:

(Reminder: Your post should be in PUBLIC).

2. Like all our posts on our page.

More mention, more chances of winning!

Manpower Materials Cost

Publishing Basic To give