Enhancing early detection and access to breast health services in Río San Juan, Nicaragua

Grant for early detection of breast cancer

Fundación Movicancer Nicaragua

As part of the Breast Cancer programme, this project was awarded a grant for early detection of breast cancer in October 2022.

Project objectives  ​

This project aimed to promote breast health in a region of Nicaragua through an integrated model of access. The team sought to increase the local capacities of doctors and nurses in the provision of breast health services and improve women’s understanding of early signs of breast cancer.

Project description​

The project team collaborated with the MoH, to integrate breast cancer health services into the already existing Family and Community Health Model (MOSAFC), implemented by the Ministry of Health at the national level, which made it possible to reach the vulnerable population and provide health services free of charge. Medical professionals updated training materials which have been used to train 58 health personnel in performing clinical breast examination. Following the training, the medical professionals screened 1,780 women for breast abnormalities, 6 women with suspicious symptoms were referred for Fine Needle Biopsy (FNB) and received a definitive diagnosis.

The project also focused on improving the understanding of women on the early warning signs of breast abnormalities. ​This was achieved through an awareness campaign and the development of informative videos and materials reaching a total of 8,457 people.

The project successfully integrated the ‘two in one visit’ strategy into sexual and reproductive health services in the region. ​This strategy involved offering clinical breast examination during the same medical consultation where screening for cervical cancer was previously exclusively offered. This is notable, as ​before the project, this was not commonly practised by health personnel. The project contributed to the continuous improvement of cancer detection services through technical coordination meetings, data analysis meetings, and technical support visits that were conducted to analyse the quality of care provided to women.

Key numbers

58 health workers trained on CBE and communication with patients

1,780 women screened by CBE

1,133 women navigated to receive definitive diagnosis via mammography and ultrasound

6 women navigated to receive treatment

8,457 women reached with breast health information

Impact 

Building on this success, the project team is now working with the Ministry of Health to adapt the training materials for coastal regions, with the goal of reaching additional minority populations and expanding the programme’s reach nationally.

Last update

Monday 21 July 2025

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