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A significant number of women present with advanced stages of the disease due to lack of information, knowledge and awareness of early detection measures.

Previous studies showed limited knowledge about breast cancer screening, and few women performed screening for early detection purposes [].

They reported low scores of; perceived susceptibility, seriousness, confidence and barriers (PMS: 44.8 %, 55.6 %, 56.5 % & 41.7 % respectively), and high scores of perceived benefits and motivation (PMS: 73 % & 73.2 % respectively) to perform BSE.

It is possible that increased breast awareness may have contributed in the decrease in mortality from breast cancer in some countries, although uncertainty exists whether the benefits of BA outweigh the harms [].

The HBM has been translated, tested and used for women of different cultures.

At KAMC, the bed capacity increased to 1000 beds in addition to 25 beds allocated for expected surgical operations in Ward 19, and 132 beds for admission of emergency cases.

The healthcare quality on an international scope, NGHA has passed the requirements for accreditation under the Joint Commission International (JCI) standards with excellent performance in December, 2006.

There is controversy surrounding the efficacy of BSE in countries where mammography and clinical breast exams are readily available. Preventive Services Task Force concluded that there is insufficient evidence to recommend for or against teaching or performing routine breast self-examination [].

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