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Digitally Signed by: Content manager’s Name
DN : CN = Weabmaster’s name
O= University of Nigeria, Nsukka
OU = Innovation Centre
Nwamarah Uche
Faculty of Arts
Department of Mass Communication
THE EFFECT OF BROADCAST MEDIACAMPAIGNAGAINST
BREAST CANCER: A STUDY OF WOMEN IN ENUGU SOUTH LGA
NGENE, NGOZI MARYANN
PG/MA/08/49774
THE EFFECT OF BROADCAST MEDIA CAMPAIGN AGAINST
BREAST CANCER: A STUDY OF WOMEN IN ENUGU SOUTH LGA
NGENE, NGOZI MARYANN
PG/MA/08/49774
BEING A MASTER PROJECT SUBMITTED TO THE DEPARTMENT OF
MASS COMMUNICATION FACULTY OF ARTS, UNIVERSITY OF
NIGERIA, NSUKKA IN THE FULFILLMENT OF THE REQUIREMENT FOR
THE AWARD OF MASTER OF ARTS TO THE INSTITUTION
SUPERVISOR: DR. C.S. AKPAN
May 2013
ii.
CERTIFICATION
This research project is an original Works of Ngene, Ngozi MaryAnn, with
registration number PG/MA/08/49774 that is, presentation of research report in the
Department of Mass Communication, University of Nigeria, Nsukka.
iii
-----------------------------------------
Dr. Church. S. Akpan (Ph.D)
Project Supervisor
-----------------------------------------
DR. R.A Udeajah (Ph.D)
Head of Department
-----------------------------------------
External Supervisor
Date: ----------------------------------
Date: ---------------------------------- Date: ----------------------------------
DEDICATION
This work is dedicated to my late sweet mother Mrs. Ezinne Cecilia
Nwankwo Ngene.
iv.
ACKNOWLEDGEMENTS
My greatest gratitude goes to God Almighty for his health, faithfulness,
mercy and grace towards me.
I hereby express my profound gratitude to my indefatigable supervisor, Dr.
Church S. Akpan for his relentless effort in making this study a success.
I am immensely grateful to my lecturers Mr. Nnanyelugo Okoro, Mr.
Anorue, Mr. Ezea and the entire lecturers in Mass Communication Department for
their team work in breeding the future watchdog of Nigeria.
My special thanks to Mr. Emmanuel Egbo and Mr. Nnadozie Oshigbo for
editing and proof reading this study.
I appreciate the contributions of those works I have cited and encouragement
from colleague Rose Anigbo, Ejike Anigbata and Chris Odoemenem.
I remain grateful for the support and encouragement of the following special
person in my life. Mr. and Mrs. Emeka Ngene, Ekenedilichukwu Ngene,
Chukwudi Ngene, Chinonso Ngene, Kodili Achi, Chioma Achi, Blessing Ifeoma
Ugwu, Jacinta Onuoha, and to Ikechukwu Ngene for his fervent prayers.
Finally, I am indebted to my babies Chikwado and Chinonyerem Ngene for
filling the house with songs and laughter.
May God Almighty continue to shower his blessing on you all. Amen.
v.
ABSTRACT
This study examined the impact of broadcast media campaign against Breast
Cancer among women in Enugu metropolis. What triggered a research in this area
was the UNDP report in January 2010 that cases of breast cancer has been on the
increase resulting to about 30% of death among women between 2008 and 2010.
The objective of this study were to find out the level of awareness of broadcast
cancer campaign among women in Enugu metropolis, to assess the response of
women in the area to the breast cancer campaign on the broadcast media, and to
find out if the Nigerian broadcast media are seriously committed to fight against
breast cancer. The researcher employed information innovation diffusion theory
for the research. Survey research design was employed as the methodology for the
study. A sample size of 1,190 was selected for the study. The research findings
revealed that whopping majority of women in Enugu metropolis are unaware of the
broadcast media campaign against breast cancer. It further revealed that most
women are aware of breast cancer scourge among others.
TABLE OF CONTENTS vi
Page
Title Page … … … … … … … i.
Certification … … … … … ii
Dedication … … … … … … iii
Acknowledgements … … … … … iv
Abstract … … … … … v
Table of Contents … … … … vi
CHAPTER ONE: INTRODUCTION
1.1 Background of the study … … … … 1
1.2 Statement of problem … … … … 10
1.3 Objectives of the study … … … … 11
1.4 Significance of the study … … … 12
1.5 Research questions … … … 13
1.6 Hypotheses …. … … … … 13
1.7 Scope of the study … … … 17
1.8 Conceptual definition of terms … … … 17
References … … … … 19
CHAPTER TWO: LITERATURE REVIEW
2.1 Broadcast Media and Health Communication … 21
2.3 Broadcast Media and Advocacy Against Breast Cancer … 24
2.3 Empirical studies on breast cancer among Nigerian women 25
2.4 Theoretical framework … … … …
References … … … … 31
vii
CHAPTER THREE: METHODOLOGY
3.1 Research Design … … … … … 33
3.2 Population of study … … … … 34
3.3 Sample size … … … … … 34
3.4 Sampling Technique … … … … 35
3.5 Instrument for Data Collection … … … 35
3.6 Questionnaire Administration Pattern … … 36
3.7 Methods of data presentation and analysis … … 37
Reference … … … … 41
CHAPTER FOUR: DATA PRESENTATION AND ANALYSIS
4.1 Questionnaire Distribution and collection … … 42
4.2 Demographic Data … … … … 42
Summary of the Findings … … … … 77
CHAPTER FIVE: CONCLUSION AND RECOMMENDATIONS
5.1 Summary and Conclusion … … … … 56
5.2 Conclusion … … … … 84
5.3 Recommendations … … … … 85
BIBLIOGRAPHY 89
APPENDIX I: Questionnaire 94
APPENDIX II: The chi-square table
APPENDIX III: Published, Final Result of 1991 Population Census
of Nigeria 96
PART A
Please tick (√) against any option of your choice and take note that no answer provided her is
wrong.
1. Age: 18-29 30-35 36 and above
2. Occupation: Civil servant Farmer
Trader Unemployed
Student Any other
3. Marital Status: Single Married
PART B
4. Have you heard about a disease called cancer? Yes ( ) No ( )
5. Have you as a woman also heard of the cancer of the breast or breast cancer?
Yes ( ) No ( ) can’t say ( )
6. How much do you have knowledge information about breast cancer?
Comprehensive knowledge ( ) Little knowledge ( ) No knowledge ( )
7. Are you aware of broadcast media campaign on breast cancer? Yes ( ) No ( )
8. What is their level of commitment of broadcast media campaign on breast cancer
seriously committed ( ) loosely committed ( ) Not Committed ( )
9. Do you think the broadcast media of TV, Radio Internet satellite, cables and film have done
enough in creating awareness about the cancer of the breast? Yes ( ) No ( )
10. Does what you heard on broadcast media about breast cancer made you to go for medical
screening on breast cancer Yes ( ) No ( )
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Public Communication Campaigns. Thousandraks CA: Sage.
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Baran, S. J. and Davis, D. K. (2004), Mass communication theory: foundation,
ferment and future, (4th
ed). New Delhi: Cengage Learning Ltd.
Bergman, H. (2004). Understanding Breast Cancer Newyork: Prentice Hall
Buckalew, K. J. and Wulfemayer, T. K. (2005). Mass media in the new
millennium, structure, function, issue and ethics. (3rd
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Publishing Company.
Cohen, S. & Young, J. (1973). The manufacturing of news. London: Constable
Corbete O.R. & Mori W.E. (1999) Cancer: Third World Most Killer Disease.
Selected work Vol. 11 Westport: Hyperion Press.
Corbett, J. & Mori M. (1999). Medicine, media and celebrities: news coverage of
breast cancer 1960 – 1995. Journalism & mass communication quarterly vol.
76, pp. 229 – 249.
Coverllo, V. Peters, G. (2002). Women’s perceptions of the risks of age related
disease, including breast cancer: Reports form a 3 year research study. Health
Communication pp. 377 – 395.
Dehman, M.S. & Springston E. (2006) Mass Media Sensitization. Moscow:
Progress publisher.
Dutta C. (2004) Empowering women for the challenges living Against Breast
Cancer. South Korea: ACP
Emekaku, O.S. (2003) Community Radio: Its Philosophy, Organization and
Management in L. Oso (Ed) voices of the Oppressed (PP + 27-140) Abeokuta:
Jedidah Publishers
Enahoro, A. B. and Richard, A. O. (2007). The role of the mass media in the
management and control of tobacco abuse: A Study of selected local
government areas in Delta State. In E.M.V. Mojaye, A. Salawu, and O. O.
Oyewo. (eds). Ebenezer Soola Conference on Communication. Proceedings.
Ibadan: University of Ibadan.
Enzenberger, H. M. (1970). Constituents of a theory of the media. In journal of
communication. Vol. 26:2.pp. 256 – 275.
Fasoranti, T. O. (2008). Combating breast cancer in Nigeria: The need for
comprehensive screening programmes. An unpublished article.
Final result of (1991) population census of Nigeria as published by the National
Population Commission.
Golding, P. (1975). The mass media. London: Longman.
Grunfold D (2002) The Medi Impact. Chicago: University of Chicago Press.
Ikeagwu, E.K. (1990) Ground work of Research Methods and Procedures. Enugu:
Institute for Development Studies
Ilalor, K., Hanley B. (1990). The effects of massage framing and feelings of
susceptibility to breast cancer on reported frequency of breast self examination.
International quarterly of community education pp. 183 – 192.
Jones, K. Denham, B. Springston, J. (2006). Affects of mass media and
interpersonal communication on breast cancer screening; Advancing agenda –
setting theory in health contexts. Journal of applied communication research
pp. 99 – 113.
Katz, E. (1963). The diffusion of new ideas and practices. In W. Schramm (ed).
The science of human communication. New York: Basic Books.
Kitzinger, J. (2000). The role of the media in public and professional understanding
of breast cancer. Report for the NHIS Ref 169 – 19.
Lemal M. & Bukk, J. (2008). Television news of exposure is related to fear of breast
cancer. Belgium: Kath Olieke Universidad Leuyen.
Maibach E, Parrot, R. (1995). Designing health massager: Approaches from
communication theory and public health practice thousand oaks, CA: Sage.
Marshal, A. Smith, W. (1995). Persuading low income women to engage in
mammography seeming; source, message and channel preferences. Health
communication p. 99.5 1-60.
Martinson O.C. & Hindman P. (2005) Cancer Patients. NewYork: Hindman P.
(2005) Cancer Patients. NewYork: Vintage Books
Mc Combs, M.E. and Shaw, D.L. (1972); The Agenda Setting Function of Mass
Media Public Opinion Quaterly, 36 (Summer), 176-187
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publications limited.
Nnanna, U. (2008). Broadcast media’s role in the fight against breast cancer.
Unpublished B.Sc. project Benue State University.
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Educational Books Limited.
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In The Nigeria journal of communication. Vol. 2:5 pp.99 – 115.
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Education, the Social Sciences and Humanities. Owerri Prime Publishing
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Education, the Social Sciences and Humanities. Owerri Prime Publishing
Company.
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Online retrieved March 19, 2010 @allafrican.comm
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John Lettermen Ltd.
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University of Benin journal of medicine Vol. 3, no 2, PP 189-224
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Nsukka: AP Express Publishers.
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Ed.) Belmont, CA: Wadsworth Publishing company.
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2013 from www.who.int./entity/…/90/index.html.
APPENDIX I
Department of Mass Communication,
University of Nigeria
Nsukka,
Enugu State.
20th March, 2010.
Dear Respondent,
REQUEST FOR THE COMPLETION OF QUESTIONNAIRE
I am a Postgraduate student carrying out a research on the “effect of
broadcast media campaign against breast cancer in Enugu South Local
Government Area as part of the requirements for obtaining a Master’s degree in
Mass Communication, University of Nigeria Nsukka. To assist me in realizing this
goal, I would heartily appreciate your honest responses to this questions on this
questionnaire.
Please, tick (�) against your chosen response (s) and fill your views where
necessary, I assure you that your responses will be treated in utmost confidentially
and are strictly for academic purpose.
Thanks for your understanding and anticipated co-operation
NGENE NGOZI M.
PART A
Please tick (√) against any option of your choice and take note that no answer provided her is
wrong.
1. Age: 18-29 30-35 36 and above
2. Occupation: Civil servant Farmer
Trader Unemployed
Student Any other
3. Marital Status: Single Married
PART B
4. Have you heard about a disease called cancer? Yes ( ) No ( )
5. Have you as a woman also heard of the cancer of the breast or breast cancer?
Yes ( ) No ( ) can’t say ( )
6. How much do you have knowledge information about breast cancer?
Comprehensive knowledge ( ) Little knowledge ( ) No knowledge ( )
7. Are you aware of broadcast media campaign on breast cancer? Yes ( ) No ( )
8. What is their level of commitment of broadcast media campaign on breast cancer
seriously committed ( ) loosely committed ( ) Not Committed ( )
9. Do you think the broadcast media of TV, Radio Internet satellite, cables and film have done
enough in creating awareness about the cancer of the breast? Yes ( ) No ( )
10. Does what you heard on broadcast media about breast cancer made you to go for medical
screening on breast cancer Yes ( ) No ( )
CHAPTER ONE
INTRODUCTION
1.1 BACKGROUND OF STUDY
To Enzensberger Hans Magnus, the mass media are but a consciousness
industry (1970, p. 260). The implication of that statement cannot be far fetched. The
media have enormous role in the society. This is a very glaring fact, since the place
of the media as the fourth estate of the realm is such that the society can not do
without the media nor could any society grow and become something much more
important. So, one can say without “tip-toeing” that the media occupy a central
place in the life of any country. On this note Oso (2002) notes that, their role in
creating awareness of both the immediate environment they operate in and the
outside world. Speaking on the importance of the media as instrument for mass
education, enlightenment, information and more, Hall cited in Oso (2002, P.39),
says, “what we know of our society depends on how things are presented to us by the
media and that knowledge in turn informs what we do and what policies we are
prepared to accept.” This implies that the mass media in performing that functions
illuminate the implications of various government, organizational, social and cultural
ideologies, policies, activities, national or international etc; for apt actions and
reactions or responses. Umechukwu (2004, p.8) agrees that the mass media
therefore, do not only create awareness or are only a means for expression of ideas,
but also they are “a social force to be reckoned with and a vehicle for mobilization.”
The contemporary society is faced with a lot of environmental, economic,
trade, political, cultural, health, relationship education and others challenges. The
solution to these challenges is not tied much to policies but information and
education. In proffering solution to the foregoing challenges in a country as large as
Nigeria, the mass media should be seen as an essential tool. This is so, because the
rate at which diseases and so many other health related problems are escalating is
alarming and quite dreadful. Some of such health related problems include breast
cancer, which is particularly found among women. To draw adequate attention to
the disease, the theme for this year’s world women’s day was title “Fight against the
Scourge of Breast Cancer.” There was also a charm call on concerned international
agencies and countries of the world to carryout sensitization against not only breast
cancer but every other brand or kind of cancer in existence. The mass media readily
come handy in executing this task.
In the recent years, cases of breast cancer among women (both married and
unmarried) is on the increase and perilous nature of this disease has grown so much
so that in Nigeria, there are so many on-going campaigns asking women to go to
respective health centers to receive protective medication. The drugs for this
exercise are being provided by the United Nations Development Programme
(UNDP) in conjunction with the World Health Organization to make sure that cases
of breast cancer and other cancerous disease are
annihilated. But the issue remains, are Nigerians fully sensitized on the scourge of
breast cancer? Are those in Enugu educated on the need for medical checkup
and the medication to prevent the escalation of cases of breast cancer among
residents of the city?
In Nigeria, without doubt, breast cancer according to Ogundipe and Obinna
(2008, p.3) is currently the most common malignancy. Little wonder, Adebamo, the
director of the Institute for Advanced medical Research and Training (IAMRT) at
the University of Ibadan notes: “in our 1999 case-control study of 250 consecutive
breast cancer cases seen in our oncology clinic between 1992 and 1995, we found
that breast cancer patients tended to be taller, weighed more, had a latter age at onset
of first pregnancy and had a higher mean number of children than controls. That last
finding was particularly interesting because it is known that multiparty protects
against breast cancer. However, pregnancy has a complex relationship with breast
cancer. On the short term, on account of the stimulatory effect on breast epitheliah
growth, pregnancy increases short term risk of breast cancer. The protective effect
of pregnancy is seen decades after the pregnancy-often after the age of 40 years. In a
country with low life expectancy like Nigeria therefore, case control studies are
likely to highlight the early pro-carcinogenic effect of pregnancy since few women
survive the age where the protective effect of pregnancy is more prominent.” To
buttress this Ogundipe and Obinna (2008, p.30) say a retrospective review data
of breast cancers between 2001 and 2005 in the University of Maiduguri
Teaching Hospital Cancer Registry revealed that a total of 1,2116 cases of
cancers were registered within the study period and breast cancer accounted for 13.9
percent. There were 161 females and eight males with breast cancer within the study
period, giving a female to male ration of 20:1. There were four cases of bilateral
breast cancers (Ogundipe and Obinna, 2008, p.30). the age ranged between 17 and
85years and the peak age group according to Ogundipe and Obinna (2008) was 40-
49 years which accounted for 61 cases (36.1 percent). The commonest type of breast
cancer was invasive ductal carcinoma (stage 0) which accounted for 82.6 percent.
These writers concluded this part of their study by saying that breast cancer was on
the increase in the environment and therefore necessitated public enlightenment via
various media of communication, screening of all women at risk, early detection and
proper management in the public health institutions.
Perhaps we need at this point to open our eyes on what breast cancer is all
about, may be, it will help us to take it more seriously and at the same time see the
need to enlighten Nigerians through the instrument of the mass media, so as to
escape from being eaten up by breast cancer. It is quite surprising to find out in the
course of this work that even males have breast cancer. That means, if both parties
are involved, there is a growing necessity as suggested by Ogundipe and Obinna
(2008, p.8) for public health enlightenment so as to save our economy and state from
crumbling.
In Enugu State, a team of medical Doctor’ from United States of America
(USA) led by Dr. Nicholas Azinge under the aegis of African Women Cancer
Awareness Association (AWSCAA) carried out breast cancer tests in over 250
women in four communities in Enugu State, the prevalence of breast cancer is the
highest among other states of Nigeria with an estimated rate of 44.5 percent as cited
by Atuonwu (2008, p.13) The foregoing study and finding underscores the need for
intensive breast cancer enlightenment campaign by the broadcast media in Enugu
State and Nigeria at large.
Breast cancer awareness month, according to Fasoranti (2008, p.4), is usually
October every year, and therefore we should lay more emphasis on our public health
and preventive medicine infrastructures as we focus on breast cancer, which is the
number one cancer killer of Nigerian women. He says: “I am very positive that
many of my readers know somebody that has succumbed to or is currently battling
this dreadful disease. It is my hope that after reading this article, someone will be
prompted to encourage a sister, mother, cousin or friend to get the necessary life
saving mammogram and routinely conduct regular month self breast examination. A
phone call is all it takes.” The implication of the above statement is that all of us
should be a mobile media and channels through which this campaign against breast
cancer can be fought and won. He advises that every hand should be on deck to
make sure that every one gets sensitization message about the effect of breast cancer
and the possible cause of breast cancer.
To Fasoranti (2008, p.3), breast cancer is a malignant (cancerous) growth
which begins in the tissues of the breast. Cancer however, is a disease in which
abnormal cells grow, in an uncontrolled way. He maintains it is most common
cancer in women, but it can also appear in men. In Nigeria, according to Prof.
Chiedozie as cited by Maureen Atuonwu (2008, p. 13) noted that: there is not a
single study that has identified 20 years survivals. Prof. Chiedozie also reported that:
of hundreds of breast cancer patients who have been treated in University of Benin
Teaching Hospital over last 30 years, only two patients were alive and still well
presently. He also concluded that usual life expectancy for breast cancer patients in
Nigeria and most Africa is truly abysmal and measured in months.
A look at the epidemiology of breast cancer in Nigeria would reveal the fact
that breast cancer constitutes a major public health issue and globally, over I million
new cases are diagnosed annually, resulting in over 400,000 annual deaths and about
4.4 million women living with the diseases (Fasoranti, 2008, p.3). He further agrees
that it also affects one in eight women during their lives. It is the commonest site of
specific malignancy affecting women and the most common cause of cancer
mortality in women worldwide. It has also been found in men but not very
common. Statistics available in Nigeria are largely
unreliable because of many factors that have not allowed adequate data collection
and documentation; but according to numbers provided by Globocan
in 2002, breast cancer is responsible for about 16% of all cancer related deaths in
Nigeria. It should be recalled also that in a publication by Okobia et.al (2006,
p.130), late presentation of patients at advanced stages when little or no benefit can
be derived from any form of therapy, is the hallmark of breast cancer in Nigerian
women. This is indeed a worrisome trend and it appears to be the norm in Nigeria.
Furthermore, there are many risk factors that have been associated with breast
cancer. Being a female is one of the factors that really cannot be kept aside or do
much about. The chance of getting breast cancer increases with the age of the
woman. The older the women get the more chances of getting breast cancer. As
with any other genetic disease, a history of breast cancer in close relatives especially
in mothers and siblings has been associated with risks of early onset of menstrual
period before the age of 12 years or reaching menopause period after the age of 55
years has both been associated with risks of developing breast cancer. These can be
explained by prolonged period of estrogen exposure in females, other risks include
being over-weight, using hormone replacement therapy, taking birth control pills,
drinking alcohol, not having children or having your first child after the age of 35 or
having dense breasts (Fasoronti, 2008, p.3).
However, it is troubling to know that majority of our female fold largely
ignore changes they might notice around their breasts; this is indeed very
common in our country Nigeria. Some commons signs seen in breast cancer are
hump which is usually painless, change in size or shape of the breast, or discharge
from the nipples which are largely ignored. It is however important to know that
early detection and prompt treatment is the key to surviving this deadly disease that
is ravaging the globe especially the developing nations.
To help draw attention to this killer cum deadly disease, the mass media by
their nature can be used to good ends. No surprise Marks and Kalaitzandnakes
(2001, p.24) have appropriately reviewed the media as a channel for informing and
sensitizing the general public on scientific health nuances and complexities as we
push to halt this pandemic. By the position and nature that the media of
communication have gotten, they can play this role. Ashong and Batta (2007, p.107)
agree that the media can define agenda of public concern about a given issue; they
might or may directly influence public opinion itself. To them, the media have a
very subliminal, subtle, indirect, and cumulative effect on audience over time and
compel or focus attention on certain issues. The concern of these scholars is that the
mass media present objects at all times, suggesting what the individual in the
audience should think about, know about and have feeling about. Since such is the
case, it is glaring and obvious that educating the masses on the issue of breast cancer
can not be seen as a tasking duty, since the media of mass communication can easily
tilt the attention of the generality of the masses to the cruciality of this issue.
Buttressing further the role of the media Enahoro and Richards (2007, p.124),
say the mass media represent an institutionalized channel for the distribution of
social knowledge and hence a potentially powerful instrument of social control.
Golding (1974, p.252) is of the view that the mass media control the provision of
ideas and images which people use to interpret and understand a great deal of their
everyday life. Cohen and young (1973, p.215) describing the place of the mass
media in public enlightenment and sensitization say: “the mass media provide a
major source of knowledge in a segregated society of what the consensus actually is
and what is the nature of the deviation from it. They conjure up for each group, with
its limited stock of social knowledge, what everyone else believes.” Enahoro and
Richards (2007, p.124) support this when they say that the media can make
substantial contributions to the process of creating public awareness in order to bring
about an increase in information or knowledge of the public or target group about a
specific issue, generate a change in their opinions or attitude as well as motivate
them to action; that is to change their behaviour and habit. Corroborating these facts,
Buckalew and Wulfemayer (2005, p.125) listed the role of mass media, among
others, to include: to inform, to educate, to help bring about social change, and to
help establish public policies.
1.2 STATEMENT OF PROBLEM:
Breast cancer is a deadly disease that is worse than HIV/AIDS, in the sense
that its effect is a serious threat not only to national development but human
existence. The serious nature of this threatening disease has as well attracted global
attention and for the time being, it has had no cure but could be prevented if a
proactive measure is taken. It has been reported that cases of breast cancer among
women is seriously on the increase, resulting to about 30 percent death among
women in the developing nations especially Africa.
It is in view of this life and societal threatening ailment that spurred the
researcher to assess the level of awareness among women in Enugu metropolis on
this scourge using Enugu South Local Government Area as an area of study.
Moreso, some broadcast campaigns have been launched and some are still on-
going on breast cancer asking women to always go for a medical check-up, but the
concern of the researcher is whether women responded to this campaign.
Another serious concern of the researcher is the notion of young ladies who
are yet to marry regarding such broadcast campaign or preventive effort from being
affected by this cancerous disease of the breast.
In addition to this, it is not clear if the broadcast media played their part very
well in this on-going fight against breast cancer.
1.3 OBJECTIVES OF STUDY
The objectives of this study were as follows:
1. To find the level of awareness of breast cancer campaign among women in
Enugu South LGA.
2. To assess the response of women in the area to breast cancer campaigns in
Enugu South LGA.
3. To find out if young and unmarried ladies/girls follow the trend of media
campaigns towards eradicating breast cancer in the society.
4. To find out if the Nigerian broadcasting media are seriously committed to
the fight against breast cancer.
1.4 SIGNIFICANCE OF STUDY
Having noted the nature of problems that breast cancer pose to our social
existence and its escalated threat, it becomes relevant that a study should be carried
out in this area, so that efforts could be intensified in the fight against breast cancer
among women.
This kind of research was very vital at a time like this when at about
30% of death among women between 2008 and 2010 are reportedly all cases of
breast cancer. The society stands to benefit a lot since one of the ways to fight this
scourge is through awareness creation. Through awareness creation, the masses was
well educated on the way of this looming catastrophe and one thing this work will do
was to serve as an avenue to draw attention to invading hand of breast cancer on
women so as to limit its escalation.
Another benefit from this study was that it helped to preserve the economy of
our nation if the menace of breast cancer is curbed as the fund being allocated to
importation of drugs can be channeled to some other thing else. It should be noted
that in Africa, women contribute enormously to our economic growth. They
constitute up to 90 percent of the workforce in agricultural sector and 70 percent in
trade or marketing sector, and therefore, their lives must be saved, secured and
guaranteed.
1.5 RESEARCH QUESTIONS
The following questions have been formulated to guide this study:
1. What is the awareness level of awareness among women on breast cancer
scourge in Enugu South local Government Area?
2. Are women aware of broadcast media campaign against breast cancer?
3. What are the responses of women to breast cancer campaign in Enugu
South local government Area?
4. To what extent has the broadcast media been committed to the campaign
against breast cancer?
1.6 HYPOTHESES:
The hypotheses to be tested are as follows:
Hypothesis One:
Ho: Women in Enugu South local Government Area are aware of Breast Cancer.
Hi: Women in Enugu South local Government Area are not aware of Breast Cancer
Hypothesis Two:
Ho: Broadcast media have been committed to the campaign against Breast Cancer.
Hi: Broadcast media have not been committed to the campaign against Breast
Cancer.
Hypothesis three:
Ho: Women in Enugu South local Government Area respond to broadcast media
campaign against breast cancer.
Hi: Women in Enugu South local Government do not respond to broadcast media
campaign against breast cancer.
Hypothesis Four:
Ho: Breast cancer awareness campaign cannot be best disseminated through joint
effort of print and traditional media.
Hi: Breast cancer awareness campaign can be best disseminated through joint effort
of print and traditional media.
1.6 THEORETICAL FRAMEWORK
The information innovation diffusion theory formed the theoretical base of this
research.
The information innovation diffusion theory was developed by Rogers and
Shoemaker in 1971 (Baran and Davis, 2004, p.209).
Nwodu (2006) defines diffusion of innovation as a strategic exposure of the
audience members to new idea, object or practice in such a manner that they will pay
attention to, understood, internalize and adopt the novel idea, object or practice for
their own benefit (p.102).
Speaking of the concept of innovation, Rogers and Shoemaker (1971) aver
that an idea, practice or object is perceived as new by an individual. The newness
here, the scholars argued, does not presuppose that such “idea, practice or object” is
entirely novel to members of a social group (p.19). Nwodu (2006, p.101) opines, it
(innovation diffusion) rather means that though members of the target group may not
have taken any particular disposition towards the idea, practice or object prior to the
launching of the campaign for a social change. Katz (1963, p.77) on the other hand,
sees diffusion as the process of spreading of a given new idea or practice over time,
via specifiable media through social structure such as neighbourhood, a factory or a
tribe.
To McQuail (2005, P.553), diffusion of innovation is the process of spreading
any kind of new technical device, idea or useful information. Nwodu
(2006, p.102) believes it involves conscious exposure to, adoption, and performance
of new idea, practice or object and sharing such knowledge and information to others
by the adopter. This applies to the on-going campaign on breast cancer. So many
Nigerians are ignorant of what it is all about, but the fact remains that the rate at
which women die of breast cancer is alarming and pathetic. Due to the nature of
society we live in, it becomes very necessary to educate our women through the
media on what they must not fail to do in order to help curb this scourge among
humanity.
In the same vein, since the issue of breast cancer has become a serious threat
to the entire globe, it is necessary that the media should focus maximum attention to
such issues by educating and calling attention to it as well as proffering solution
through provision of information to the concerned publics, telling them what to do to
avert the consequence it would bring to the society if nothing is done. The issue is
not as though they have not heard about cancer or breast cancer, but the fact remains
that they have not taken any position on that concept. The media need to understand
that their duty in this regard is to educate the poor masses who are ignorant of the
happenstance in the society. On daily basis, according WHO report 2008 – 2010,
women die of breast cancer in most developing nations. Amongst the victims are
mainly poor people in the hinter lands who lack the basic needs of life, and as such,
the media should not let them die or continue to die out of ignorance. They should
be educated; they should be informed and at the same time be kept abreast of every
development in the society health-wise. This theory is suitable for this study in the
sense that its aim is for an adoption of a specific attitude as may be prescribed by the
media of mass communication, since people look unto them for their daily
information. It is the duty of the media just like a watchman or dog placed or
appointed over a city to guide it and to notify the people when there is danger or
enemy attack.
1.7 SCOPE OF STUDY
The scope of this study covered Enugu metropolis with special focus on
Enugu South Local Government Area. So, all emphasis was on Enugu South Local
Government Area as our area of study.
1.8 CONCEPTUAL DEFINITION OF TERMS
Here are some basic terms we might use from time to time as this work
progresses:
Breast Cancer: Breast cancer is a malignant (Cancerous) growth that begins in
the tissue of the breast.
Cancer: This as used here implies a disease in which abnormal cells grow in an
uncontrolled way. It is usually more common in women than could be found among
men.
Awareness: This is a situation where all efforts are geared towards passing
across the knowledge of any given incidence, occurrence, information or
event with a bid to popularizing it among the people. It means creating and arousing
public consciousness on a given issue or concept.
Campaign: This is an act of marketing an idea, person, goods and services to
prospects through events promoting, publicity and advertisement to any target
audience with a bid to soliciting their adoption of such even, idea, person, goods and
services.
Sensitization: This implies creating consciousness of any even, idea or issue in
the minds of the audience to whom the campaign is targeted. It is a process through
which the attention of any passive audience is tilt or called to any event or
phenomenon which it may know without taking any position.
Broadcast media: This is a branch of journalism that transmits messages to
audiences through electronic medium through the air or spectrum for signal
allocation. It has forms which include: radio, television, cinema, film satellite cable
and the internet to a much diversified audience.
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CHAPTER TWO
LITERATURE REVIEW
It is important that every academic discourse, draw input from already existing
literature, mostly in the form of citations, reference and quotes. This is more so, if
the emphasis of those materials are relevant to what is being studied at the present.
This is why it is imperative to evaluate previous findings by scholars that will serve
as framework and foundation for the investigation.
This segment of this work reviewed the following aspects of literature relevant
to this study.
v Broadcast media and health communication
v Broadcast media and advocacy against breast cancer
v Empirical studies on breast cancer among Nigerian women
2.1 BROADCAST MEDIA AND HEALTH COMMUNICATION
As Akpan (2006, p. 1) notes, one of the scientific developments of the 19th
century was the utilization of the air wave to establish a world wide communication
system. Broadcasting is one of the several means of getting message to a large of
people at the same time. It is made up of the conventional medium of television and
radio. Heads (1985) cited in Akpan (2006, p.9) gives some of the attributes of
broadcasting as ubiquity, immediacy, voracity, flexibility, voluntaries, interference
and potential for social control.
It is thus these attributes that campaigns and communication strategists
explore to advantages. One of such campaigns is the campaign against breast cancer
in Nigeria.
The principal role of broadcasting in development is that of providing relevant
information, (Akpan 2006, p.14). This can be done in a number of ways using a
broad variety of formats which include: straight news, group discussions,
testimonial type of interviews, magazines and combined entertainment information
format, spot announcement, radio drama serials, etc.
Several studies provide that broadcasting has served the Nigeria public well in
its contribution towards the development of health conscious attitude and practices.
Akpan, 2006, p.4, Udeajah 2003, p. 1 – 3)
As Green (2009, p. 6) notes, news is information of importance to greater
number of the citizenry. Thus health news like that on breast cancer is very
important to the citizenry considering the saying that health is wealth. The
broadcaster reportage of such news therefore tasks the journalist’s objectivity,
fairness and ethical balance (Ugwunna, 2010, p. 15).
In his study of the broadcast media’s role in the fight against breast cancer,
Nnanna (2008, p. 19) notes, “The media’s life saving mission to raise awareness
about early detection and the prevention of breast cancer is so important. It helps to
take the message to people across the country through a
campaign utilizing vast broadcast platforms.”
According to him, such campaigns engage a wide range of audiences across
local, national and international broadcast stations, encouraging women across the
country to embrace early detection plan. Thus, such broadcast contents inspire
women to act, and this action may save their lives.
The sheer prevalence of disease and mortality, makes breast cancer compelling
to the news media. It is evenly a high profile news topic after a dramatic increase in
coverage over the third of the twentieth century (Corbete & Mori, 1999, p.176).
Breast cancer has gained substantially more coverage than other major
diseases (Kitzinger, 2000, p. 11).
Studies indicate that the general public relies on the mass media as a leading
source for health information (Martinson & Hindman, 2005; Reagan & Collins,
1987) the studies also prove that media message contribute to health knowledge
(Salmon & Akin, 2003). Studies examining health information sources show that the
public uses differing channels, depending on background, characteristics and health
needs (Maibach & Parrot, 1995; Mashall & Smith 1995). In the most recent study
comparing communication sources of health information, Dutta (2004, p. 19)
discovered that active retrieval channels (Newspapers, magazine, internet) are the
primary sources for health oriented individuals, while passive consumption channels
(television, radio) serve those who are less health conscious.
He concluded that the broadcast media are best suited for prevention
campaigns, particularly, if the message feature entertainment and education.
2.2 BROADCAST MEDIA AND ADVOCACY
AGAINST BREAST CANCER
A study by Bergman (2004), shows that the broadcast media of radio and
television are veritable tools for prevention campaigns against breast cancer. The
content of such news stories, as the study showed, were mostly on warnings against
practices that might aid the emergence of breast cancer from genetic or hereditary
factors to lifestyle.
Focusing on sources of cancer impact, surveys of female students and their
mothers indicate that exposure to breast cancer stories in news magazines is related
to breast self examination and clinical screening (Dehman & Springston, 2006)
According to Alkin (2001, p.86), key strengths of television news include
reach (proportion of community exposed to the message,) intrusiveness (capability
for overcoming selectivity and commanding attention), personalization (human
relational nature of messenger – receiver interaction) decidability (mental effort and
literacy required for processing stimulus), and credibility (believability of material
conveyed).
In a study which assessed the relationship between exposure to breast cancer
content in broadcast news programs and fear of breast cancer, it was
shown that there was a relationship between exposure to breast cancer coverage in
broadcast news program and fear of breast cancer (Lemal & Bulck, 2008).
In the study which contained closed measures on demographics, breast cancer
fear, television exposure and potential confounding variables such as trait anxiety,
perceived risk and experience with breast cancer, it was shown that 80.66% of the
women were moderately to be very afraid of being diagnosed with breast cancer.
Multinomial logistic regression results showed that women who have occasionally
been exposed to breast cancer content in television news were 1.9 more times likely
to be very afraid of breast concern. Women who had frequently been exposed were
3.3. times more likely to be moderately afraid.
2.3 EMPIRICAL STUDIES ON BREAST CANCER
AMONG NIGERIAN WOMEN
Studies have shown that there exist a relationship between the knowledge of
breast cancer, which is a media imperative, and the prevention of breast cancer.
Reports have it that late presentation of patients at advanced stages when little or no
benefit can be derived from any form of therapy is the hallmark of breast cancer in
Nigerian women. Worried by this prevailing situation and with recent data
suggesting situation and with recent data suggesting that health behaviour may be
influenced by level of awareness about cancer, cross-sectional studies were designed
at various times to assert
the knowledge, attitude and practices of community dwelling women in Nigeria
towards breast cancer (Okobia, Bunker and Osime, 2006, p. 103).
Results show that the studies participants had poor knowledge of breast cancer.
The results suggest that community dwelling women in Nigeria have poor
knowledge of breast cancer and minority practice B.Sc. and CBE. In addition,
education appears to be the major determinant of level of knowledge and health
behaviour among the study participants. The results as presented are an indication
that the level of the knowledge of cancer is till too low to be desired. The media
therefore as the studies recommend still have much job to do in Nigeria as it
concerns awareness level of breast cancer, Okobia et al (2006, p.3)
There has been indication of positive medical help seeking behaviour as
majority of participants indicated visiting the doctor as the best approach to breast
cancer care. Only (8.2%) indication suggest that visiting alternative health
practitioners for breast cancer care.
Essentially, the most common cancer documented in Nigeria to date are
cancers of the uterus and breast for women Atuonwu (2008,p.13) and liver and
prostrate cancer for men. Medical records indicate that cancer registration in the
country
officially began in 1960 but it was not until 1990 that a national headquarters
of cancer registries was established in Ibadan. But the institution has witnessed little
or no activity. According to the International Association of Cancer Registries
(IACR) publication cancer incidence in five continents volume III, the Ibadan cancer
registry was established in 1960 and covers all persons with cancer diagnosed in the
different clinics and hospitals in the city.
It notes that coverage is achieved by notification of cancer to the Registry by
the clinics and hospitals and regular visits to all the hospitals and treatment centre, in
the city by the Registry staff. The lists of surgical operations and surgical pathology
records are consulted and visit made to wards. The majority of cancer patients and
all biopsies taken from cancer patients are referred to the University College
Hospitals where the cancer registry is based.
Many health professionals believe leaflets are often not read by the target
audience. Television and radio appear to be better media to reach a wider audience
but the benefits of these may be limited in rural communities with limited access to
these media. In the rural areas, it may be easier to reach a wide cross-section of
women through organizations built round the pre-existing community institutional
framework. Available data suggest that people prefer to learn about cancer related
issues from their doctors and health organization. This is to say that so long as the
issue of breast cancer is concerned, a lot is still needed to be done in the area of
awareness and sensitization of the Nigeria populace through the broadcast media or
other medium of mass communication (Adebamowo and Ajayi, 2000, p. 179 – 191).
A comparative study of women’s knowledge and belief about breast cancer in
Nigeria and the western world, show that there is significant contrast. According to
the study, in the west women were able to quantify the relative risk of breast cancer
and smoking prospectively. The same researcher found that over 70% of the
surveyed women were able to identify painless breast lump, lump under the armpit
and nipple discharge or bleeding as symptoms of breast cancer. It should however
be noted that much smaller proportion of these women were able to recognize other
non-lump symptoms such as dimpling of the breast skin, inversion/pulling in of the
nipple and scaling or dry in the nipple region. (GrunFoled et al 2002, p. 1376).
Surveys in the US and Australia according to the researchers have
demonstrated that older women have poorer knowledge of key risk factors for
various cancer. In Nigeria, the current scenario about cancer awareness is quite
dismal as fasoranti (2008p4) States that diagnosis is late in Nigeria, by the time most
people show up in the hospital the cancer is already widespread. Adebamowo
(2013) estimates that 7000-10,000 new cases developed in Nigeria 2005. According
to professor O. Olapede, a breast cancer specialist and Director of Cancer Risk Clinic
in the department of Medicine and Human Genetics Chicago Hospital: “The five
year survival rate for breast cancer patients in the United states exceeds 85%; In
Nigeria, it is dismal 10%, cancer awareness, even among physicians, and much more
so among women at risk, need enormous boost in Nigeria as cited by Fasoranti
(2008p4)
In line with this, Studies by Adebamowo and Ajayi, (2000, p. 183 – 90) and
Uche 1999, p.40) have shown that broadcast media of television and radio; appear to
be better media to reach a wider audience.
They however noted that they are limitations, especially in rural communities
where access to these media is limited. They suggest that in such communities, it
would be better to build communication strategy around the pre-existing community
institutional framework. They suggest that the Nigerian media still have a lot to do
in the awareness and sensitization of the Nigerian populace on breast cancer.
The results of the whole study conducted by these researchers have
demonstrated the extremely low level of breast cancer awareness among community-
dwelling women in Nigeria. Until circumstances are ripe for routine mammography
screening, emphasis should be on screening women to practice B.SE and CBE.
Health education programs should be targeted at women through various media
including Jingles on television and radio. In addition, health education should be
channeled through women friendly agencies or organizations such as hospitably
antenatal and post natal clinics, religious organizations, and feminist organizations.
Use of Jingles and slogans, although effective to some extent in literate societies,
may be limited value in the Nigeria population.
However, even in highly literate societies there is evidence suggesting that
leaflets produce only limited and short-lived changes in knowledge.
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Alkin, C. (2001). Designing effective campaigns, in : Rice, R. and Alkin C. (Eds).
Public Communication Campaigns. Thousandraks CA: Sage.
Adebamowo,C.A& Ajayi O.O (2000) Breast cancer in Nigeria. African Journal of
Medicine,pp. 183-190.
Bergman, H. (2004). Understanding Breast Cancer Newyork: Prentice Hall
Corbett, J. & Mori M. (1999). Medicine, media and celebrities: news coverage of
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Kitzinger, J. (2000). The role of the media in public and professional understanding
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Lemal M. & Bukk, J. (2008). Television news of exposure is related to fear of breast
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University of Benin journal of medicine Vol. 3, no 2, pp189-224
Udeajah, R. A.. (2004). Broadcasting and Politics in Nigeria 1963 – 2003. Enugu
Snaap Press Ltd.
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corruption: a study of the guardian and daily sun newspapers unpublished
project report, dept of mass communication UNN.
CHAPTER THREE
METHODOLOGY
3.1 RESEARCH DESIGN
The researcher, for the purpose of this study adopted survey research design.
Nwodu (2006, p.67) buttressing the relevance and importance of the survey research
design is of the view that survey method focuses on a representative sample derived
from the entire population of study. Baran (2004, p.358) maintains this method
works on the premise that a given population is too large for any researcher to
realistically observed all the elements in the population under scrutiny. Asika (1991,
p.29–30) submits that a researcher using this method goes into the field and selects
all relevant elements out of the entire population. The above form the reason for
utilizing survey research in this study.
3.2 AREA OF STUDY
Research studies have their various area of coverage or boundary limits.
According to Uzoagulu (1999, p.63) “the area of study is geographical area
boundaries where study is carried out”. The whole of Enugu South has been
designed for this study. The existence of administrative, social and cultural
institutions encourages the growth and development of Enugu South.
Enugu South as a local government is made up of seven rural communities and two
urban localities.
3.3 POPULATION OF STUDY
The population of study of this research was literate adult women (between
ages of sixteen years and above) in Enugu South Local Government Area.
According to the final result of 1991population census of Nigeria as published by the
National population Commission, women in the area were 70,113 inhabitants
including immigrants that formed more than thirty percent (30%) of the total
population.
3.4 SAMPLE SIZE
Many a time, an entire population would not study due to time and resource
constraints. The usual approach in this situation would therefore entail taking
sample. Considering the fact that the population of the area would be too bogus,
sample size of 600 respondents were selected for this research work. The
researcher based view on the guidelines given by Nwana (1981, p.72) cited in Nze
(2005, p.33-34) was followed in deciding on the sample size of this study.
According to him:
• At least 40% for a population of few hundred
• 20% for a population for many hundreds
• 10% for a population of few thousands
• At most 5% for a population of several thousands
In view of this, 5% of 70113 was used in selecting 3506 respondents as a
representative of the estimated population of the area.
3.5 SAMPLE TECHNIQUE
As a result of the large population estimated to be 3506, the purposive
sampling technique was employed to determine the sample size of the study.
According to Ikeagwu (1998, p.189), “the basic assumption behind purposive
sampling method is that, with good judgment and appropriate strategy, one can hand
– pick the cases to be included in the sample that is satisfactorily in relation to ones
needs” Those that met the requirement of this research in the chosen population
sample are women who have access to broadcast media. To this end 600
respondents were purposively selected for the study from the 3,506 estimated
population.
3.6 INSTRUMENTS FOR DATA COLLECTION
The research instrument used for data collection was questionnaire. A
questionnaire consists of questions relating to the aims o the study and the research
questions to be verified (Nwanna 1990 p.121). The questionnaire for this study
contains two sections demographic and psychographic sections. The demographic
contained the personal data of the respondents while the psychographic questions
examines the logical and carefully selected questions aimed at sourcing reasonable
and accurate answers from the respondents such that can help solve the research
problem.
Also it is made up of closed-ended and open ended questions with the former
forming a greater percentage since the researcher intends to elicit a higher degree of
measurable data.
3.7 VALIDATION OF INSTRUMENT
According to Okoro (2001 p.12) “validity refers to the accuracy of an
instrument i.e how well it measures what it is suppose to measure.” In order to
establish validity of the instruments the researcher used the expertise of some Mass
Communication professionals who reviewed and made very useful imputes that
helped to achieve highly validity for the questionnaire. Two professionals in News
Editorial of Federal Radio Corporation of Nigeria and one other communication
experts validated the instrument. They all edited and make useful corrections and
suggestions before the actual administration of the questionnaire.
3.8 RELIABILITY OF INSTRUMENT
Ogbazi and Okpala (1994, p.25) posits that “reliability of an instrument or test
is the degree to which an instrument is consistent in measuring whatever it purports
to measure”. In establishing the reliability of the instrument, the researcher applied
the Pre-test technique. The Pre-test technique is a process whereby the researcher
administered the constructed questionnaire to the same sample group more than once
with a view of discovering how consistent each element of the group is in the scoring
of the instrument at such different times.
The researcher administered the questionnaires to twelve
elements of the sample group to ascertain the reliability of the instrument, but was
not used in the final analysis of the work.
3.9 METHOD OF COLLECTION
Questionnaires being the data collection instrument were distributed on one-
on-one by the researcher. The questionnaire was self completed because the
respondents were literate. This was to ensure high response rate. However, the
number of questionnaire distributed were 600 while 580 representing 96% were
retrieved.
3.10 TECHNIQUES OF DATA ANALYSIS AND PRESENTATION
Quantitative data generated in the study were analyzed in frequencies,
percentages and presented in tables and charts.
In analyzing the data of the study two major steps were taken include:-
Description based on the characteristics of the study sample and description
based on thematic analysis:
Step I: Description based on characteristics of the study sample which
involves background information of the sample under study is usually
the first stage in data analysis. Such variables include sex, age,
educational qualification and occupation of the residents.
Frequency distribution table and percentage were
used in describing the variables.
Step II: Description based on thematic Analysis is the second stage of data
analysis involved the description of the perception of the extent of
broadcast media commitment to the campaign against breast cancer
and Awareness level of women in Enugu
South Local Government Area on beast cancer was done using
frequency distribution, tables and charts. And the number of
respondents who indicated similar answers wee coded using simple
percentages and mean score.
A The number of Respondents
Total
number of Respondents X
b Sample mean = x x
where
= Sample mean
∑ x = Sums of all sample data values
n = Sample
size
Bar Chart was used to further analyze open – ended questions.
Bar chat was used to analyze open – ended questions. Writing about
presentation of data in pictorial or diagrammatic form. This could be in the form of
pie charts or Bar charts etc Okoro (2001 p.76) says.
With pictorial presentation, it is easier to:
i. hold in mind the mass of figures they represent.
ii. Show more clearly than the tables can any relationships which may exist
between the figures
100
1
_
X
n
∑
i=l
i
⁄ n
_
X
iii. Show degrees of difference between items
iv. Make a quick, lasting and accurate impression of the significant facts.
In testing the hypothesis, Chi – square was applied. The notion are defined as
follows:
χ2 = ( 0 - E)
2
E
E = ni – n�
n
Where
χ 2 = Chi – square
C = number of Rows
O= observed
E= Expected
ni= sum of the rows
n� = sum of the columns
n = grand total
Df= Degree of Freedom =(c-1)(R-1)
Level of significant =0.05 or 5%
REFERENCES
Asika, N. (1991). Research Methodology in the Behavioural Science. Lagos:
Longman Nigeria PLC.
Final result of (1991) population census of Nigeria as published by the National
Population Commission.
Ikeagwu, E.K. (1990) Ground work of Research Methods and Procedures. Enugu:
Institute for Development Studies
Nwanna, O.C. (1990) Introduction to Educational Research. Ibadan: Heinemann
Educational Books Limited.
Nwodu, L.C. (2006). Research and ICTs relevance in innovation diffusion. In the
Nigeria Journal of Communication. Vol. 2:5pp. 99 – 115.
Ogbazi, N. and Okpala, J. (1994) Writing Research Report: A Guide for Research in
Education, the Social Sciences and Humanities. Owerri Prime Publishing
Company.
Ohaja E.U.: (2003). Mass Communication Research and Project Writing. Lagos:
John Lettermen Ltd.
Okoro, N. (2001) Mass Communication Research: Issues and Methodologies
Nsukka: AP Express Publishers.
Okoye I.C. (2003). Research Manual: Guide for Research in Applied Sciences,
Education Technology Medicine, Engineering and business Studies. Yola:
Parachute Publishers.
Uzoagulu, A. E. (1998) Practical Guide to Writing Research Project Reports.
Enugu; John Jacobs Classic Publishers Ltd.
Wimmer, R.D. & Dominick, J.R (2003). Mass media Research; An introduction (7th
Ed.) Belmont, CA: Wadsworth Publishing company.
CHAPTER FOUR
DATA PRESENTATION AND DISCUSSION OF FINDINGS
The major thrust of this study is on the effect of broadcast media campaign against
Breast Cancer among Enugu South women. The survey method of research was
adopted to generate data for the study. This chapter deals with the presentation,
discussion of findings, analysis of relevant data extracted from the questionnaire
administered by the researcher each question was analyzed using simple
percentages, frequency, distribution table and simple bar chart.
In the study, 600 copies of questionnaire were distributed, out of which 580 copies
were duly retrieved from the respondents and used for this study represents
approximately 96.6% of the total number of questionnaire and casualty rate of 20
representing 3.4%
4.1 TABLE, DATA PRESENTATION AND INTERPRETATION
Table1: Questionnaire Distribution and Collection
Number State Number Number Percentage
Distribution Enugu Received Lost Return
600 Enugu 580 20 96.6
Table 1 above shows that the number of questionnaire distributed were 600 while
580 were returned. The high percentage of return was because the researcher
personally distributed by hand and collected them.
Percentage = Frequency of individual age group x 100
Total frequency 1
Example = 16-20 years
= 60 x 100 = 10.34%
550 1
Table2: Age of Respondents
Age Frequency Percentage (%)
16-20 60 10.34
21-25 80 13.8
26-30 140 24.14
31-35 180 31.03
36 and above 120 20.69
Total 580 100
Table 2 shows the frequency and percentage of age of respondents sixty
respondents accounting for 10.34% belonged to 16-20 age group. Eighty
respondents accounting for 13.8% belonged to 21-25 age group. One hundred and
forty respondents representing 24.14% belonged to 26-30 age group. One hundred
and eighty representing 31.03% belonged to 31-35 age group. While One hundred
and twenty representing 20.69% be to the age group 36 years and above.
Table 3: Respondents Marital Status
Marital Status Frequency Percentage
Single 256 44.14
Married 324 55.86
Total 580 100
Table 3 shows the frequency and percentage of the age distribution of the
respondents. Two hundred and Fifty six respondents accounting for 44.14% were
single. Three hundred and twenty four respondents accounting for 55.86% were
married.
Table 4: Educational Qualification of Respondents
Educational Level Frequency Percentage
Primary Education 135 23.28
Secondary Education 200 34.48
Higher Degree and above 245 42.24
Total 580 100
Table 4 shows the frequency and percentage distribution of respondents
educational qualifications, One hundred and Thirty five accounting for 23.28% had
Primary education Two hundred respondents accounting
for 34.48% had Senior Secondary education while 227 respondents representing
42.24% fell under Higher Degree and above.
Table 5 Respondents Occupation
Occupation Frequency Percentages %
Farmer 12 2.07
Trader 28 4.83
Students 150 25.86
Civil Servants 200 34.48
Unemployed 190 32.76
Total 580 100
Table 5 shows the frequency and percentage distribution of respondents
occupation. Twelve respondents, representing 2.07% were farmers. Twenty eight
respondents, representing 4.83% were traders. One hundred and fifty respondents
representing 34.48% were civil servants One hundred and ninety respondents
representing 32.76% respondents were unemployed.
SECTION B
Measurement of Research Questions
This section of the questionnaire is concerned with the presentation of results from
data collected and analyzed as indicated in chapter three. It deals with information
collected from respondents and analyzed in consonant with the research questions.
RESEARCH QUESTION 1
What is the awareness level of women in Enugu South Local Government area on
breast cancer? In answering research question one, respondents opinion was
sampled using the following questions.
Have you as a woman heard of the cancer of the breast or breast cancer? how much
do you have knowledge or information about breast cancer?
4.3.1 AWARENESS LEVEL OF ENUGU SOUTH WOMEN ON BREAST
CANCER
Table 6: Distribution of Opinion on awareness level of Enugu South women on
Breast Cancer
Variables Single Married Total %
Yes 90 100 190 32.76
No 120 270 390 67.24
Total 120 370 580 100
Distribution of Response on the awareness level of Enugu South
Women.
From the data presented on the table and bar chart shows that awareness level of
women on breast cancer in Enugu South shows that a whopping majority were not
Yes
No
67.24%
32.76%
aware of breast cancer. The interpretation reflected in section 4.3.1 and Bar chart
showed that 67.24% indicated that majority of the women in Enugu South were not
aware of breast cancer while 32.76% were aware. Based on the fact above, it is
very clear that the awareness level of women on breast cancer fell short of
expectation.
Table 7: DISTRIBUTION OF RESPONSE ON INFORMATION OR
KNOWLEDGE ON BREAST CANCER
Variables Single Married Total %
Comprehensive
Knowledge
40 60 100 17.24
Little
Knowledge
80 40 120 20.69
No knowledge 160 200 360 62.07
Total 280 300 580 100
Distribution of response on Information or knowledge on breast cancer.
The Table and bar chart above shows that three hundred and sixty respondents
representing 62.07% do not have information on breast cancer. one hundred and
Comprehensive knowledge Red
Little
knowledge Green
No knowledge Yellow
62.07%
20.69%
17.24%
twenty respondents representing 20.69% have little information on breast cancer
while one hundred respondents representing 17.24% have comprehensive
knowledge on breast cancer. From the data presented above it is very clear that
majority of the respondents do not have knowledge or information on breast
cancer.
RESEARCH QUESTION 2
To what extent has the broadcast been committed to the campaign against breast
cancer? in answering research question two respondents opinion was sampled
using the following questions: Are you aware of the broadcast media campaign on
breast cancer? What is the level of broadcast media commitment on breast cancer
campaign?
Table 6: Distribution of opinion on Awareness of broadcast media campaign
on Breast Cancer
Variables Single Married Total %
Yes 90 40 130 22.41
No 180 270 450 77.59
Total 270 310 580 100
Distribution of response on the awareness of broadcast media campaign against breast cancer.
The table and bar chart above shows that One hundred and Thirty respondents,
representing 22.41% said that they are aware of broadcast media campaign on
breast cancer. Four hundred and fifty respondents representing 77.59% indicated
that they are not aware of broadcast media campaign on breast cancer. So majority
of the respondents said that they are not aware of broadcast media campaign on
breast cancer.
Yes
No
90
80
70
60
50
40
30
20
10
Table 7: Distribution of Opinion of Respondents on what extent the broadcast
media has been committed to the campaign against breast cancer
Variable Frequency Percentage
Seriously Committed 111 19.14
Loosely Committed 140 24.14
Not Committed 329 56.72
Total 580 100
Distribution of response on extent broadcast media has been committed to the campaign against breast cancer.
The Bar chart shows the analysis of an open-ended questionnaire raised on item
number nine in the question which was; what is the level of commitment on media
campaign against breast cancer? One hundred and eleven respondents, accounting
for 19.14% posit that broadcast media is seriously committed to the campaign
seriously committed
Loosely committed
Not
committed
against breast cancer. On hundred and forty respondents accounting for 24.14%
agreed that the broadcast media is loosely committed to the campaign against
breast cancer. Three hundred and Twenty nine accounting for 56.72% agreed that
broadcast media was not committed at all to the campaign against breast cancer.
Based on the data and diagram above, majority of the respondents agreed that
broadcast media was not committed to the campaign against breast cancer.
RESEARCH QUESTION 3
How do women in Enugu South Local Government area respond to broadcast
media campaign against Breast Cancer?
To answer question three, following question were posed to respondents. Are you
are aware of broadcast media campaign in breast cancer? Does what you heard on
broadcast media against breast cancer made you to go for medical screening on
breast cancer?
Table 8: Distribution of Opinion on Awareness of broadcast media campaign
on Breast Cancer.
Variables Single Married Total %
Yes 90 40 130 22.41
No 180 270 450 77.59
Total 270 310 580 100
The table above shows that one hundred and thirty respondents, representing
22.41% said that they are aware of broadcast media campaign on breast
cancer. Four hundred and fifty respondents representing 77.59% indicated
that they are not aware of broadcast media campaign on breast cancer. So
the researcher used the respondents that said that they are aware of
broadcast media campaign against Breast Cancer to work on how women
in Enugu South Local Government respond to broadcast media campaign
against breast cancer.
Table 9: Distribution of Opinion on Response of Enugu South Women to
broadcast media campaign on Breast Cancer taken from table 6 of
respondents who has positive answer
Variables Single Married Total %
Yes 70 35 105 80.77
No 20 5 25 19.23
Total 90 40 130 100
The analysis shows that one hundred and five women representing 80.77% respond
to broadcast media campaign against breast cancer by going for medical screening
on breast cancer. Twenty-five representing 19.23 did not respond to broadcast
media campaign against breast cancer. So majority of the women who have heard
or view broadcast media campaign against breast cancer agreed that they have
gone for medical screening on breast cancer.
Distribution of response of Enugu South women to broadcast media campaign against breast cancer.
RESEARCH QUESTION 4
What other means can be employed to spread breast cancer awareness campaign
effectively?
Yes
No
80.77%
19.23%
To answer the research question four, the following question were posed to the
respondents: should the broadcast media be the only medium to create awareness
on breast cancer? What other means do you think that cancer awareness can be
disseminated to reach the target audience?
Table 9: Distribution of Response on Whether broadcast media should be the
only medium to create awareness
Variables Single Married Total %
Yes 220 20 240 41.38
No 40 300 340 58.62
Total 260 320 580 100
Out of 580 respondents 240 accounting for 41.38% has positive implication on
using the broadcast media only to create awareness on breast cancer. While three
hundred and forty accounting 58.62% said that other medium should join in the
campaign against Breast Cancer.
Table 10: Distribution of Response on other means that cancer awareness can
be disseminated to reach the target audience
Response Frequency Percentage
Print media 93 16.03
Traditional media 210 36.21
All of the above 270 46.61
None of the above 7 1.21
Total 580 100
From the table ninety-three respondents accounting for 16.03% were of the view
that print media should be other means that cancer awareness can be disseminated
to reach the target audience. Two hundred and ten respondents accounting for
36.21% indicated that traditional media should be other means that cancer
awareness can be disseminated to reach target audience. Two hundred and seventy
respondent indicated that all of the above medium should join in disseminating
breast cancer awareness to reach target audience. While seven respondents
indicated that none of the above should join in disseminating breast cancer
awareness to reach the target audience. So high percentage of the respondents
46.61% indicated that all of the above medium of mass communication should be
used to disseminate cancer awareness to reach the target audience.
Distribution of Response on other means that cancer awareness can be disseminated to reach the target audience.
36.21 %
0
5
10
15
20
25
30
35
40
45
50
None of the
above media
Print media Traditional
media
All of the above
Testing of Hypotheses
Print media
Green
None of the above media Red
Traditional media Yellow
All of the above Green
black
46.61%
In this test, an attempt is made to check the conformity of the analyzed data with
the projected hypothesis. To efficiently test for the Hypothesis, the Chi-square is
computed. Only questions related to a particular hypothesis is used as a parameter
for testing of the hypothesis.
However, the notion are defined below
χ2 = ∑ (O-E)2
E
E = ni x nj
n
Where
χ 2 = Chi – square
O = Observed Frequency
E = Expected Frequency
Df = Degree of freedom = (C-I) (R-I)
C = Number of column on the table
R – Number of Rows on the table
ni = Sum of the Row
nj = Sum of the column
n = Grand total
Level of significance – 0.05 or 5%
DECISION RULE
If χ 2 calculated is greater than the x
2 tabulated, then I will reject H0 and accept H1
HYPOTHESIS 1
H0: Women in Enugu South Local Government Area are aware of Breast cancer
H1: Women in Enugu South Local Government Area are not aware of Breast
Cancer.
Question No.7 will be analyzed which asked, how much do you have information
or knowledge on Breast Cancer?
Table: Distribution Response on information or knowledge on Breast Cancer
Response Single Married Total
Comprehensive
knowledge
40 60 100
Little knowledge 80 40 120
No knowledge 160 200 360
Total 280 300 580
E1 = 100 x 280 = 48.27
580
E2 = 100 x 300 = 51.72
580
E3 = 120 x 280 = 57.93
580
E4 = 120 x 300 = 62.07
580
E5 = 360 x 280 = 173.8
580
E6 = 360 x 300 = 186.21
580
Where E = Expected value
O = Observed value
S/N O E O-E (O-E)2 (O-E)
2
E
1 40 48.27 -8.27 68.3929 1.42
2 60 51.72 8.28 68.5584 1.33
3 80 57.93 22.07 487.0849 8.41
4 40 62.07 -22.07 487.0849 7.85
5 160 173.80 -13.80 190.4400 1.10
6 200 186.21 13.79 190.1641 1.02
Level of significance, = 0.05 or 5%
Test statistics
χ 2 cal =∑(O-E)
2
E
= 21.13
Critical value
χ 2
0.05, (3-1)(2-1)
χ 2
0.05, 2 =5.991
DECISION RULE
Since χ 2 cal = 21.13 > χ 2
tab = 5.991, I will reject the H0
CONCLUSION
Since the χ 2 cal > χ 2
tab, I will reject the H0, and conclude that the test is
significant and that the Women in Enugu South Local Government Area are not
aware of the Breast Cancer.
HYPOTHESIS II
H0: Broadcast media have been committed to the campaign against breast cancer
H1: Broadcast media have not been committed to the campaign against breast
cancer.
Test Statistics
Findings from Question Nine: What is the broadcast media level of commitment
on campaign against Breast Cancer.
Table: Responses on what extent BM has been committed to the campaign against
Breast Cancer
Responses
Seriously
committed
Loosely
committed
Not committed
111 329 140
To calculate the expected frequency
111+329+140 = 193.3
3
x2 = ∑(O-E)
2
E
= 0.05 or 5%
O E O-E (O-E)2 (O-E)
2
E
111 193.3 -82.3 6773.29 35.04
329 193.3 135.7 18, 414.49 95.26
140 193.3 -53.3 2, 840.89 14.70
Total 145
χ 2 Cal =
3∑ (O-E)2
Critical value
χ 2 0.05, 2 = 5991
DECISION RULE
I reject H0 χ 2 cal > χ 2
tab,
Then since χ 2 cal = 145 > χ 2
tab = 5.991, I reject H0
CONCLUSION
The broadcast media have not been committed to the campaign against breast
cancer at 5% significant level.
3
i=1 E = 145
HYPOTHESIS III
H0: Women in Enugu South Local Government Area respond to broadcast media
campaign against Breast cancer.
H1: Women in Enugu South Local Government Area do not respond to
broadcast media campaign against Breast Cancer.
To test the validity of hypothesis three, findings of question number 10 of the
Respondent who said that broadcast media are committed will be analyzed.
Question No.10 Does what you heard on broadcast media made you to go for
medical screening on breast cancer. The findings were drawn from women who
said that they listened to broadcast media campaign against breast cancer and
responded by going for medical screening on Breast Cancer.
Table 9: Distribution of Responses of Enugu South women to Broadcast media
campaign on Breast Cancer, data of positive responses taken from table 6
Response Single Married Total
Yes 70 35 105
No 20 5 25
Total 90 40 130
E = ni x ni
n
E1 = 105 x 90 = 72.8
130
E2 = 105 x 40 = 32.3
130
E3 = 25 x 90 = 17.3
130
E4 = 25 x 40 = 7.7
130
S/N O E O-E (O-E)2 (O-E)
2
E
1 70 72.8 -2.8 7.84 0.11
2 35 32.3 2.7 7.29 0.23
3 20 17.3 2.7 7.29 0.42
4 5 7.7 -2.7 7.29 0.95
TOTAL 1.71
Test statistics
χ 2 cal = ∑ (O-E)
2 = 1.71
E
Critical value
χ 2 = χ 2
0.05, (2-1) (2-1) 0.05, 1 = 3.841
DECISION RULE
Since χ 2 < χ 2
, I will accept H0 Cal tab
CONCLUSION
Women in Enugu South Local Government respond to broadcast media campaign
against breast cancer by going for medical screening at 5% significant level.
HYPOTHESIS IV
H0: Breast cancer awareness campaign cannot be best disseminated through joint
effort of print and traditional media.
H1: Breast cancer awareness campaign can be best disseminated through joint
effort of print and traditional media.
To test the validity of the hypothesis question number 12 which says what other
means do you think that breast cancer awareness can best be disseminated to reach
the target audience.
Table10: Distribution of Response on other means that cancer awareness can be
disseminated to reach the target audience
Responses
Print media Traditional
media
All of the
above
None of the
above
93 210 270 7
To calculate expected frequencies
93+210+270+7 = 145
4
O E O-E (O-E)2 (O-E)
2
E
93 145 -52 2704 18.65
210 145 65 4225 29.14
270 145 125 15625 107.76
7 145 -138 19044 131.34
TOTAL 286.89
χ 2Cal = ∑ (O-E)
2 = 286.89
E
Critical value
χ 2 0.05, 4-1 = χ 2
05, 3 = 7.815
DECISION RULE
χ 2 tab = 7.815, I reject the null hypothesis (H0)
CONCLUSION
I conclude that the breast cancer awareness campaign can be best disseminated
through joint effort of print and traditional media at 5% significant
DISCUSSION OF FINDINGS
Research question one was aimed at ascertaining the level of awareness of breast
cancer among women in Enugu South Local Government area. Items three and
four in the questionnaire were used to elicit responses to the question.
Greater percentage (67.24%) of the respondents posits that they are not aware of
breast cancer. Fewer percentage (32.7%) indicates that they are aware of breast
cancer while (62.07%) of the respondents still indicates that they have no
knowledge on breast cancer. Data on how much knowledge women have on breast
cancer show that a whopping majority of (62.07%) of the respondents do not have
information or knowledge on breast cancer as only (17.2%) say they have
knowledge or information on breast cancer. This gives credence to the assertion
that most women in Enugu South are not aware of Breast Cancer. Based on the fact
above, it is very clear that the awareness level of women on breast cancer in Enugu
South fell short of expectation. Hence, we reject the Null hypothesis and conclude
that women in Enugu South Local Government Area are not aware of Breast
cancer. The result agrees with knowledge gap theory which states that there can be
appreciable differences in learning as a result of exposure to media information.
In contrast, individual with lower education and less prior information tend to learn
less, thus representing an increase in knowledge gap. Akeredolu Anyanwu Betty
(2008) breast cancer survivor states that “Nigeria, like other developing countries
is witnessing a rising incidence with problem of ignorance”… Fasoranti states that
diagnosis is late in Nigeria, by the time most people show up in the hospital the
cancer is already wide spread. Items 7 and 9 in the questionnaire were used to
answer research question two which seeks to find out the extent to which broadcast
media are committed to the campaign against breast cancer.
The data generated show that (77.59%) of the women in Enugu South Local
Government area feel that media houses are not committed to broadcast media
campaign on breast cancer. While (22.41%) of the women indicates that they are
loosely committed and (19.14%) say they are seriously committed. This shows that
majority of the women indicate that they are not committed while fewer percentage
said that they are loosely committed. In the light of this, the Null hypothesis stands
rejected, Reading to the conclusion that broadcast media have not been committed
to campaign against breast cancer at 5% level of significance. A visit to Federal
Radio Corporation of Nigeria Enugu, Coal City 92.8fm shows that the station’s
running order covering programmes presented from 5.30a.m to twelve midnight
daily does not contain any programme on Breast Cancer for two consecutive weeks
except on world cancer day during which there was item in the news of less than
two minutes and news commentary of about four minutes. There were also pep
talks on cancer by continuity announcers just that day. This collaborates
Akpunonu (1999) that “motivating messages that would mobilize rural people to
positive action towards meeting their own felt needs are hardly constructed and
appreciated; (the broadcast medium) is primarily concerned with what the
government people have said and done, what clients desire in commercial
broadcasting and what ideas broadcasters have.
In contrast Emekaku (2003) defines community radio as, “system of broadcasting
whereby the contents of radio programmes originate from the Local people; are
community-specific and situation-relevant. In addition, indigenous radio dramas
can be used to educate people about the nature, causes, and consequences of Breast
Cancer in Nigeria. This will make broadcast media assume their role of educating,
informing and entertaining the people.
Research question three explored the effectiveness of broadcast media campaign
on Breast Cancer among women in Enugu South Local Government area. How the
women respond to broadcast media campaign on Breast Cancer. Item ten in the
questionnaire was used to elicit information from the respondents. An
overwhelming 80.77% of the women gotten who said they were aware of broadcast
media campaign on Breast Cancer indicated that after listening to the programme,
they went for medical screening on breast. This support to the H0 and indicates
that women in Enugu South Local Government Area respond to broadcast media
campaign against Breast cancer at 5% significant level.
In answering research question four, items eleven and twelve were used. The
analysis shows that a high percentage of the respondents (58.62%) indicated that
broadcast media should not be the only medium for the campaign. against breast
cancer while (41.38%) said that broadcast media should be the only medium for
the campaign thereby rejecting the Null hypothesis. We conclude that the Breast
Cancer awareness campaign can be disseminated through media mix including
print and traditional media at 5% significant level. Mass media force attention to
certain issues; they build up public images of political figures, they constantly
present objects, suggest what we should think about, know about, agitate about and
eventually call for legislation (Anaeto, Onabanjo & Osifeso 2008) This means that
the use of all media of mass communication should be adopted to campaign against
breast cancer scourge in Nigeria Fasoranti (2008) concluded that many homes in
Nigeria do have transistor radio that can broadcast “Breast Cancer Awareness
messages into these areas”. In conclusion World Health Organisation said that
Awareness is the first step in battle against breast cancer
REFERENCES
Akpunonu, C.N. (1999); The Producers Note Book: A Vital Tool in the Principles
and Practice of Broadcasting. Enugu: Five Sense Production Co.
Anaeto, S. Onabanjo, O & Osifeso, J. (2008); Models and Theories of
Communication.. Lagos: African Renaessance Books.
Mc Combs, M.E. and Shaw, D.L. (1972); The Agenda Setting Function of Mass
Media Public Opinion Quaterly, 36 (Summer), 176-187
Mc Quail, D (2005) Mc Quail’s Mass Communication Theory (5th
edition)
London: Sage
Emekaku, O.S. (2003) Community Radio: Its Philosophy, Organization and
Management in L. Oso (Ed) voices of the Oppressed (pp27-140) Abeokuta:
Jedidah Publishers
Adebamowo, cancer in Nigeria Retrieved February 22 2013 from www.
Adebamowo.Com/Pages /cancer. Aspx
Akeredolu, A.B. Cancer is a challenge in Nigeria, Retrieved march, 14,2013 from
http://www.brecan.org/uncategorized/cancer.
Onobello, Breast cancer Awareness campaign. Retrieved October 15 2012 from
http://www.onobello.com/php/…./1742
Who/Awareness is the first step in battle against breast cancer retrieved May 25
2013 from www.who.int./entity/…/90/index.html.
CHAPTER FIVE
SUMMARY, CONCLUSION AND RECOMMENDATIONS,
5.1 SUMMARY
This research, using survey method explored the effect of broadcast media
campaign against breast cancer.
Research questions and hypotheses were formulated based on the statement of
problems. Questionnaire was used to elicit relevant data from a sample of 580
respondent derived from an estimated population of (No.) in Enugu South. Due to
the large population and because the researcher looked for certain characteristics
from the sample, the purposive sampling technique was used. The analysis of the
data was done using frequency, distribution tables and percentages for bio-data
information while frequency, percentages, tabular mean and bar chart were used
for thematic analysis. Also Chi-square was used to test the hypotheses.
Summary of Results
Based on the data generated from the research, the following summarizes the
findings made;
- The respondents are residents of Enugu South who work, school or engage
themselves in public or private occupations and have access to broadcast
media.
- It was discovered that greater percentage of women are not aware of breast
cancer scourge.
- The study revealed that respondents believe that broadcast media are not
committed to campaign against breast cancer.
- The respondents who have listened to broadcast media campaign on breast
cancer went for medical screening on breast cancer ie media campaign have
had significant effect in getting women’s attention towards the pandemic of
breast cancer.
- The respondents believe that all media of Mass Communication should be
engaged to enhance the effectiveness campaign against Breast Cancer.
5.2 CONCLUSION
The broadcast media has been proved as a veritable means of disseminating
information and has always served as a vehicle for social and behavioural change.
This is because of its ability to reach everybody even in the remotest villages
where opinion leaders, town criers and community Newspapers are used to further
disperse information to the target public.
It has been noticed that the broadcast media programme contents have great
influence on the people as it changed the feeding behaviour of women all over the
world. It has also helped them to refrain from bottle-feeding their babies and
imbibe good feeding habit, having seen that feeding well and appropriately could
be one of the ways of keeping oneself from allowing cancerous cells in human
being from developing and growing. This process of assimilating new ideas or
stimuli projected by the broadcast media found basis in the diffusion of innovation
theory of the mass media. The high level of maternal education will increase the
likelihood of succeeding in the fight against breast cancer and the fear of breast
cancer sweeping through the society will die a natural death. Health centers and
Pediatrics directly and indirectly serve as agents of mass communication by
advocating, advising and information women on the importance of medical check
on breast cancer symptoms.
5.3 RECOMMENDATIONS
As a result of the findings in the study, the following recommendations were
made: The media should improve its level of credibility to enhance believability by
its audience. As a global goal for a breast cancer free world, all women should be
adequately educated and empowered with all relevant information needed to wipe
away breast cancer from the society.
The need support and the kind of support to be given should include informational
support whereby latest information on breast cancer is provided to the women.
Efforts should be made to increase women’s confidence in their ability to practice
breast self examination and/or seek medical services to determine their breast
cancer status. Such empowerment involves the removal of constraints and
influences that impede perceptions and behaviour towards clinical or self breast
examinations through subtle and indirect means. This requires sensitivity,
continued vigilance, responsive and comprehensive communication strategy
involving all media and addressed to all levels of society. It has been noted that
there has been substantial increase in response to breast cancer campaigns overtime
in several countries, particularly where there is government cum medical support.
Therefore, governments in Nigeria should intensify efforts in educating women
adequately on issues related to breast cancer by promoting both self breast
examination and clinical/medical breast examination through various means of
mass media.
We also call upon international organizations to draw and intensify action-
strategies to promoting, protecting and supporting breast cancer campaigns and
victims of breast cancer.
Education appears to be, going by the result of this study, the major determinant of
the level of knowledge and health behaviour among women both at the rural and
urban areas. This is why government should not relent in ensuring adequate
campaign against breast cancer in Nigeria. This study therefore recommends the
establishment and sustenance of institutional framework and policy guideline that
will enhance adequate and urgent dissemination of information about breast cancer
to all women in Nigeria. This study also recommends that women between the
ages of 40 and 49 should undergo a Clinical Breast Examination (CBE) and
mammography every year or two years; women older than 50 years should have
annual clinical breast examinations as well as mammogram. The import of this is
that mammography and clinical breast examination facilitate early detection and
treatment of breast cancer, which may lead to lower mortality rate among women.
REFERENCES
Akpunonu, C.N. (1999); The Producers Note Book: A Vital Tool in the Principles
and Practice of Broadcasting. Enugu: Five Sense Production Co.
Anaeto, S. Onabanjo, O & Osifeso, J. (2008); Models and Theories of
Communication.. Lagos: African Renaessance Books.
Mc Combs, M.E. and Shaw, D.L. (1972); The Agenda Setting Function of Mass
Media Public Opinion Quaterly, 36 (Summer), 176-187
Mc Quail, D (2005) Mc Quail’s Mass Communication Theory (5th edition) London:
Sage
Emekaku, O.S. (2003) Community Radio: Its Philosophy, Organization and
Management in L. Oso (Ed) voices of the Oppressed (PP + 27-140) Abeokuta:
Jedidah Publishers
APPENDIX I
Department of Mass Communication,
University of Nigeria
Nsukka,
Enugu State.
20th March, 2010.
Dear Respondent,
REQUEST FOR THE COMPLETION OF QUESTIONNAIR
I am a graduate student of the Department of Mass Communication,
University of Nigeria, Nsukka, conducting a research on the “effect of broadcast
campaign on breast cancer in Nigeria: A study of Enugu South Local Government
Area of Enugu State.
Please, fell free to express your candid opinion as all the information you
provide shall be used for this academic work and nothing more or less.
Thanks for your anticipated co-opera
NGOZI NGENE.