Kisisiwe, Y., Masalu, J., Nyamsogoro, R., Kwesi, E., Nswilla, A., Mkopi, A. & Sukums, F.

 Controlling Prostate Cancer (PCa) is a public health priority.  The Ministry of Health and Social Welfare guidelines recommend PCa screening for men aged 45 – 50 years and above to allow for early detection & better treatment outcome.  Studies in other countries indicate inadequate compliance to PCa screening.

 To what extent Tanzanian men comply with the screening recommendations is not clear.  This report covers baseline phase of intervention study aimed to improve uptake of PCa screening.  We plan to design, and examine the effects of behavioral strategies including educational, reminders & implementation intention; and document what works better in the targeted populations

 To establish the levels of knowledge, attitude and practice in PCa screening  To examine factors influencing decisions of whether or not to participate in PCa screening  To explore Sources of information for PCa screening

 Behavioral Intention (BI) is a proxy of Behavior (B)  BI is a function of: Attitude (A), Subjective Norms (SN) & Perceived B Control (PBC)  Perceived Risk (PR) and Past B (PB) add to BI Assumptions PR PB B BI A PBC SN Extended TPB (Ajzen, 1991)

DesignPopulationInstruments  Cross- sectional design  Mix qualitative and quantitative approach  164 Male workers from Dar es Salaam markets  Age 45 – 71 years  Interview schedule for beliefs elicitation  True and False statements for knowledge  5-point scales for the TPB  In Kiswahili

MOBILE PHONE AND OTHER Use% Mobile phone90.7 Smart phone36.6 DVD player18.2 Social networks26.2 Health provider34.4  Ever screened for PCa: 1.2%  Reported to have PCa: 2.6%  Have insurance: 7%  Regular checkup: 19.4%  Correct response to Pca screening statements: 10.8 – 23.7  Misconceptions  Radio and TV provided the main source

Relative importance of individual factors Β=.234 TPB based PCa screening model TPB based PCa screening model A PR PB B BI PBC SN Variance explained: 51.6%

TPB is Efficient, significant factors are PBC and SN Inadequate knowledge, misconception Mass media provide the main source, wide use of mobile phones  Design theory- based intervention  Work on barriers, consider intervention for insurance schemes  Strengthen social pressure, consider use of role model, testimonies  Further examine important beliefs  Improve knowledge of PCa essential information & PCa screening  Clear misconceptions  Improve risk perception  Ct Use radio & TV. Also mobile phones, DVDs, social networks  Consider informed intervention to strengthen service providers’ role

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