CHAPTER ONE: INTRODUCTION AND BACKGROUND
The morning light settled gently over the Ga Mashie Development Agency courtyard on 19th October 2025, casting soft rays across the rows of chairs neatly arranged for the day’s program. A few women began to walk in quietly, some with daughters by their side, dressed in a blend of colorful African prints and simple casual wear. There was a calm dignity in their steps, yet beneath their expressions lay unspoken questions and quiet uncertainties. For many, this was their first time attending a breast cancer screening. Some held their handbags close to their chest, others whispered to one another, as if seeking reassurance. It was a morning that carried both the weight of fear and the warmth of hope.
As more women gathered, the courtyard gradually came to life. Girls as young as fourteen took their seats beside mothers, aunties, and grandmothers, forming a circle of sisterhood that transcended generations. Though their life experiences differed, a shared desire united them that morning — the desire to know, to understand, and to protect their health. The blend of soft conversations, greetings, and familiar community laughter created a comforting atmosphere. It was clear that this was not merely the start of an event, but the beginning of a collective journey towards awareness, courage, and healing.
1.1 INTRODUCTION
Breast cancer remains one of the most urgent public health concerns affecting women in Ghana. The rise in reported cases over the past decade has heightened the need for early detection, health education, and regular screening. The World Health Organization (2021) identifies breast cancer as the leading cause of cancer-related deaths among women in sub-Saharan Africa, noting that the majority of diagnoses occur at late stages when treatment becomes less effective. In Ghana, the Ghana Health Service (2022) emphasizes that limited access to screening, cultural beliefs, myths, stigma, and fear of diagnosis continue to hinder early health-seeking behavior, especially among women living in underserved urban communities.
It is within this context that the Nurture Nature Foundation (NNF), in collaboration with the Ga Mashie Development Agency (GAMADA), the Rotary Club of Accra Premier, and Run for a Cure Africa – Ghana, organized a Breast Cancer Awareness and Screening Outreach at the GAMADA Courtyard in Ngleshie–Jamestown. The outreach was designed to empower women and girls between the ages of fourteen and fifty-five with knowledge, practical self-examination skills, free clinical screening, and access to counselling and referral pathways where necessary.
The initiative was founded on the belief that healthcare should not be a privilege reserved for a few, but a right accessible to all, regardless of one’s income, background, or place of residence. Beyond the medical aspect, the outreach served as a platform for dialogue, learning, healing, and collective support. The program fostered a safe space where women could ask questions without judgment, share personal concerns, and learn from health professionals and each other. By bringing services directly into the heart of the community, the initiative aimed to reduce barriers, confront misconceptions, and encourage early detection as a shared responsibility.
Although this was fundamentally a health intervention, it was equally a social and emotional one. It recognized the cultural and psychological weight breast cancer carries — the fear of the unknown, the silence around women’s bodies, and the quiet battles many endure privately. For this reason, the program intentionally blended clinical care with empathy, connection, and communal encouragement. The day was not only about detecting lumps, but about lifting burdens, restoring confidence, and inspiring behavioral change that could save lives.
1.2 PARTNER PROFILES
This outreach was built on a collaborative foundation that brought together institutions with aligned values, each contributing their strengths to shape a holistic and meaningful intervention. The success of the program was not the effort of one organization, but a shared commitment to women’s wellbeing, dignity, and access to preventive healthcare.
Nurture Nature Foundation (NNF)
Nurture Nature Foundation is a community-focused, development-oriented non-profit organization dedicated to strengthening the wellbeing and resilience of underserved communities through health education, environmental awareness, social empowerment, and strategic partnerships. With a firm belief that sustainable change begins with informed and empowered communities, NNF adopts grassroots approaches that are inclusive, participatory, and culturally sensitive. For this initiative, NNF served as the lead coordinator, facilitating the planning process, stakeholder engagement, resource mobilization, volunteer training, and overall program management. In designing the outreach, NNF intentionally prioritized a warm and human-centered approach, ensuring that women not only received screening, but also felt heard, supported, and encouraged to take ownership of their health.
Ga Mashie Development Agency (GAMADA)
GAMADA is a community-driven development institution committed to uplifting the Ga Mashie community through interventions that promote education, cultural preservation, youth empowerment, and community welfare. Rooted in the values of heritage, unity, and shared responsibility, GAMADA has become a trusted institutional voice in the community. Its endorsement of this breast cancer outreach contributed significantly to community acceptance and turnout. Hosting the program at the GAMADA courtyard, the Agency provided the physical space, community mobilization support, and the involvement of respected local leaders whose presence reassured women and fostered a sense of safety, belonging, and pride.
Rotary Club of Accra Premier
As part of Rotary International’s global network of humanitarian service, the Rotary Club of Accra Premier continues to contribute to public health, education, and social development across Ghana. Guided by the principle of “Service Above Self”, the Club offers a platform for leaders and professionals to dedicate their expertise, resources, and networks to advance the common good. For this outreach, the Rotary Club of Accra Premier provided financial support, volunteers, and influential advocacy that elevated the visibility and credibility of the initiative. The active involvement of the Club’s leadership demonstrated Rotary’s commitment to strengthening preventive healthcare, supporting women’s health, and building partnerships that foster lasting community impact.
Run for a Cure Africa – Ghana (RFCA-Ghana)
Run for a Cure Africa – Ghana is a non-profit organization devoted to reducing the burden of breast cancer across Africa by providing life-saving screening services, awareness creation, sensitization campaigns, and psychosocial support to women battling or affected by breast cancer. Their team brought warmth, empathy, and professional expertise to the program. RFCA-Ghana led the clinical arm of the outreach, conducting breast screening, delivering practical demonstrations on self-examination, and providing one-on-one counselling to participants. Their ability to engage women in both English and local languages created a comfortable atmosphere that encouraged openness, reduced fear, and increased willingness to seek early help. They also ensured that women requiring follow-up care received referral guidance and emotional support.
Ghana Health Service (GHS) Representation
Health professionals affiliated with the Ghana Health Service enriched the program with technical expertise and alignment to national health protocols. Their presence reinforced confidence in the screening process, linking the outreach to the wider national agenda of strengthening early detection and reducing late-stage breast cancer cases. GHS representatives also supported referral pathways for suspected cases and provided insight into ongoing public health efforts within Accra.
Faith-Based Institutions (Churches and Mosques)
Recognizing their influence in shaping social norms and behavior, faith-based leaders in Ga Mashie played a key role in sensitizing and encouraging women to attend the screening. Churches and mosques integrated key messages into their community engagements and provided a supportive voice that validated the importance of health-seeking behavior. Their involvement helped bridge the gap between cultural beliefs and modern health practice, reducing stigma, fear, and misconceptions surrounding breast cancer.
Community-Based Organizations and Women’s Groups
Local community-based organizations and women’s groups were integral to mobilization efforts. Through door-to-door sensitization, informal gatherings, and storytelling, they spread the message of early detection in a culturally relatable and non-intimidating manner. These groups represented the voices of the community, ensuring that the outreach was grounded in the realities of the women it served. Their contribution strengthened community ownership and participatory spirit, which is vital for long-term behavioral change.
Corporate Supporters
Select corporate supporters contributed refreshments and consumables that enhanced the participant experience. Though modest, these contributions added comfort, hospitality, and a sense of care to the day’s activities. Their involvement highlighted the importance of private-sector engagement in advancing community health.
1.3 BREAST CANCER SITUATION IN GHANA
Breast cancer remains a major public health concern in Ghana, and its impact on women, families, and communities has increased steadily over the last decade. The World Health Organization (2021) notes that breast cancer is now the most commonly diagnosed cancer among women in sub-Saharan Africa and contributes significantly to cancer-related deaths. In Ghana, trends show that many women present at advanced stages of the disease, often when symptoms can no longer be ignored and treatment becomes more complex, expensive, and emotionally draining. According to the Ghana Health Service (2022), only a small proportion of women undergo routine screening, with most cases detected at Stage III or later.
This pattern is influenced by several interconnected factors. Limited access to affordable screening services, socio-cultural perceptions of breast health, lack of knowledge about early signs, and fear of diagnosis all contribute to delayed health-seeking behavior. For many women, conversations about the breast remain sensitive or even taboo, shaped by cultural norms that discourage open discussion about female bodies. Misconceptions—such as cancer being caused by spiritual forces, curses, or physical contact—still exist in some communities, adding layers of fear and silence around the topic.
Economic barriers further compound the challenge. With a large proportion of Ghanaian women working in the informal sector and prioritizing daily survival needs such as food, school fees, and utility bills, preventive health is often seen as a “luxury” rather than a necessity. The cost of screening, transport to health facilities, and follow-up care can discourage timely action. For adolescents and young women, early education on breast health is limited, meaning many learn about breast cancer only through rumours, social media, or when someone in their family is affected.
The emotional burden of breast cancer cannot be ignored. Fear of losing a breast, fear of judgement, and fear of becoming a financial or emotional burden on family members all influence women’s decisions. Some women choose silence over seeking help, hoping symptoms will disappear or relying on home remedies. The psychological weight carried by women—often privately—is heavy and frequently overlooked. This reality underscores the need for screening interventions that are not only clinical, but compassionate, reassuring, and culturally sensitive.
It was against this national backdrop that the Ga Mashie outreach was designed: to bring breast cancer education and screening closer to women, especially those who would not otherwise have the opportunity. The program recognized that knowledge alone is not enough—women must be supported, encouraged, and empowered to act early. A community-based screening model, when grounded in trust and partnership, can break barriers of fear, misunderstanding, and inaccessibility. The Ga Mashie initiative aimed to play a part in shifting this narrative from late-stage discovery to early, proactive care.
1.4 WHY GA MASHIE?
Ga Mashie, located within the Odododiodio constituency, carries a unique history as one of Accra’s earliest settlements and cultural heartlands. It is a community rich in heritage, resilience, and identity, yet one that continues to face complex socio-economic and health challenges. Choosing Ga Mashie as the site for this outreach was not incidental; it was intentional, strategic, and rooted in equity, cultural understanding, and public health need.
Public Health Need
Access to preventive health services remains limited for many residents of Ga Mashie. While the community is located in the capital city, health inequalities persist. Women often prioritize household needs and income-earning activities over preventive check-ups. The outreach site, positioned within the community, eliminated travel costs, reduced time barriers, and removed psychological obstacles associated with hospital settings. Bringing screening directly into the community ensured that women who might never walk into a clinic for breast checks could receive care in a familiar and non-threatening space.
Cultural and Social Realities
Ga Mashie remains deeply rooted in tradition. Discussions about women’s bodies, illness, or cancer often occur in private or not at all. Some cultural beliefs and myths can discourage women from seeking screening. Hosting the event within the community, with the involvement of respected leaders such as community chiefs, faith leaders, and influential local figures, helped break silence and stigma. Their presence and supportive messages reassured women that screening is not shameful, but an act of strength and self-care.
Economic Vulnerability and Inequality
Like many traditional communities in Accra, Ga Mashie faces economic hardship driven by overcrowding, unemployment, informal labour, and limited social protection. Many women struggle to balance daily survival with long-term health priorities. Free screening provided an opportunity for women who would otherwise not afford or prioritize such services. The program recognized that health equity is not achieved through awareness alone, but through intentional removal of financial and structural barriers.
Community Influence and Ripple Effect Potential
Ga Mashie holds cultural influence across the Ga State and beyond. When an initiative is embraced here, it resonates widely. The community possesses strong social networks, making it a strategic site for health education that can spread organically through conversations among families, markets, churches, and social gatherings. Engaging Ga Mashie allowed the outreach to touch women directly while planting seeds for wider behavioral change across neighboring communities.
This initiative recognized Ga Mashie not as a passive beneficiary, but as a community of strength, culture, and leadership—one deserving of accessible health interventions that honor its identity while supporting its progress.
1.5 ALIGNMENT WITH THE SUSTAINABLE DEVELOPMENT GOALS (SDGs)
The outreach contributed meaningfully to global and national development priorities, particularly within the Sustainable Development Goals framework. The initiative demonstrated how cross-sector partnerships can advance preventive healthcare and community empowerment.
| SDG | Contribution of the Outreach | Partners Contributing |
|---|---|---|
| SDG 3: Good Health and Well-Being | Promoted early detection, breast health education, screening, counselling, and referrals for follow-up care. | NNF, RFCA-Ghana, GHS, Rotary |
| SDG 5: Gender Equality | Empowered women and girls with information, confidence, and the ability to take decisions on their health. Promoted bodily autonomy and reduced fear and stigma. | NNF, GAMADA, Women’s Groups, Faith Institutions |
| SDG 10: Reduced Inequalities | Reached economically disadvantaged women by providing free access to screening and health education within the community, reducing health disparities. | NNF, Rotary, RFCA-Ghana |
| SDG 17: Partnership for the Goals | Demonstrated effective multi-stakeholder collaboration between NGOs, development agencies, health authorities, community structures, and private sector actors. | All Partners |
This alignment reinforces that community health cannot be achieved in isolation. It requires partnerships that honor community voices, share resources, and sustain action beyond one-day interventions.
CHAPTER TWO: PLANNING, PREPAREDNESS AND STAKEHOLDER ENGAGEMENT
The success of the Breast Cancer Awareness and Screening Outreach at Ga Mashie did not happen by chance. Although the planning period was short, the process brought together committed partners who shared a common purpose—to ensure that women and girls in the community had access to timely and life-saving breast health information and screening. This chapter provides an account of the preparations, coordination efforts, stakeholder engagement and logistical arrangements that shaped the outreach.
2.1 OVERVIEW OF THE PLANNING PROCESS
Planning began less than two weeks before the event, following the identification of an urgent opportunity to deliver a breast cancer intervention in Ga Mashie. Recognizing the time sensitivity and the significance of Breast Cancer Awareness Month, the Nurture Nature Foundation (NNF) initiated immediate engagements with key partners to explore collaboration and resource pooling.
The planning process unfolded in two main phases: an initial virtual meeting to align on concept and roles, followed by an on-ground coordination meeting with the Ga Mashie Development Agency (GAMADA) to finalize key operational details. Although the timeline was tight, the process demonstrated adaptability, shared responsibility and a strong willingness among partners to act swiftly in the interest of the community.
2.2 INITIAL VIRTUAL STAKEHOLDER MEETING
NNF convened a virtual stakeholder planning meeting with representatives from partner organizations, including the Rotary Club of Accra Premier and Run for a Cure Africa – Ghana. The meeting focused on clarifying the purpose of the outreach, outlining key deliverables and aligning the contributions and expectations of each organization. It was agreed that:
• NNF would lead overall coordination, communication, logistics and volunteer mobilization
• RFCA–Ghana would provide clinical screening and health education services
• Rotary Club of Accra Premier would support with funding, volunteers and advocacy
• Media engagement would be jointly supported to maximize community reach
• GAMADA would coordinate community mobilization and provide the venue
The virtual meeting provided a foundation for collective action, despite the limited planning period. Partners expressed enthusiasm and a shared sense of urgency, recognizing the importance of reaching women within Breast Cancer Awareness Month.
2.3 PHYSICAL PLANNING MEETING WITH GAMADA
Following the virtual meeting, NNF held a physical planning and coordination meeting with the leadership of GAMADA at the community. This meeting was essential to contextualize plans within the realities of Ga Mashie. It allowed for a ground assessment of the venue, community entry protocols and cultural considerations to be factored into the implementation strategy.
During the meeting, GAMADA provided insights into community dynamics, suitable mobilization channels, expected turnout patterns and cultural sensitivities to consider when discussing women’s health—particularly breast-related issues. Roles were affirmed, and it was agreed that GAMADA would serve as the key community anchor to ensure acceptance and legitimacy of the event.
2.4 STAKEHOLDER MAPPING AND ENGAGEMENT
The outreach was anchored on a multi-stakeholder model, recognizing that breast health education and screening require a collective and coordinated approach to achieve meaningful impact. Stakeholders were mapped based on their relevance, influence and capacity to contribute towards mobilization, implementation and sustainability. Engagement focused on strengthening collaboration, leveraging existing community relationships and ensuring that the initiative reflected the voices and needs of Ga Mashie women.
Stakeholders were grouped into four categories:
a. Core Implementing Partners
NNF, GAMADA, Rotary Club of Accra Premier and RFCA–Ghana formed the core implementing team. Their roles combined health expertise, community entry, development knowledge, logistics and resource support.
b. Support Institutions and Community Structures
Faith-based bodies, women’s groups, youth groups and selected community-based organizations were engaged to facilitate trust building, sensitization and mobilization.
c. Media Partners
Formal invitations were issued to media houses to ensure visibility and public education. Obonu TV, TV3, Atinka TV and Joy FM were prioritized for their influence and reach within Ga-speaking and Greater Accra communities. The aim was not only to publicize the event, but to amplify early detection messages beyond the physical audience.
d. Health and Referral Support Contacts
Health professionals affiliated with the Ghana Health Service were informed and linked to the initiative to support screening, ensure adherence to clinical standards and provide follow-up referral advice.
This collaborative approach strengthened ownership, authenticity and acceptance of the outreach. It also demonstrated a model that could be replicated in other underserved communities with limited health access.
2.5 MEDIA AND PUBLICITY STRATEGY
Effective communication was essential to ensure strong engagement and community turnout. With limited time, the publicity strategy combined formal media engagement, community-based communication and targeted mobilization.
Formal letters were issued to selected media platforms to invite coverage and participation. Outlets such as Obonu TV, TV3, Atinka TV and Joy FM were chosen due to their strong visibility among Ga-speaking communities and urban audiences. The intention was to leverage their reach to raise awareness on early detection, share expert insights from health professionals and help normalize conversations around breast cancer.
Beyond formal media, the team used a three-tier community communication approach:
• Local Announcements: Use of community information systems, including local announcement vans, town-criers and marketplace communication.
• Faith-Based Channels: Churches and mosques shared information with congregants and encouraged women to attend after services.
• Word-of-Mouth Mobilization: Women’s groups and youth networks spread the message through peer networks, creating a ripple effect that encouraged attendance.
Despite the tight timeline, the publicity efforts succeeded in reaching the intended audience, contributing to the strong turnout recorded on the day.
2.6 COMMUNITY MOBILISATION STRATEGY
Understanding the cultural sensitivity surrounding breast health, community mobilization was intentionally designed to be inclusive, respectful and community-led. GAMADA, trusted community groups and faith-based institutions played a central role in reassuring women and normalizing participation.
Mobilization centered on direct interpersonal communication rather than general advertising alone. Community agents were briefed on key messages emphasizing:
• The screening was free and safe
• Breast exams were conducted by trained professionals
• Privacy, dignity and respect would be upheld
• Participation was encouraged for women aged 14 and above
• Early detection offers the best chance of survival and treatment success
This approach helped address common fears and misconceptions such as: “It will be painful”, “Screening is only for those with symptoms”, or “Talking about breast issues is shameful”. By using relatable voices and local languages, women felt seen, respected and personally invited rather than pressured.
Faith leaders reinforced the moral value of health stewardship, framing screening as an act of responsibility, not embarrassment. Women’s groups further supported this by assuring others that they would attend together, creating a sense of collective courage and solidarity.
2.7 RESOURCE MOBILISATION AND SPONSORSHIP EFFORTS
Resource mobilization was a critical aspect of the planning process, especially given the short preparation period. NNF initiated sponsorship outreach to secure financial and in-kind support for logistics, consumables, screening materials, refreshments, and event branding. Formal sponsorship requests were sent to selected institutions, including faith-based charities, private organizations, and philanthropic bodies. One such request was submitted to The Church of Jesus Christ of Latter-day Saints (LDS) to support the initiative through medical supplies and logistical assistance.
While some partners responded positively, others who initially expressed interest were unable to confirm support before the event. This resulted in deferred expectations, requiring NNF and partners to adjust the budget and make swift decisions to avoid gaps in implementation. The Rotary Club of Accra Premier provided financial and volunteer support to bridge part of the funding needs, while RFCA–Ghana contributed clinical resources and screening expertise. Modest corporate contributions also came in the form of refreshments and consumables.
The resource mobilization effort highlighted the importance of early engagement for future interventions, as well as the value of maintaining multiple sponsorship pipelines to reduce the pressure of last–minute constraints. It also demonstrated how shared responsibility among partners can enable effective implementation regardless of financial limitations.
2.8 LOGISTICS AND SITE PREPARATION
GAMADA’s courtyard was selected as the venue due to its accessibility, central location within the community, and familiarity to women in Ga Mashie. Site preparation involved a coordinated effort between NNF, GAMADA and volunteers. Chairs, tents, screening areas and a reception desk were arranged to ensure smooth flow of movement for participants from registration through screening, counselling and exit.
Attention was given to creating a dignified and culturally comfortable atmosphere. Privacy was prioritized by setting up an enclosed area for clinical examinations, with female health professionals leading the screening. Directional signages, handwashing points, sound systems, and seating arrangements were organized a day before the program to avoid delays.
Simple yet thoughtful touches—including welcome greetings, orderly ushering, and warm interpersonal engagement—helped women feel at ease upon arrival. Volunteers and staff were briefed to ensure sensitivity, confidentiality and courteous communication at all stages.
2.9 VOLUNTEER PREPAREDNESS
Volunteers played an essential role in the success of the outreach. NNF mobilized volunteers from youth groups, partner organizations and the community to support registration, ushering, crowd control, documentation and assistance for health professionals where needed. Prior to the event, a briefing session was held to orient volunteers on:
• Roles and responsibilities
• Flow of activities and participant movement
• How to support women with discretion, empathy and respect
• Cultural sensitivity and confidentiality
• Emergency response and escalation channels
The session also reinforced the importance of compassion, patience and professionalism, given the emotional sensitivity of breast–related discussions. Volunteers were encouraged to be observant, supportive and approachable, enabling women to ask questions or seek clarification freely.
2.10 RISK MITIGATION AND CONTINGENCY PREPARATION
Given the short preparation period, risk management was crucial. Anticipated risks included low turnout, skepticism from community members, weather disruption, delays in screening flow, and shortage of supplies. To mitigate these risks:
• Community mobilization was intensified within the last three days
• Backup seating and shade options were arranged for overflow
• Extra consumables were sourced to avoid shortages
• Volunteer roles were designed to absorb possible last–minute changes
• GAMADA supported with security and on–ground coordination
• RFCA–Ghana prepared additional screening kits
These measures helped minimize disruptions and ensured a smooth process on the event day.
2.11 CHALLENGES AND LESSONS LEARNT
Despite the success of the outreach, the planning and preparation process was not without challenges. These challenges, however, became moments of learning that strengthened collaboration and offered valuable insight for improving future interventions.
One of the most significant limitations was the short planning period, which placed considerable pressure on partners to mobilize resources, align schedules, and secure sponsorship within a limited time. Working within less than two weeks required faster decision–making, adaptability and trust among collaborators. While the team rose to the occasion, earlier planning would have enabled wider engagement, increased sponsorship, and potentially greater coverage.
Another challenge was deferred hope from prospective sponsors. Some organizations that initially expressed willingness to support the initiative did not confirm or deliver assistance on time. This created financial uncertainty and forced partners—especially NNF and Rotary—to step in swiftly to secure essential items. Although these last–minute adjustments were successfully handled, they highlighted the importance of diversifying funding sources and initiating sponsorship engagements much earlier.
Additionally, unexpected costs emerged during the planning phase. These included logistics top–ups, volunteer support needs, printing and publicity materials, extra refreshments and contingency supplies. While partners absorbed most of these additional costs, it reinforced the need for a modest contingency budget for future programs of this nature.
On a positive note, the challenges revealed the resilience and dedication of everyone involved. Partners demonstrated flexibility, resourcefulness and a genuine spirit of service. The experience strengthened relationships and trust among organizations and showed that when a cause is meaningful and urgent, committed people will always find a way.
Several key lessons emerged:
• Early planning is essential to allow deeper engagement and stronger sponsorship outcomes.
• Partnerships thrive when roles are clear and communication is intentional, even within short timelines.
• Community–led mobilization is powerful; when trusted local actors lead sensitization, women respond with openness and confidence.
• Warm, human–centered delivery makes a difference. Women felt safe, respected and emotionally supported, which strengthened the overall impact.
These lessons will inform improvements in future community health interventions, making them more efficient, more inclusive and even more impactful.
2.12 CHAPTER SUMMARY
The planning and preparation stage of the Ga Mashie Breast Cancer Awareness and Screening Outreach was defined by urgency, collaboration and commitment. Although the time frame was limited, partners came together with a shared sense of purpose that enabled careful planning, effective stakeholder engagement and meaningful community mobilization.
Through virtual and physical planning engagements, the team aligned on a unified vision and clear distribution of roles. Stakeholders—including community structures, faith institutions, women’s groups, media platforms, and health professionals—played an essential part in ensuring acceptance, turnout and successful implementation. The challenges faced became stepping stones for growth, strengthening partnerships and inspiring a deeper sense of shared responsibility.
Ultimately, the planning journey reflected the heart of the intervention itself: coming together, supporting one another, and acting quickly to protect the wellbeing of women. It showed that with dedication, collaboration and compassion, even limited time and resources can be turned into a meaningful opportunity for change.
3.1 EVENT DAY OPENING SCENE
The morning of the outreach began with a calm, refreshing breeze sweeping across the Ga Mashie Development Agency courtyard, carrying with it the familiar sounds of the community slowly coming to life. By 9:30am, a few women had already begun to arrive, some walking in small groups, others accompanied by daughters, sisters, neighbors or friends. Their attire reflected the cultural character of Ga Mashie – a mix of neatly pressed African print dresses, kaba and slit, modest skirts, headscarves, and simple casual blouses with sandals. There was a sense of quiet anticipation in the air, as if each person carried a personal reason for being there.
Soft gospel music blended beautifully with gentle Ga cultural instrumentals playing in the background, setting a warm and reassuring atmosphere. The music created a comforting sense of familiarity, reminding the women that this space was part of their community, not a hospital or intimidating health setting. Volunteers stood at the entrance with warm smiles, greeting women respectfully in local dialect and offering directions to the registration area. Their presence helped ease initial tension, supporting those who walked in shyly or with hesitant steps.
As more women arrived, the courtyard began to fill steadily. Girls as young as fourteen walked in with their mothers and aunties, some curious, others quiet but visibly observant. Older women greeted familiar faces with embraces and cheerful conversation, occasionally teasing one another about who would be “brave enough” to be examined first. Yet beneath the light moments lay a mix of emotions—anxiety for some, quiet fear for others, and for many, a quiet courage that had brought them out that morning. Some women sat quietly, hands clasped, listening to the music as if drawing strength from it.
By the time the clock approached 10:00am, a vibrant wave of energy had begun to take shape. The seating areas filled, volunteers assisted latecomers to settle in comfortably, and an usher invited women with physical limitations to sit closer to the screening point. A soft but confident voice from the MC offered a warm welcome, acknowledging the women’s presence and thanking them for choosing to priorities their health. Her tone was gentle, reassuring and respectful — a voice that sounded like one of their own, removing the formality that often accompanies health programs.
The courtyard shifted gradually from quiet anticipation to an atmosphere of unity and purpose. Laughter, light conversation and the rhythmic tune of the music created a sense of sisterhood among the women present. There was no rush, no pressure — just a growing sense of collective courage, strengthened by the knowledge that they were not facing this alone. Even before a single speech was made or a screening had taken place, the environment already felt transformative. The day had begun not as a hospital-like procedure, but as a shared experience of learning, healing, and empowerment.
While the women settled in, partners, dignitaries and invited guests began to arrive, greeted with respectful acknowledgements and ushered to their designated seating. The arrival of community leaders, health partners and representatives brought an added sense of significance to the day, yet the atmosphere remained warm, inclusive and distinctly community-owned. It was clear from the beginning that this was more than a health screening. It was a moment of collective care — a day where women from Ga Mashie chose themselves, their wellbeing, and their future.
3.2 OVERVIEW OF THE EVENT
The Breast Cancer Awareness and Screening Outreach held at the Ga Mashie Development Agency courtyard on 19th October 2025 was designed as a community-based health intervention centered on early detection, education and empowerment for women and girls. The event brought together more than 400 participants, ranging from young adolescents to older women, with the aim of increasing knowledge on breast health, reducing fear and stigma surrounding screening, and providing free access to clinical breast examinations and counselling.
The outreach was organized during Breast Cancer Awareness Month to reinforce national and global advocacy efforts promoting early detection. The program was coordinated by the Nurture Nature Foundation (NNF) in partnership with the Ga Mashie Development Agency (GAMADA), the Rotary Club of Accra Premier and Run for a Cure Africa – Ghana, with support from selected community structures, volunteers, media partners and local stakeholders.
The event followed a well-structured flow that integrated health education, clinical screening, psychosocial support, community engagement and recreational activities. Participants passed through key stages, including:
• Registration and welcome
• Health talk and education on breast cancer and self-examination
• Clinical breast screening and counselling by trained female health professionals
• Referrals and follow-up advice for suspected cases
• Engagement and interactive wellness activities
• Refreshments and social interaction opportunities
To create a safe, inclusive and reassuring environment, the program was delivered in English, Twi and Ga, ensuring that women could participate confidently regardless of literacy level or language preference. Health professionals used simple, relatable language to explain symptoms, screening procedures, myths and misconceptions, and the importance of early detection.
The involvement of respected community figures, including traditional leaders, health advocates and partner representatives, contributed to the confidence and credibility of the outreach. Their messages emphasized collective responsibility, self-awareness and the value of supporting women’s health within families and communities.
In alignment with the program’s community-centered approach, the event also integrated entertainment and wellness activities to foster joy, connection and emotional relief. Activities such as chair dancing, quizzes and dance competitions created laughter, strengthened social bonding and helped reduce tension surrounding health examinations. Prizes and refreshments were offered to participants, reinforcing a sense of care, hospitality and appreciation.
Overall, the event achieved its core objectives by increasing awareness, building confidence, reducing stigma, and encouraging early screening behavior among women in Ga Mashie. It also strengthened collaboration between health and community actors and reinforced the belief that preventive healthcare can be delivered in a compassionate, culturally grounded and community-owned manner
3.3 PROGRAMME FLOW AND KEY COMPONENTS
The program followed a carefully structured sequence that balanced spiritual grounding, education, emotional reassurance, community engagement and clinical service delivery. This thoughtful flow helped prepare women mentally and emotionally before the screening, strengthened trust in the process and allowed for a positive and empowering experience for all participants.
The program commenced with an opening prayer, inviting God’s presence into the gathering and easing the hearts of those who arrived with anxiety or uncertainty. The prayer set a respectful and reflective tone, reminding participants that caring for one’s health is also an act of stewardship and gratitude for life.
The Master of Ceremonies (MC) then welcomed all present, acknowledging the courage of the women who attended and appreciating their decision to priorities their wellbeing. The MC’s warm personality and inclusive language helped to build immediate rapport, ensuring the women felt seen, respected and valued. This was followed by the introduction of dignitaries, partners and invited guests, which helped situate the outreach within a wider network of organizations committed to women’s health and community development.
A brief opening address by a representative of GAMADA affirmed the importance of the initiative to the Ga Mashie community. The address emphasized that the program aligned with the Agency’s commitment to community welfare and the empowerment of women. GAMADA encouraged participants to take advantage of the opportunity and assured them of the Agency’s continuous support for initiatives that promote health, education and community upliftment.
The next segment featured solidarity remarks from the Rotary Club of Accra Premier, highlighting Rotary’s commitment to advancing health and social impact. This was followed by the main health education session, led by Run for a Cure Africa – Ghana. This session formed the heart of the program’s educational component. The facilitator demystified breast cancer using relatable language and examples. She discussed early warning signs, risk factors, myths and misconceptions, and explained how to perform self-breast examinations at home. Demonstrations were done with sensitivity, respect and cultural awareness, ensuring clarity without discomfort.
Participants listened attentively, many nodding in acknowledgement as myths they once believed were addressed. The session created a safe space for questions, allowing women to voice concerns that are rarely spoken about publicly. The health talk calmed fears, strengthened understanding and encouraged early action. A short solidarity message from a Ghana Health Service representative reinforced the importance of early detection and encouraged women to seek routine screening beyond the outreach.
A brief cultural and inspirational musical interlude followed, enabling participants to relax and breathe after the emotionally sensitive discussions. The interlude helped lift the atmosphere, keeping the space warm, reflective and hopeful.
With the women now informed, reassured and mentally prepared, the screening exercise was officially opened. Participants were guided gently through the screening process, which took place in designated private areas to uphold dignity and confidentiality. Professional female health personnel conducted the examinations, supported by counsellors who were available to offer immediate guidance or comfort where needed. Women identified with potential concerns were given referral advice for follow-up care.
While screening took place, a parallel set of engagement and wellness activities unfolded for women awaiting their turn. These included an energizing chair dance session, a spirited dance competition and a breast health quiz with small prizes. These activities were more than entertainment; they helped ease tension, reinforced learning, fostered sisterhood and allowed women to share moments of joy and courage together. The sound of laughter, claps, cheers and music transformed what could have been a tense waiting period into one of bonding and collective empowerment.
The program concluded with closing remarks and a vote of thanks, appreciating partners, volunteers, health professionals, community leaders and the women who participated. The atmosphere at the end of the event was lighter, joyful and filled with relief and gratitude. Refreshments were shared, creating space for social interaction, reflections and informal conversations that helped women process their experience more comfortably.
3.4 KEY PERSONALITIES AND SPEECHES
The presence and contributions of key personalities added depth, credibility and inspiration to the outreach. Their messages spoke to the hearts of the women gathered, combining encouragement, cultural wisdom and a shared call to priorities health. Each speaker brought a unique perspective that strengthened the purpose and spirit of the program.
Regional Rotary District Governor – Nana Yaa Siriboe
Nana Yaa Siriboe delivered a heartfelt message on the significance of women taking proactive steps in safeguarding their health. She commended the courage of the women who attended and reminded them that early screening is an act of self-love and responsibility. Her words reflected Rotary’s strong commitment to advancing women’s health across communities.
She stated, “Your health defines your strength and peace of mind. When you choose to check early, you choose life, and you choose a future that your family can depend on.”
Her message inspired many, reinforcing the importance of regular check-ups and shedding the fear surrounding breast cancer conversations.
Rotary Club of Accra Premier President – Chaurasia Kailash
Chaurasia Kailash spoke with warmth and sincerity, emphasizing that Rotary’s involvement goes beyond charity. He highlighted the value of partnership and collective effort in driving meaningful community change. His remarks encouraged community ownership and unity in addressing breast cancer.
He noted, “Rotary stands with communities, not above them. We are here to walk with you, support you and ensure that no woman feels alone in her journey to better health.”
His message strengthened the spirit of collaboration and underscored that preventive health must be a shared priority.
Media Personality – Space Clottey
Space Clottey, known for his connection to the Ga community, spoke passionately about breaking silence and stigma surrounding women’s health. He urged women to speak openly, seek knowledge and support one another. His presence reinforced the value of community voices in shifting mindsets.
He encouraged, “Let us talk about breast health at home and in our community without shame. If we stay silent, we give fear more power. When we speak, we save lives.”
His delivery resonated deeply, especially with younger women and mothers.
Peter Asiedu – Community Development Advocate
Peter Asiedu reflected on the importance of health education as a tool for empowerment. He encouraged participants to become ambassadors of awareness in their homes and social circles, reminding them that change begins with one informed person.
He shared, “What you learn today is not for you alone. Share it with your sisters, neighbors and daughters. Knowledge grows stronger when we pass it on.”
His words inspired a sense of duty and ripple-effect advocacy.
Rose Ohuegbe – Women’s Empowerment Advocate
Rose Ohuegbe spoke with compassion, focusing on emotional wellbeing and the psychological realities women face when confronting health fears. She reassured women that seeking help is not a sign of weakness, but of strength.
She said, “Do not wait until pain pushes you to act. Your life matters, your body matters, and your wellbeing is worth your time and attention.”
Her message connected with many women who quietly admitted to postponing health checks due to fear or family responsibilities.
Traditional Leader – Numo Okassa Diaka II, Chief Priest
The presence of Numo Okassa Diaka II gave cultural weight and traditional endorsement to the program. His message bridged tradition and modern health practice by affirming that seeking medical help aligns with protecting the body, which is a gift from God and the ancestors.
He stated, “Life is sacred. To care for your body is to honor God and our forefathers. Screening is not a taboo; it is wisdom. Do it so you may live long and well.”
His culturally rooted endorsement helped dispel myths and reassured women that screening was acceptable and respected within the Ga tradition.
3.5 ENGAGEMENT, WELLNESS AND FUN ACTIVITIES
In addition to the educational and clinical components, the outreach was designed to create a joyful and supportive atmosphere that promoted emotional wellbeing. Recognizing that conversations about breast cancer can trigger fear, anxiety or distress, the team incorporated wellness and recreational activities to help women relax, connect and experience the day with a sense of warmth rather than worry.
The first engagement activity was the chair dance session, which infused the courtyard with laughter and excitement. Women participated eagerly, moving rhythmically from their seats to the upbeat gospel and Ga cultural music playing in the background. Even those who were initially shy found themselves swaying, smiling or cheering others on. The activity eased tension and replaced apprehension with collective joy and sisterhood.
This was followed by a lively dance competition, which drew enthusiastic participation from women of different age groups. The energy in the courtyard was infectious, with cheers, claps and supportive chants filling the air. The activity provided a refreshing emotional balance to the day, reminding participants that caring for one’s health does not always have to be a somber experience — it can be joyful, communal and uplifting. Winners received small prizes, symbolizing appreciation and recognition of their courage, spirit and participation.
A breast health quiz was also organized to reinforce key messages from the health talk. The quiz helped assess how well participants understood the information shared. Women answered questions confidently, demonstrating improved knowledge of breast cancer warning signs, myths, risk factors and self-examination techniques. Small rewards were given to those who answered correctly, encouraging active learning. This approach transformed health education into an interactive and memorable experience.
These engagement activities not only reduced anxiety related to screening, but also strengthened social connections among participants. Many women expressed gratitude that the outreach went beyond medical examinations to cater for their emotional and psychosocial wellbeing. The laughter, bonding and collective encouragement created a safe and supportive environment that many described as “healing in itself”.
3.6 REFERRALS, FOLLOW-UP AND POST-SCREENING SUPPORT
Beyond the screening and wellness activities, the program placed strong emphasis on follow-up support for women who required further medical attention. Trained female health professionals and counsellors handled the screening process with empathy, confidentiality and respect. Women were spoken to privately, ensuring that no one felt exposed or stigmatized.
A number of women were identified during the screening as requiring additional medical assessment. These individuals were gently guided on the next steps, provided with referral information and encouraged to follow up at designated health facilities for further examination. Counsellors offered emotional reassurance and answered questions to reduce fear and uncertainty surrounding referrals.
The referral approach prioritized dignity and compassion. Rather than simply informing women of a concern, the team ensured they felt supported, understood and accompanied in the process. Participants were encouraged to view referral not as a cause for alarm, but as a proactive step toward clarity, early care and wellbeing.
To strengthen continuity of care beyond the one-day outreach, a follow-up plan was initiated between NNF, RFCA-Ghana and local health contacts. Women who received referrals were informed that they could reach out for guidance or support if needed. The intention was to prevent women from feeling isolated or overwhelmed after leaving the venue, recognizing that the emotional weight of such news can be difficult to process alone.
Many women expressed relief that the screening was conducted in a respectful, gentle and caring manner. Some shared that they had long feared breast checks, but the positive experience had changed their perception, giving them courage to continue caring for their breast health regularly. Others noted that they felt empowered to speak with their daughters, friends and neighbors about early detection.
The combined approach of education, screening, emotional support and referrals ensured that the outreach was not limited to a one-time event, but served as a doorway to sustained health–seeking behavior and long-term wellbeing.
3.7 COMMUNITY RESPONSE AND ATMOSPHERE
The atmosphere throughout the outreach was warm, supportive and reflective of the strong sense of community within Ga Mashie. From the early hours of the morning until the closing moments, the courtyard remained energized with a blend of learning, laughter, reflection and collective encouragement. Women interacted freely, shared personal experiences and reassured one another as they waited for screening. Many expressed that the environment felt safe, comforting and culturally familiar, which helped them engage more openly with the program.
The presence of traditional, civic and health leaders fostered trust and reinforced the legitimacy of the initiative. Their involvement bridged cultural values with modern health practices, making the outreach feel both community-owned and professionally grounded. Women appreciated that leaders they respected had endorsed the program, making it easier to overcome fears or reservations surrounding breast examinations.
The integration of music, interactive sessions and psychosocial support made the day memorable. Participants described the outreach as “eye-opening”, “timely” and “a blessing for the community”. Several women voiced gratitude that the event took place in their own neighborhood, removing the financial and emotional barriers associated with travelling to hospitals for screening. Younger participants also expressed that the initiative had empowered them with knowledge they had never received in school or at home.
A remarkable outcome of the day was the shift in attitudes toward breast health. Many women, after completing the screening and counselling, encouraged others still waiting in the queue. Some volunteered to share their personal experiences with fear, courage and relief, enabling other participants to see screening as a shared journey rather than an individual struggle. The sense of sisterhood that emerged strengthened the emotional impact of the outreach.
3.8 CHAPTER SUMMARY
The event day was a rich blend of health education, emotional support, cultural identity and community empowerment. It demonstrated that an effective breast cancer outreach requires more than screening alone. By incorporating spiritual grounding, clear communication, compassionate service delivery, wellness activities and community leadership, the program created a holistic experience that honored the dignity and wellbeing of every woman present.
From the early arrival of participants to the final moments of shared refreshments and conversations, the outreach fostered a culture of awareness, courage and collective responsibility. Women left the venue not only informed, but uplifted, encouraged and more confident to priorities their health. The program succeeded in transforming apprehension into action, fear into knowledge and silence into dialogue.
The chapter reinforces a key lesson: when health interventions are approached with empathy, cultural sensitivity and community partnership, they become more than an event—they become a movement for lasting behavioral change.
Saving Lives Through Early Detection: Ga Mashie Breast Cancer Outreach – One-Page Impact Summary
On 19 October 2025, over 400 women and girls in Ga Mashie gathered to learn, share, and take a courageous step toward protecting their health. For many, it was their first-ever breast screening. The day was filled with learning, relief, laughter, and renewed hope. The outreach demonstrated that early detection is not only a medical necessity but a lifeline for women, families, and communities.
The Challenge
Breast cancer remains the leading cause of cancer-related deaths among women in Ghana, with the majority of cases detected at late stages when recovery is difficult and costly. Cultural stigma, fear, misinformation, limited access to screening, and financial barriers prevent many women from seeking help early. In low-income, traditional communities like Ga Mashie, the silence around women’s health is even more pronounced. Many women suffer quietly, unsure where to seek support.
The Intervention
The Nurture Nature Foundation (NNF), in partnership with the Ga Mashie Development Agency (GAMADA), Rotary Club of Accra Premier, and Run for a Cure Africa – Ghana, organized a free Breast Cancer Awareness and Screening Outreach at the GAMADA Courtyard in Ngleshie–Jamestown. The program combined:
• Breast health education and myth–busting
• Clinical screening and counselling by professional female health staff
• Psychosocial support and guidance on referral pathways
• Wellness and engagement activities to create a safe, joyful atmosphere
The outreach was designed to reduce fear, increase knowledge, and bring life-saving screening directly into the community.
Key Outcomes and Impact at a Glance
• 400+ women and girls reached with awareness, screening, and counselling
• Women aged 14 to 55 participated, promoting early health awareness across generations
• Screening conducted in a respectful, private, and culturally sensitive manner
• Women requiring further medical assessment received referral guidance
• Increased confidence and willingness to seek future screening
• Strengthened partnerships between health, community, and development stakeholders
• Shift in attitudes from fear to proactive health-seeking behavior
A Human Moment from the Day
One participant shared softly after her screening:
“I was afraid to come, but today I feel lighter. I understand my body more, and I will not wait in silence again.”
– Participant, Ga Mashie
Her words echoed the feelings of many women who left not only screened but empowered.
Alignment to the Sustainable Development Goals (SDGs)
| SDG | Contribution |
|---|---|
| SDG 3 – Good Health and Well-Being | Promoted early detection, education, screening, and referrals |
| SDG 5 – Gender Equality | Empowered women with health knowledge and bodily autonomy |
| SDG 10 – Reduced Inequalities | Free screening in a low-income community increased access to care |
| SDG 17 – Partnerships for the Goals | Cross-sector collaboration strengthened local health response |
Why Partner With Us
Your partnership can help sustain and expand this life-saving initiative. By supporting early detection programs, donors help:
• Save lives through timely intervention
• Reduce the financial and emotional burden of late-stage cancer
• Empower women with knowledge and confidence
• Strengthen community health systems and resilience
Every contribution—financial, material, or technical—multiplies the number of women reached, educated, screened, and supported.
A Call to Action
We invite donors, corporate bodies, foundations, and development partners to join us in scaling this initiative to other underserved communities across Ghana. Together, we can ensure that no woman suffers in silence and that early detection becomes a right, not a privilege.
CHAPTER FOUR: MONITORING, EVALUATION, OUTCOMES AND IMPACT
4.1 MONITORING AND EVALUATION APPROACH
Monitoring and evaluation (M&E) formed an integral part of the outreach to ensure that activities were delivered as planned, outcomes were measured, and lessons were captured for continuous improvement. A light but structured M&E approach was adopted, appropriate for a community-based, one-day intervention of this nature. The approach blended observation, participant feedback, attendance tracking and post-event reflections to assess effectiveness and identify areas for growth.
Monitoring began at the planning stage, where partners aligned expected outputs, target beneficiaries, roles and responsibilities. On the event day, attendance was recorded at registration to track the number of participants reached, as well as the age range and basic demographic profile of the women who took part. Volunteers and organizers observed participant engagement, emotional responses, level of understanding during educational sessions and the general flow of activities. These observations helped assess whether the program was meeting its objectives of creating a safe, welcoming and empowering environment.
Informal feedback was collected through short conversations with participants during and after screening. Many women were willing to share their experiences, ask questions and express how the sessions had impacted them. These reflections provided valuable insight into participants’ emotional journeys, knowledge gained and areas where further education would be beneficial.
Following the event, the organizing team held a reflective debrief to review what worked well, challenges encountered, participant reactions and future improvement opportunities. The discussion enabled a deeper understanding of both operational and emotional aspects of the outreach, ensuring that future initiatives build on this foundation of learning.
Together, these monitoring processes created a holistic picture of the program’s performance—highlighting both achievements and areas for strengthening, while staying rooted in the human experience of the women served.
4.2 KEY OUTCOMES AND IMPACT ACHIEVED
A. PARTICIPATION AND REACH
The outreach successfully reached over 400 women and girls from the Ga Mashie community, marking a significant achievement given the short planning period. Participants ranged from young adolescents of about fourteen years to older women in their fifties, demonstrating the initiative’s ability to engage multiple generations.
A notable outcome was the strong turnout from young women and first-time screeners. Many had never attended a breast screening before, highlighting the importance of taking screening services directly into communities. A considerable number of older participants also shared that although they had heard about breast cancer, they had never received guidance or clinical checks due to fear, cultural silence or financial constraints.
The intergenerational attendance strengthened the outreach’s impact. Younger girls expressed that the experience had opened their eyes to the importance of early health awareness, while older women shared that they now felt more confident discussing breast health with family members. The presence of mothers and daughters attending together created a powerful ripple effect for sustained behavioral change within households.
The collaborative involvement of community, health and development partners also enhanced the program’s reach. The participation of respected local figures, media stakeholders and civic organization’s increased trust and contributed to the strong mobilization. Word-of-mouth influence and community endorsement played a key role, with many women noting they attended because someone they trusted encouraged them to do so.
By the end of the program, there was a visible shift in attitudes. Many participants expressed relief, gratitude and an increased willingness to seek screening regularly. The day not only reached a large number of women, but transformed the way they viewed their bodies, their health and their right to seek care.
4.2 KEY OUTCOMES AND IMPACT ACHIEVED (Continued)
B. KNOWLEDGE, ATTITUDE AND BEHAVIOUR CHANGE OUTCOMES
One of the strongest impacts of the outreach was the noticeable shift in knowledge, attitudes and intentions surrounding breast health. Prior to the health talk, informal conversations revealed that many women held misconceptions about breast cancer, including beliefs that it was caused by spiritual attacks, physical contact, or only affected older women. A number of participants also expressed fear of screening due to anticipated pain, stigma or the belief that “it is better not to know”.
The education session successfully addressed these misconceptions. Health professionals presented facts in simple and relatable language, using everyday examples to clarify warning signs, risk factors and self-examination practices. Demonstrations allowed women to visually understand how to check their breasts at home. Participants were engaged, asked thoughtful questions and showed increasing confidence in discussing breast health openly.
A significant portion of attendees reported that they learned something new during the session, particularly about early detection and the importance of monthly self-breast examination. Some noted that they had previously believed breast cancer was always fatal, but now understood that early detection gives women a higher chance of recovery and survival. Many expressed a commitment to regular self-checks and to encouraging their sisters, friends, and daughters to do the same.
Fear among participants noticeably reduced. Women who were initially anxious later shared that the supportive environment and reassurance from health professionals eased their worries. Some participants who had not intended to be screened eventually changed their minds after listening to the education session and observing others’ courage. This behavioral shift demonstrated increased trust in screening and a stronger willingness to engage in proactive health-seeking actions.
Importantly, the outreach empowered women with body awareness and autonomy. Participants left more informed, confident and motivated to take charge of their health and to break the silence often surrounding women’s medical concerns within households. This change in mindset is likely to influence long-term behavior and spark wider community awareness.
4.3 QUALITATIVE FEEDBACK AND PARTICIPANT REFLECTIONS
The feedback received during and after the outreach revealed powerful emotional and personal reflections from participants. Many women described the program as timely, eye-opening and life-changing. Their voices captured the human impact beyond the statistics.
Common themes from participant reflections included:
• Relief and Reassurance:
A number of women expressed that the outreach had removed long-standing fear associated with screening. Being examined in a safe, respectful and culturally sensitive space provided comfort and peace of mind.
• Increased Confidence and Self-Empowerment:
Participants shared that they now felt more confident talking about breast health and performing regular checks. Several noted that the session gave them courage to teach others.
• Gratitude for Community-Based Access:
Many women appreciated that the program came to their doorstep, highlighting that cost, distance and time often hinder clinic visits. The convenience allowed them to attend without losing income or needing transport.
• Emotional Support and Sisterhood:
Women commented on the warmth, laughter and sense of togetherness created during the engagement activities. Some shared that the joy in the courtyard helped them forget their worries and feel supported.
A few illustrative reflection lines include:
• “I was nervous when I came, but now I feel free. The nurses were kind and gentle, and I am glad I checked.”
• “Today I learned how to examine myself. I will teach my daughters so they grow up knowing this early.”
• “If this program had not come close to us, I would not have gone anywhere for screening. This has helped me a lot.”
These reflections show that the outreach did more than provide screening—it shifted mindsets, restored confidence, and created a nurturing community experience around women’s health.
4.4 SHORT-TERM, MEDIUM-TERM AND LONG-TERM IMPACT
The outreach generated a range of short-term, medium-term and anticipated long-term impacts for participants and the wider Ga Mashie community.
Short-Term Impact
The immediate effects of the program were clearly visible on the event day. Women gained breast health knowledge, received clinical screening and left with increased confidence to priorities their wellbeing. Fear surrounding breast cancer reduced significantly, and many participants expressed relief after undergoing screening. The outreach also strengthened community connectedness, promoted dialogue on women’s health and fostered a supportive environment where participants encouraged one another.
Medium-Term Impact
In the weeks that follow, the behavioral influence of the outreach is expected to continue. Participants are now more aware of the importance of regular self-examination and clinical screening. Many expressed intentions to share the information gained with family and friends, which is likely to expand awareness within households and social networks. Women who were referred for further assessment are more likely to seek follow-up care due to the guidance and reassurance received. The increased openness about breast health is expected to reduce silence and stigma surrounding screening and create a gradual cultural shift within Ga Mashie.
Long-Term Impact
In the long term, the outreach has potential to contribute to a sustained culture of proactive health-seeking behavior among women in the community. By empowering adolescents and younger women early, the initiative may help normalize regular screening for future generations. Strengthened partnerships between health actors and community structures also lay the foundation for future collaborations in women’s health. As more women access screening early, the community may see reduced late-stage breast cancer cases and improved overall wellbeing for women and families.
4.5 MONITORING AND EVALUATION LIMITATIONS
While the monitoring and evaluation process provided valuable insights, a few limitations were noted. The short planning period limited the scope of pre-event data gathering and reduced the opportunity for baseline assessments on women’s knowledge or attitudes prior to the outreach. In addition, feedback collected was largely informal and qualitative, as time and resources did not allow for structured surveys or evaluation tools.
Although a significant number of women shared their reflections, it is possible that some participants who were shy or emotionally affected did not express their full experiences openly. Furthermore, follow-up tracking for referred participants could benefit from a more systematic approach to ensure continuity of care and to gather long-term impact data. Future outreaches would benefit from a simple pre- and post-evaluation form and a designated monitoring volunteer to support data capture more effectively.
4.6 SUSTAINABILITY AND SCALE-UP POTENTIAL
Sustainability was a core consideration throughout the outreach. The initiative was designed not as a one-time event, but as a spark to ignite lasting change in knowledge, attitudes and health-seeking behavior among women in Ga Mashie. There is strong potential for sustainability across three levels: community, partnerships and program scale-up.
At the community level, the involvement of women’s groups, youth leaders, religious institutions and respected figures such as traditional leaders created collective ownership. These community actors are now better equipped to continue sensitization and encourage regular screening. The intergenerational participation also means younger girls can sustain the message into the future.
At the partnership level, the successful collaboration between NNF, GAMADA, Rotary Club of Accra Premier, RFCA–Ghana and supporting institutions demonstrated an effective model for cross-sector engagement. Strengthening these partnerships and involving local clinics more directly can lead to regular outreach sessions, support groups and periodic screening drives.
At the program expansion level, the initiative can be scaled to other communities with similar needs. By refining the model—through earlier planning, stronger sponsorship pipelines, enhanced M&E tools and continuous community engagement—the outreach can be replicated across the Greater Accra Region and beyond. The experience gained from the Ga Mashie outreach provides a foundation for developing a structured breast health program that includes awareness, screening, referral support and psychosocial care.
CHAPTER SUMMARY
This chapter has demonstrated the meaningful outcomes of the outreach across knowledge, screening, emotional support and behavior change. It highlighted how a community-centered approach that blends health services, empathy, cultural sensitivity and partnership can inspire long-term positive change. Although limitations existed, the outreach succeeded in its mission to educate, empower and support women towards early detection and proactive health practices.
The experience confirmed that when healthcare is brought directly to the community, delivered with compassion and supported by trusted local voices, women respond with courage, openness and gratitude. This forms a strong foundation for ongoing impact and future scale-up.
CHAPTER FIVE: CHALLENGES, LESSONS LEARNT AND RECOMMENDATIONS
5.1 KEY CHALLENGES ENCOUNTERED
Although the Breast Cancer Awareness and Screening Outreach at Ga Mashie was successful and deeply impactful, it was not without challenges. These challenges provided valuable learning opportunities and highlighted areas for strengthening future initiatives. They are presented here in a reflective and constructive manner, acknowledging the realities of community-based interventions delivered within limited time and resources.
Short Planning Period and Compressed Timelines
The outreach was planned within a very short timeframe, which placed pressure on partners to mobilize resources, confirm roles and develop a cohesive program in less than two weeks. This limited the opportunity for broader stakeholder engagement, early sponsorship commitments and more extensive pre-event publicity. The success achieved under such compressed timelines reflected the commitment of the partners, but it also showed the need for earlier planning for future programs to deepen reach and operational efficiency.
Deferred Sponsorships and Budget Constraints
While several organizations initially expressed interest in supporting the outreach, some sponsorship commitments did not materialize in time. This created uncertainty around logistics, consumables and event materials. As a result, the burden of bridging funding gaps fell on the lead organizers and core partners, requiring last-minute adjustments to ensure that critical components of the outreach were not compromised. Although the team managed admirably, this challenge emphasized the importance of engaging multiple funding streams and confirming commitments early.
Minor Delays and On-the-Day Timing Pressures
Due to the volume of participants and the natural flow of community events, there were slight delays in starting the program and transitioning between some segments. The need to accommodate late arrivals and settle participants before commencing contributed to the adjusted timing. While this did not significantly disrupt the event, it highlighted the need for improved time management strategies and clearer communication to participants in advance.
Volunteer Capacity and Peak Period Pressures
During the height of the screening period, volunteers experienced increased pressure as more women arrived for registration, ushering and guidance. Although volunteers performed well, the ratio of volunteers to participants made it challenging at peak moments, particularly when managing queues and providing personal support to anxious women. This experience underscored the value of assigning additional volunteers or rotating support teams to maintain energy and care.
Screening Resource Limitations Due to High Turnout
The unexpectedly high turnout of over 400 participants placed demand on screening materials and the capacity of health personnel. While all women were attended to respectfully, the high numbers required careful resource management to avoid shortages and ensure that privacy, dignity and quality of service were upheld throughout the day. Future outreaches would benefit from planning screening capacity with a buffer above expected turnout.
Waiting Time and Participant Fatigue
Due to the turnout, some women waited longer than anticipated to be screened. For a few, commitments at home or work meant they left before the full process. Although engagement activities helped to reduce anxiety during the wait, waiting time remains an area for improvement. Strategies such as staggered arrival scheduling or additional screening personnel could help reduce waiting periods.
Technical and Sound Adjustments
There were minor sound system adjustments required during the program, particularly in balancing volume levels for speeches and music. While these technical issues were resolved quickly, they momentarily affected the smoothness of transitions during public speaking segments. Better pre-event technical checks and backup equipment would be helpful in future.
These challenges, while expected in a rapid community mobilization of this scale, did not overshadow the success of the outreach. Rather, they provided valuable insights that informed the lessons and forward-looking recommendations presented in the next sections.
5.2 LESSONS LEARNT
The outreach experience offered rich insights that will guide improvements for future community health interventions. These lessons reflect both operational and human dimensions of the program and highlight what contributed to its success as well as what can be strengthened.
Early Planning Deepens Impact
The success achieved within a short planning period demonstrated strong commitment and collaboration among partners. However, the experience confirmed that starting preparations earlier would allow for more structured mobilization, stronger sponsorship outcomes, more extensive publicity and wider engagement with stakeholders. Early planning also creates room for deeper community sensitization and pre-event education.
Partnerships Strengthen Implementation
The collective effort of NNF, GAMADA, Rotary, RFCA–Ghana and other stakeholders showed the power of partnerships in addressing community health. Each partner brought unique strengths—community entry, funding, clinical services, mobilization and media visibility. The outreach affirmed that when partners communicate openly, share responsibilities and maintain a spirit of service, implementation becomes smoother and impact becomes stronger.
Community Ownership Enhances Participation
The active involvement of GAMADA, faith-based leaders, women’s groups and local influencers proved essential in building trust and ensuring high turnout. Community ownership created a sense of pride and belonging, making the program feel like a shared mission rather than an external intervention. This reinforced the value of involving community structures at every stage—from planning to follow-up.
Compassion Creates Safe Spaces for Health Conversations
The day showed that breast cancer awareness is not only a medical issue but an emotional one. Women’s fears reduced significantly when greeted with warmth, empathy and reassurance. The gentle approach of health professionals, volunteers and speakers made women feel valued and respected. This affirmed that a compassionate, culturally sensitive tone is key when addressing health topics that carry stigma or fear.
Holistic Engagement Improves Learning and Confidence
Blending education with music, interactive activities and psychosocial support made the outreach memorable and reduced anxiety. Many women said the joy, laughter and activities helped them relax and gave them courage to be screened. This demonstrated that community health programs benefit from a holistic design that addresses emotional wellbeing, not just clinical needs.
Continuous Sensitization is Needed for Sustainable Change
Although knowledge improved, it was clear that one outreach alone cannot erase long-standing myths and fears. Ongoing sensitization—through churches, mosques, schools, radio, and community leaders—is needed to reinforce early detection practices as a “normal” and regular part of women’s lives. Sustainable change requires consistent messaging, role modelling and accessible screening pathways.
Volunteer Preparation is Crucial for Smooth Delivery
The briefing session helped volunteers manage their roles well, but the experience showed the value of additional training on crowd management, emotional support and communication for sensitive health discussions. Well-prepared volunteers elevate participant experience, especially during peak activity periods.
5.3 RECOMMENDATIONS FOR FUTURE INTERVENTIONS
The experience gained from the Ga Mashie outreach provides a strong foundation for enhancing future breast health initiatives. The following recommendations are proposed to strengthen planning, delivery, impact and sustainability going forward:
1. Start Planning and Resource Mobilization Earlier
Initiating planning at least 8–12 weeks ahead of the event will allow for stronger sponsorship acquisition, deeper community awareness and more structured coordination. Early engagement with partners and funders will also reduce last-minute financial pressure.
2. Strengthen Sponsorship Pipelines and Donor Engagement
Future outreaches would benefit from developing a sponsorship strategy that includes a wider pool of potential partners, tailored proposals and recurring donor relationships. Creating a small contingency fund would also help manage unexpected costs without stress.
3. Expand Volunteer Training and Increase Team Size
Recruiting additional volunteers and providing short training on participant care, queue management and emotional support will improve the event flow. Assigning volunteers to rotating roles can help prevent fatigue during peak screening hours.
4. Enhance M&E Tools for Better Data and Follow-Up
Introducing simple pre-and-post evaluation forms, feedback cards or digital surveys will provide more structured data on knowledge gained, behavioral change and participant satisfaction. A more systematic follow-up process for referred participants will help strengthen continuity of care.
5. Introduce Phased Screening or Appointment Slots
To reduce long waiting times, future outreaches could adopt a phased arrival system or booking slots where possible. This would help balance participant flow, reduce congestion and give more personalized care.
6. Increase Collaboration with Local Health Facilities
Partnering more closely with nearby clinics or hospitals will provide stronger referral pathways, regular check-up opportunities and possibly on-site medical support during the outreach. This linkage will improve follow-up and long-term health outcomes.
7. Expand Awareness Campaigns Beyond a One-Day Event
For deeper behavioral change, quarterly sensitization activities—through churches, mosques, schools, youth groups and media—will help reinforce messages. Radio discussions, social media content and community dialogues can maintain momentum and normalize routine screening.
8. Consider Including Mental Health and Family Support Elements
Breast cancer concerns often affect emotional wellbeing and family dynamics. Including short segments on emotional support, family involvement, caregiver guidance or testimonies can further strengthen resilience and community understanding.
9. Replicate and Scale to Other Underserved Communities
With improvements to planning and sponsorship, the model used in Ga Mashie can be replicated in other vulnerable communities across Greater Accra and beyond. Scaling through partnerships with district assemblies, Rotary clubs, women’s groups and health NGOs can extend impact nationwide.
10. Sustain Community Ownership and Leadership Involvement
Continuous engagement with GAMADA, community leaders, women’s groups and traditional authorities will help sustain the initiative as a community-driven effort. Training local champions or ambassadors to lead sensitization throughout the year will deepen long-term impact.
CHAPTER SUMMARY
This chapter outlined the challenges experienced during the outreach, the lessons they generated and practical recommendations for future programming. The reflections emphasize the importance of early preparation, strengthened partnerships, sustained awareness and a holistic, community-centered approach to women’s health. The outreach demonstrated that even within limited time and resources, meaningful change is possible when delivered with compassion, collaboration and cultural sensitivity.
The recommendations provided offer a realistic roadmap for enhancing future interventions and ensuring that breast cancer awareness and screening become more accessible, sustainable and impactful across communities.
CHAPTER SIX: CONCLUSION AND WAY FORWARD
6.1 CONCLUSION
The Breast Cancer Awareness and Screening Outreach at Ga Mashie stands as a meaningful reminder of what is possible when compassion, community and collaboration come together with a shared purpose. What began as a modest plan within a short preparation period evolved into a transformative experience that touched the lives of over 400 women and girls. The initiative demonstrated that early detection, when paired with education, empathy and community engagement, has the power to change attitudes, save lives and strengthen the fabric of a community.
The outreach affirmed that women are not passive recipients of care. When given the right information, a supportive environment and accessible services, they rise with courage, take ownership of their health and become advocates for others. Many women who walked into the courtyard with apprehension left with renewed confidence, knowledge and a sense of empowerment that extended beyond themselves. Mothers felt equipped to guide their daughters, friends encouraged friends, and women expressed a desire to sustain the message beyond the event day. This is the kind of empowerment that creates lasting impact.
The success of the initiative also highlighted the power of partnership. Nurture Nature Foundation, GAMADA, Rotary Club of Accra Premier, Run for a Cure Africa – Ghana, community organizations and leaders worked hand in hand to deliver an outreach that was holistic and culturally grounded. Each partner’s contribution was essential—community entry, health expertise, volunteer support, funding, mobilization and visibility all came together seamlessly. This synergy demonstrated that no single organization can achieve such impact alone, but together, collective strengths can drive meaningful change.
At the heart of this program was the message that early detection saves lives. Many participants shared that the knowledge gained had dispelled fear and replaced silence with understanding. For some, the screening provided clarity and relief; for others, it opened the door to timely follow-up care. By demystifying breast cancer and providing screening within the comfort of the community, the initiative bridged barriers that often delay early diagnosis.
Beyond health outcomes, the outreach ignited a sense of community transformation. Conversations emerged that had long been absent. Women laughed, danced, learned, reflected and supported one another. Faith leaders, traditional authorities and youth groups united behind a cause that affects families at their core. The courtyard became more than a venue; it became a space of healing, acceptance and renewed hope. Such collective awareness lays the foundation for behavioral change, stronger community health systems and a future where seeking early care becomes a norm, not an exception.
In essence, this outreach showed that change begins with one conversation, one screening, one act of courage—and multiplies when embraced by a community. It proved that when women are informed and supported, families are strengthened; when communities lead, barriers fall; and when partners unite, impact extends far beyond the day of intervention.
The journey does not end here. It begins here.
6.2 THE WAY FORWARD
Building on the momentum and valuable insights gained from the Ga Mashie outreach, the next phase requires intentional steps to sustain progress, strengthen partnerships and expand the impact to more communities. The way forward focuses on translating the success of this initiative into a structured, continuous and scalable model that promotes early detection, women’s empowerment and community health integrity.
Strengthening Continuous Community Engagement
Sustained awareness is essential to embed early detection practices into everyday life. Quarterly community sensitization sessions—through churches, mosques, schools, market associations and women’s groups—will help reinforce breast health knowledge and normalize screening. Community champions, including trained women volunteers, youth advocates and local leaders, will play a central role in sustaining the conversation throughout the year.
Formalizing Referral and Follow-Up Mechanisms
Future interventions will priorities stronger partnerships with local health facilities to support ongoing care. Establishing a simple referral and tracking system will ensure that women who require further medical review receive timely follow-up, counselling and support. This may include collaboration with hospitals, specialist centers or mobile diagnostic services to bridge accessibility gaps for low-income families.
Deepening Partnerships and Multi-Sector Collaboration
The outreach highlighted the value of collective action. Moving forward, deepening collaboration with health institutions, NGOs, CBOs, schools, corporate bodies, media houses and government agencies will enhance program quality and reach. Strategic partnerships can help secure resources, expand clinical capacity, support M&E systems and bring diverse expertise to scale the initiative.
Investing in Capacity Building and Volunteer Development
Training community volunteers, peer educators and youth ambassadors will strengthen future delivery. Capacity-building sessions on breast health, community mobilization, emotional care, communication and basic M&E will empower local groups to take more active roles in program implementation. Volunteer empowerment promotes sustainability, community ownership and long-term continuity.
Resource Mobilization and Long-Term Funding Strategy
To maintain and expand the outreach, a dedicated resource mobilization plan will be developed. This will include donor engagement, annual sponsorship drives, corporate CSR partnerships, grant applications and community fundraising initiatives. Long-term funding will support screening consumables, communication materials, professional services and scaling activities.
Scaling to Other Vulnerable Communities
The Ga Mashie outreach offers a replicable model for underserved communities across Accra and other regions. A phased expansion plan will be developed, beginning with communities that face similar barriers to screening. Each rollout will incorporate lessons learnt, stronger planning processes and a context-specific approach that respects local culture and community dynamics.
Introducing Periodic Outreach Campaigns and an Annual Breast Health Flagship Event
To create continuity and visibility, an annual flagship breast health event will be established every October to align with Breast Cancer Awareness Month. Smaller outreach campaigns throughout the year will reinforce the message, support early screening and keep awareness active beyond a single calendar period.
CHAPTER SUMMARY
The way forward recognizes that lasting transformation is achieved through consistency, strengthened systems and intentional collaboration. The Ga Mashie outreach was an important beginning—one that demonstrated what is possible when communities, institutions and partners unite with purpose. By building on this foundation, the initiative can evolve into a continuous, community-led program that improves health outcomes, nurtures confidence and protects the lives of women across Ghana.
CHAPTER SEVEN: BUDGET AND FINANCIAL OVERVIEW
7.1 DETAILED LINE-ITEM BUDGET (ACTUAL COST – GA MASHIE OUTREACH)
Currency: Ghana Cedis (GHS)
The table below presents a realistic cost breakdown of the Breast Cancer Awareness and Screening Outreach held at Ga Mashie. While some items were discounted or supported in-kind by partners, the values below reflect the typical true cost of organizing such an outreach to provide transparency for future planning and donor reporting.
7.1 DETAILED LINE-ITEM BUDGET (GHS)
| Cost Category | Description | Estimated Cost (GHS) |
|---|---|---|
| Publicity & Mobilization | Flyers, social media campaigns, community announcements | 1,800 |
| Venue & Setup | Chairs, canopy, seating arrangements, cleaning (Rotary Club donation of GHS 1,100) | 1,500 |
| Sound & Technical Support | PA system, music, technician support (additional for larger turnout) | 1,500 |
| Refreshments for Participants | Water, soft drinks, snacks for all attendees and volunteers (increased for large turnout) | 4,500 |
| Volunteer Support | Transport, lunch, tokens for 20 volunteers | 1,200 |
| Prizes & Engagement Activities | Dance competitions, quizzes, prizes | 500 |
| Media Coverage | TV, radio, and online reporting (TV3, Obonu TV, Atinka TV, Joy FM) | 2,500 |
| Photography & Videography | Documentation and editing | 1,400 |
| Miscellaneous/Contingency | Unexpected costs and minor logistics | 1,000 |
TOTAL ESTIMATED COST (EXCLUDING MEDICALS): GHS 13,400
Note:
- All medical costs were fully sponsored and managed by Run for a Cure Africa – Ghana, ensuring that participants received comprehensive screening and clinical support at no additional cost to the outreach.
- The Rotary Club of Accra Premier generously donated GHS 1,100 to cover the rental of chairs and canopies
FINAL REMARKS
The Breast Cancer Awareness and Screening Outreach at Ga Mashie has demonstrated the profound impact that a community-centered, culturally sensitive and professionally coordinated health initiative can achieve. Over 400 women and girls participated, gaining knowledge, reassurance, and access to life-saving screening services. The outreach was not only a medical intervention but a celebration of empowerment, community solidarity, and proactive health-seeking behavior.
This report has documented the planning, implementation, monitoring, outcomes, challenges, lessons, and financial considerations of the initiative. It highlights the courage of women who attended, the dedication of volunteers and health professionals, and the collaborative spirit of partners including Nurture Nature Foundation, GAMADA, Rotary Club of Accra Premier, Run for a Cure Africa – Ghana, media partners, and community leaders. Together, these actors created a safe, engaging, and transformative space for learning, screening, and emotional support.
The outreach reinforced several key truths:
- Early detection saves lives – empowering women with knowledge and access reduces late-stage diagnoses.
- Partnerships amplify impact – multi-sector collaboration strengthens reach, efficiency, and credibility.
- Community engagement is essential – trust, cultural sensitivity, and local leadership ensure acceptance and active participation.
- Holistic experiences deepen learning – integrating education with wellness activities, emotional support, and interactive engagement enhances knowledge retention and behavior change.
The program also illuminated practical pathways forward. Lessons on planning timelines, sponsorship engagement, volunteer capacity, resource allocation, and monitoring have been captured to strengthen future interventions. The hybrid budget models presented offer a roadmap for replication and scale-up, enabling partners and donors to plan sustainably while maintaining high-quality experiences for participants.
As Ghana continues to confront the challenge of breast cancer, community-based interventions such as this one are essential. They transform fear into awareness, silence into dialogue, and uncertainty into empowered action. The success of the Ga Mashie outreach is a testament to what is possible when compassion, collaboration, and commitment converge.
Moving forward, the initiative can be expanded, replicated, and sustained across other vulnerable communities, with continued engagement from donors, partners, health institutions, and community leaders. Together, we can ensure that women everywhere have access to knowledge, screening, and care—creating a healthier, stronger, and more empowered generation.