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Global Interventions To Raise Awareness About Breast Cancer Assessment Answer

Research Topic: Global Interventions To Raise Awareness about breast cancer in women in UK, India, and Bangladesh. 

Answer

1. Introduction

1.1 Research Background

Breast cancer is one of the most commonly diagnosed cancers worldwide at present and is the most common form of cancer in women currently.Number of women with different types and stages of breast cancer is increasing worldwide day by day along with enhanced range of risk factors and lack of clear understandable symptoms. 

Global Scenario:

Considering the global scenario, in 2019, over 268,600 new cases of breast cancer have been diagnosed among women, out of which almost 50,000 cases were associated with the ductal carcinoma in situ (DCIS) type of breast cancer that is of the most invasive nature (Cancer.org, 2020).Approximately 41760 deaths of women were due to breast cancer during 2019.As per the report provided by the WHO (World Health Organization), breast cancer is the most common form of cancer women in 154 countries out of 185 countries involved in the GLOBOCAN, 2018 list, containing aspects of countries facing the greatest burden of cancer (Who.int., 2018).Globally, 24.2% of all cancer cases of women (1 in every 4 cases of women cancer) are breast cancer and almost 15.0% of total deaths of women are due to breast cancer, which is followed by lung cancer (13.9%) and colorectal cancer (9.5%). Greater birth weight, alcohol consumption and high body fact are some of the main reasons of higher degree of breast cancer in women. As per contextual literature, Belgium has the highest breast cancer rate of women (113.2 per 100,000, age standardized rate), followed by Luxembourg (109.3) (World Cancer Research Fund, 2018). The alarming stage of spread of breast cancer in women worldwide is reflected from the fact that there were 2,088,849 new cases of breast cancer of women and 6, 26,679 deaths only in 2018 worldwide.

Figure 1: Region-specific incidents of breast cancer in women, 2018

(Source: Bray et al., 2018).

Scenario in the UK:

The facts of diagnosis of over 55,000 women with breast cancer each year the UK show severity of the disease among the UK women. In the UK 8 out of every 10 cases of breast cancer of women belong to the age of 50 and over, while one-quarter of cases are diagnosed in women with age 75 or over (Eccles et al., 2015).Almost over 10,000 women are diagnosed belonging to age under 50 each year, out of which 7,600 women belong to the age group of 40s. It is very significant to note that in the UK almost 9 out of every 10 women with breast cancer survive for 5 years or more. However, survival rate of women after breast cancer diagnosis has improved in last decades because of combination of improved treatment, care and earlier detection by targeting the focus groups (Breast Cancer Now, 2020).An average death of 11500 women each year due to breast cancer (almost 1000 deaths each month and 1 in each 45 minutes) has been reported in the UKalong with stating this 4th most common reason of death from cancer in the country. Severity of the scenario in the UK is also revealed from the fact that breast cancer has been the leading cause of death of women under 50 (Guo, Key and Reeves, 2018).

Breast cancer represented over 15% cases of overall cancer of women in the UK during 2017-2018, while nearly 55000 new cases of breast cancer of women were reported in 2017, where 24% of the cases were observed among women aged 75 and over. Considering a 23% increase of breast cancer in women in the UK during 1993-2017, this can be stated that overall risks for women there are increasing (Breast Cancer UK, 2020).Moreover, projected rise of incident rates in the UK women is 210 cases per 10,000 women in the UK by 2035 (Cancer Research UK, 2020). 

Scenario in India:

Mortality and prevalence of breast cancer of women is high in India among Asian countries, with reported diagnosis of 162,468 females during 2018-2019 representing 27.7% of all cancers in Indian women and over 11% of cancer deaths. Compared to western nations, epidemiology relating Brest cancer in Indian women is highly different and diagnosis or medical intervention mostly occurs at the age of 40-50 years (premenopausal stage). Only 1-8% of Indian women with breast cancer is at stage 1 disease, while 29-52% women present stage 3, followed 6-24% presenting stage 3 of the disease, which is of higher concerns considering high aggressiveness of the later stages (Bhattacharyya et al., 2020). While mortality associatingbreast, cancer is declining in west, this is increasing in Indian women.In India, females from younger age groups are more vulnerable to the risk of breast cancer, while 52% of all women suffered from the disease belong to the age 40-49 years, with considerable number of patients below 30 years. On the contrary, it has been argued that India has lower incidents of breast cancer of females compared to Western countries, to which lifestyle, dietary and reproductive factors of Indian women contribute much. According to Malvia et al., (2017), breast cancer has presently surpassed the rate of incidents of cervical cancer in Indian women, which previously was the most common form of cancer among Indian females. Higher mortality rate of Indian women suffering from the disease compared to west is another major area of concern with this regard.Moreover, as per WHO, India along with China and the US collectively accounts for one-third of overall women breast cancer burden globally mainly because of changing lifestyle of Indian women, changed food habits and speedy westernization.

Figure 2: Age-distribution based Mortality rate of Indian women suffering from breast cancer in different regions

(Source: Malvia et al., 2017)

Scenario in Bangladesh:

Breast cancer has become a hidden burden in Bangladesh accounting for 69% deaths of women with a rate of occurrence of 22.5% in Bangladeshi women aged 15-44 years. Breast cancer has the highest prevalence of 19.3/10, 0000 compared to all other types of cancer in the country. According to Bellah et al., (2016) increased fatness postmenopausal females, late menopause and lack of adequate awareness as well as lack of confidence on medical treatment are the key reasons for such speedy growth of breast cancer in Bangladeshi women.Akhtar, (2015) had identified higher trends of breast cancer among majority of the women belonging to younger age groups, while majority of the diagnosis are performed at later advanced stages of the disease, which is a significant concern.The average rate of survival of Bangladeshi women suffering from breast cancer is much lower (38.25 months), while the rates of one, three and five year survival are respectively 78%, 56% and 46%. According to the maternal mortality survey, breast cancer accounts for nearly 21% deaths of women of the age group of 15-49 years each year in average, which is common public health concern in Bangladesh.Considering the significant rate of spread of the disease and low survival rate of women, it is clear that absence of sufficient awareness and barriers to screening of breast cancer are two main reasons in this case (Islam et al., 2016).

Global Intervention:

Interventions for raising awareness to breast cancer includes general as well as advanced level of medical treatment, emphasizing on the necessity of early detection, diagnosis and developing knowledge regarding symptoms of breast cancer. The measure of RCT (Randomized Controlled Trails) focused on intervention throughwritten booklets and usual care (by intervention groups) along with verbal interaction with radiographer is applied in the UK (Rakha et al., 2015).Moreover, global intervention methods include developing knowledge regarding age-related risks of breast cancer in women as well as insisting for frequent self-reported breast checking. From viewpoints of the theory of Health Belief Model, influencing individual beliefs on health condition and guiding heath promotions are important for implanting effective disease prevention program.Thus, these types of active interventions facilitate developing perceived susceptibility, severity, cues to action and self-efficacy of women.

However, breast cancer-awareness interventions are not positively available in Asian countries as India and Bangladesh, where self-breast check and up taking of self-examination can be effective in the absence of breast screening.Applying the perspective of Social Cognitive Theory, this can be stated that intervention practice of self-examination of breast can influence women’s individual experience of considering the environmental factors and thus reinforcing their behavioral change towards understanding symptoms of breast cancer (Ruralhealthinfo.org, 2020).However, theoretical viewpoint of Ecological Model emphasizes on the importance of developing women’s knowledge on ever-increasing threat of breast cancer globally necessitating higher level of awareness regarding the cause, symptoms and associated intervention means for proper diagnosis and treatment in proper time (Ruralhealthinfo.org, 2020). This could lead to increased awareness of Indian and Bangladeshi women regarding individual and institutional factors associating time-specific and appropriate medical intervention for resisting spread of the disease.However, multiple retrospective publications on breast cancer related radiology, pathology, chemotherapy, alternative treatment modalities and palliative care are active parts of intervention by government agencies and healthcare research institutes in India.

1.2 Aims, Objectives, Research Problem Statement and Research Questions

Research Aims

The research has the aim of exploring the global intervention measures for raising awareness about breast cancer of women with specific reference to sever condition of women’s suffering from breast cancer in the UK, India and Bangladesh. The research also has the aim of understanding effectiveness of global interventions for awareness development regarding breast cancer of women and its impacts on severity of global health situations. 

Research Objectives

The key objectives of the research are as follows,

  • To investigate the issues related to global intervention measures taken for awareness development regarding breast cancer of women 
  • To explore the effectiveness and associated factors of global interventions for developing awareness about women’s breast cancer 
  • To investigate the impacts of interventions for developing awareness on diagnosis of women suffering from the disease and global health situations
  • To recommend ways of developing global intervention to make aware about breast cancer

These objectives would help the researcher in focusing on identifying global interventions for awareness raisin about breast cancer of women worldwide, with specific reference to the countries like the UK, India and Bangladesh. In addition, following the second objective will allow exploration of associated factors that mainly influence policy development and implementation of such interventions for awareness raising regarding breast cancer of women. The last objective is helpful in determination of outcomes of such interventions in terms of severity of breast cancer in women in the countries like UK, India and Bangladesh.

Problem Statement

Brest cancer in women has become the primary concern of public heath aspects in most of the countries in global level and the situation has reached to such stage where breast cancer has been the most common form of all cancers in women worldwide. Adequate level of secondary information and research on severity of breast cancer in the countries as UK, India and Bangladesh are available. However, understanding different intervention measures applied globally for developing women’s awareness of breast cancer and its exact impacts on awareness level of women has been the main problem in this research. Moreover, gaining insights about if the interventions have been able in creating sufficient awareness among women and requirement of further initiatives are other issues in this research.Therefore, practical effectiveness as well as ability of the intervention measures for awareness development in women regarding symptoms, reasons and undergoing suitable clinical measures is the key problem in this study.Apart from this, gaining a proper understanding of impacts of associated factors on global interventions for raising awareness regarding breast cancer of women in the concerned countries.

Research Questions

  • What is the global health situation in the UK, India and Bangladesh in terms of breast cancer of women?
  • How severe is the situation of breast cancer of women in those countries? 
  • What are the global interventions applied for improving awareness about breast cancer of women?
  • What are the factors influencing global interventions for raising awareness and how effective are those factors in terms of improving awareness level?
  • What are ways of developing global intervention to make aware about breast cancer

1.3 Rationale or Significance of the Research

The present study is important considering itsemphasize on overall situation of spread and continuous emergence of threat of breast cancer in global level so that holistic insights regarding the global scenario associated to the threat can be achieved. This research would present a glimpse of global scenario of breast cancer in women along with drawing attention of the readers to severity of the situation, where breast cancer has become the most abundant form of all cancers in most of the countries. The research would specify focus on relevant information, data and facts on sharp increasing threats of breast cancer in women from UK, as one of the most vulnerable European countries and India and Bangladesh as two highly vulnerable Asian nations.Thus, the research is aimed at conceptualizing the gravity of the situation by acquiring valuable facts on spread rate of breast cancer in women, mortality rate, death and diagnosis rate in these countries. 

The research will specifically assist the researchers, medical institutions and respective Governments in perceiving significance of the situation and thereby developing further intervention policies for awareness development of women on the situation. Moreover, from perspective of public health condition in nations, this research has enormous implications as this reveals lacks of required social, Governmental and self intervention policies and loopholes of existing global interventions. The research also provides significant hints towards required policy implementations for frequent self-checking of breasts by women, specifically in India and Bangladesh, where lack of awareness to the aspects is a grave concern.

1.4 Ethical and GDPR Considerations

While discussing the overall considerations relating awareness level of women regarding increasing threat of breast cancer and associated intervention measures adopted by the respective Governments and healthcare institutions, considerable level of ethical issues arise. With regard to the research problem relating to developing proper understanding of exact effectiveness of global interventions for developing women’s awareness, maintaining authenticity of intervention associated data or information is an ethical aspect. In case of gathering data on spread and growth of intensity of breast cancer in women and associated rates of death, mortality and diagnosis, ensuring reliability and authenticity of data sources is a vital ethical issue. As findings of the research and acquired secondary information, data and facts relating to severity of breast cancer in women would help governments and healthcare researchers, ensuring of reliability of data sources is of vital implications. Moreover, data on applied interventions and its effectiveness on awareness development of women cannot be gathered from less-trusted sources as the research finding might influence change in intervention policy in future.

GDPR (General Data Protection Regulation) refers to regulation for business to protect personal data and privacy of respondents based on the key principles of lawfulness, fairness, data minimization, accuracy, confidentiality and accountability (Nadeau, 2020.).However, GDPR principles do not affect this research mainly because of absence of primary data collection method and thereby no association of data collection from respondents. However, for ensuring authenticity and reliability of secondary sources of information collection, accuracy, accountability and fairness has been maintained while selection of data sources.

2. Literature Review 

2.1 Theme 1: Overview of breast cancer awareness amongst women in the UK, India and Bangladesh.

In the UK, most of the women within the age of 35 years is found to be suffering from breast cancer. After cervical cancer, it is the second type of cancer which is deadly. In India, not only women of age 35years or more are found to be suffering but also many girls at the age of 20-24 years are detected with breast malignancy. In case of Bangladesh, most of the cases are found to be hidden that means those patients are suffering at an early age only but due to lack of awareness regarding the health problem at the older age with high stage and grade of malignancy they are found to be running for treatment. Most of the time they are found to be at the stage of metastasis means already spreading of a cancerous cell has taken place within most of the body organs. As demonstrated by Prusty, et al., (2020), that to stop this kind of health issue is to increase awareness within the human being in such a way that triggers their psychology to adapt the habit of breast self-examination (BSE). To increase awareness the strategies that need to be followed are like breast screening campaign, breast awareness education, breast self-examination practice education, the repeated study of mammography practice, etc. These educations can be done through class programs, sharing leaflets, arranging group discussions, sharing experiences, etc. (Sengupta, et al., 2020). This type of awareness programs helps in early detection of breast issues like the growth of lumps within breasts, constant or rarely discharge of blood, sometimes milk at an older age, roughness in the texture of breasts etc. Once within the women society these awareness factor shoots their psychology most of the time it will be found that early detection can take place and can recover themselves (Almutairi, et al., 2019). Thus, awareness has become very essential amongst women in the UK, India and Bangladesh.

2.2 Theme 2: Factors contributing to the increasing cases of breast cancer amongst women

Cancer that occurs in the cells of breast or mammary gland is known as breast cancer. It is unwanted cell growth that results in changes within the texture of breast as well as nipples. Not only that it leads to blood discharges and milk discharges from nipples with a foul smell. As demonstrated by Lee, et al., (2019), these unwanted cells growth is also named as malignancy which can occur both for women as well as for men. According to a recent medical study, it is found that breast cancer ranks second after cervical cancer. As discussed by Ren, et al., (2019), several factors increase risk in breast cancer are Family history: Candidate having breast cancer diagnosed relative and that too direct blood connection relative or family members like mother, maternal mother, sister doubles the risk of having breast cancer. It is also found that relative of past-to-past generation was patient of breast cancer can cause breast cancer to the present generation person. The second major factor is the menstrual factor. The patient got menarche at the age of 11years or 12 years can be the source of causing breast cancer. The third factor is the excess use of contraceptive pills. To get excess pleasure couples uses contraceptive pills on regular basis like more than 3-4 years can cause breast cancer. The fourth risk factor is abortion at a very early age. Recently within 5-6 years, it is found that most of the girls whether married or unmarried are active in sexual activities which sometimes lead to pregnancy to save themselves they go for medicinal abortion or surgical abortion without thinking about consequences which increases the risk of breast cancer. On other hand, it is also found that many patients are suffering due to inherited factors which causes malignancy in breast. One of the most important risk factors is getting pregnant at an older age can be the source point of breast cancer. This causes due to desire for baby, they try different ways of pregnancy like IVF (in vitro fertilization), IUI (intrauterine insemination), etc. As demonstrated by Iyengar, et al., (2019), there several other factors which turn out to breast cancer are like excess obesity, wrong lifestyle like drinking, smoking, breast density, benign breast lumps etc. It is not that any breast lump may turn into breast cancer but most of the time it is also found that numerous times occurrences of benign lumps, changes in breast texture, excess discharge of milk at an older age, discharge of blood from nipples. Thus, it is also true that right time of diagnosis and proper medical support can increase the survival rate and may cure fully at times also.

2.3 Theme 3: Global Interventions initiated so far to increase awareness regarding the occurrence of breast cancer amongst women

As opined by Sinclair, et al., (2019), in the recent study of 5-6 years of cancer detection history, breast cancer became very much common in most of the women worldwide. It is very much noticeable amongst 8 women 1 is diagnosed with breast cancer. Breast cancer if detected at right time rather in the preliminary stage it is partially curable but if not, it is deadly as well. Both developed countries and developing countries are facing the same issue of high growth of breast cancer within women worldwide. As demonstrated by Chen, et al., (2020), certain awareness programs and education to increase awareness regarding breast cancer has been started to rectify the mindset of women to save them from breast malignancy trouble. This can be put into action by regular breast screening campaign, imparting breast regarding knowledge's, etc. by doing mammography, basic blood test, ultra-sonography for both breasts, not only that it is also to be monitored that they should adopt the habit of doing all sorts of medical test regularly at an interval of two years. They should come out of their so-called shy feeling and need to focus on their own health. Different educational programs should be arranged to make them learn about breast cancer knowledge, need to teach them to come up with their problems and take good solutions, need to change their fast lifestyle and to follow a scheduled and healthy lifestyle (Rositch, et al., 2020). If it is found that any young girl is facing challenges with menstrual cycle guidance to be taken to take her to the doctor as per requirement. Thus, in one-word breast cancer awareness is very much important at the recent scenario of breast risk world to save the life of many human beings, many families as well as their emotions. However, according to Sterling Welch and Moreno-Leguizamon, (2016) patients nearing their end of life can be provided with collaborative, responsive and inclusive person-centric supports. Apart from this, specific policies, knowledge supports and preparation from governments can be much more assistive for awareness development of women regarding gravity of issue and its increasing rate. However, as observed, Lack of preparedness of care teams and lack of policy by Government as well as medical institutions of caring of people with intellectual disabilities therefore testifies significant gaps in global intervention efforts. 

2.4 Theme 4: Challenges experienced in educating individuals regarding the occurrences of breast cancer.

To start anything new it is very commonly seen that everywhere everyone faces different types of innovative challenges and as it is the case of women private parts so the level of challenges is someway double. Keeping in mind different pros and cons the world medical board has decided to raise voice on awareness regarding breast cancer. Though several difficulties were there still they didn't move from their point of view (Martino, et al., 2020). The first challenges they faced to gather women to know about their motion. They need to make most of the women to know about the risk factors of breast cancers and to learn them about how to redress their issues. The second challenge is to make women convince to attend several breast screenings campaigns where the essential test could be performed to detect malignant lumps within the breasts. To make women understand the values of month September as it is known as breast cancer awareness month (Fallowfield, et al., 2019).  The third most important challenge is to create a good rapport with each of the particular women and to share their good and bad experiences regarding their private part i.e. breast and to know the core reason of suffering if any (Scott, et al., 2020). Hence, it is quite well understood that to decide on awareness launching program in women worldwide is not an easy decision and to make everyone convince to participate in the same. In addition, inherent difficulties faced by the women having intellectual or physical disabilities are another significant challenge in educating regarding occurrences of breast cancer. Possibilities are there for arranging specific policies for helping such patients with emotionally fraught circumstances so that they can show required awareness of the issues (Sterling Welch and Moreno-Leguizamon, 2016). Researchers support applying holistic approach asserting active supports to cancer patients with intellectual disability. 

3.  Research Methodology

3.1 Research Question 

The study will focus on conducting a comparative study of breast cancer occurrence amongst women of UK, India and Bangladesh. In this regard, the first research question will deal with the global health situation in the UK, India and Bangladesh in terms of breast cancer of women. The severity of the breast cancer will be discussed in details in the second question of the selected topic. The study will also emphasize on how the occurrence of breast cancer has increased over the years. In majority of the cases, it is noticed that individuals are less concerned regarding the occurrence of such diseases till the time the situation becomes severe. Lack of awareness is a serious concern to be discussed in the context of the study. The next research question will focus on the global interventions applied for improving awareness about breast cancer of women. The study will further focus on the factors influencing global interventions for raising awareness and how effective are those factors in terms of improving awareness level. Since creating awareness amongst the audience is the main focus of the study, the research will emphasize on ways of developing further global intervention to make aware women about breast cancer in UK, Bangladesh and India respectively. 

3.2 Eligibility Criteria 

The information used in the specific study is subjected to alignment of certain eligibility criterion for successful intervention of the selected topic. The information used in the specific study is published within the last 10 years. Recency of information is being prioritized in the specific study as it will help the researcher to gather credible data. Information published beyond 2010 is not considered to be concrete as the factors contributing to increasing cases of cancer amongst women in UK, India and Bangladesh have increased over the years. So the scenario has changed completely, which suggest current data collected will be able to best describe the actual reasons behind the occurrence of such diseases. Use of commercial data will be avoided in the specific study, so several information published can be manipulated. Manipulation of data will be harming the actual interpretation of findings in the context of the study. The information gathered shall only be based on the occurrence of breast cancer amongst women in UK, India and Bangladesh. The researcher will be using authentic citations to refer to the work of authors, thereby locating the needful sources more easily. 

3.3 Search Strategy

The researcher will take the assistance of Boolean Operators for searching information accurately from online sources. It assists in narrowing down the search results and further assist in defining relevant articles within the field. The databases of journal indexing take active participation in making the searching of articles easy for the researcher to conduct successful intervention of the selected topic. (Rahi, 2017) In this context, while searching information about the occurrence of Breast Cancer amongst women, it will be eliminating searching of any inappropriate words and rather emphasize on target-oriented results. For searching information on the online platform, the researcher will be using certain key words in relation to the concerned topic. The key words used for filtering data through Boolean Operators are Metastasis, screening campaigns, breast cancer, cancerous cells, ultrasonography, global intervention etc. 

3.4 Data Extraction 

The researcher will be extracting data from authentic websites, governmental publications and other online sources for successful intervention of the selected topic. Use of websites will assist in accumulating comparative data regarding the occurrence and happening of breast cancer in India, Bangladesh and UK respectively. The data gathered will give a brief idea about the influence of breast cancer prevalence in developed and developing nations. Government publications will educate the researcher about the global interventions that has been initiated so far to raise awareness amongst the citizens of the selected nation. Other forms of authentic sites  that shall be utilised in the specific study will be immune from using any type of commercial data.                                                                                                                                                                                                      \

3.5 Quality Assessment 

For quality assessment of the selected online data sources and secondary literatures, specific measures were taken as assessing authors’ credibility by going through biographical information of researchers, checking authors’ professional affiliation or bias and verifying the information provided in the sources (Johnston, 2017). Moreover, the sources cited in the selected literatures were checked for understanding quality of authenticity of information provided by those. 

3.6 Data Analysis 

Data analysis section details how a research plan will be carried out in regards to the topic of selection. The researcher has used the technique of thematic analysis for conducting the study comprehensively. In this context, the researcher will take active participation in examining the data for determining common themes, ideologies and pattern of meanings. It will help the researcher to organize and report themes identified within the set of data. In this regard, the themes can be interpreted and backed up by needful data (Singh, 2015). On a primary note, the researcher will be familiarizing with the data and then take the initiative of assigning preliminary codes within the data for describing the content. Then the themes will be reviewed and needful information will be interpreted in the following stages 

Theme 1: Global health situation of India, Bangladesh and UK in regards to Occurrence of breast cancer amongst women 

Theme 1: Factors resulting in increasing occurrences of breast cancer amongst women of India, UK and Bangladesh 

Theme 3: Global interventions initiated so far for raising awareness amongst the women of India, Bangladesh and UK for fighting cancer

Theme 4: Challenges experienced in interpreting the strategic interventions successfully for stopping the wide spreading of breast cancer.                                                                                                                                                                                                                                                                                                                  

3.7 Interpretation of Findings 

For proper interpretation of the findings, information gathered from thematic analysis would be compared to gathered facts and data from literature review part. This would assist in ensuring authenticity and reliability of the information collected (Maguire and Delahunt, 2017). Moreover, information from thematic analysis can be analysed in comparison to scholarly opinions and views.

Reflection 

Throughout the activity of framing this proposal, I achieved mixed experience as I faced particular situations of difficulties as well as ease in performing the operations. While writing the introduction part, it was a significant challenge for me to accumulate different relevant sources of secondary literature regarding scenario of breast cancer of women in global as well as national levels. It was quite difficult for me to ensure collecting the most relevant and contextual facts because of availability of lots of significant literature sources. Moreover, the part of framing suitable aims and objectives along with keeping sincere focus on the research problem faced, was another vital but painstaking effort. However, holistically, I learnt significant facts about the alarmingly increasing rate of breast cancer of women in UK, India and Bangladesh and more specifically, applied in this case. Accomplishing the introduction chapter enhanced my experience of selecting and identifying the most important and relevant facts and presenting an overview of the research in effective ways. Moreover, while considering ethical considerations, it was an opportunity for me to gather primary knowledge on GDPR, which I was not previously aware of. 

Conducting the literature review part was typical for me mainly because of complexity associated with summarising all my data sources and synthesising those and categorising in groups based on information provided by them on breast cancer in UK and Asian countries. Moreover, the task of developing particular themes by maintaining close compliance of those with objectives and research problems developed earlier was painstaking for me. However, I must say that completion of the literature section enriched my experience of synthesising opinions and scholarly views provided by researchers on factors contributing to increasing rate of breast cancer in women, range of global intervention and their exact effectiveness on awareness improvement regarding the issue. However, it was critical for me to decide on literature selection as per their date of publications. I learnt the importance of inclusion of most up-to-date data sources for developing overall standardisation of proposed research. 

In the task of writing the methodology chapter, one of the most critical issues faced by me was setting and applying the eligibility criteria for selection of secondary literatures as I was determined to include concrete facts for supporting standardization of data acquired as well as result of the proposed study. I think that the decision of avoiding adoption of any commercial data was a genuine decision helping me in avoiding use of any manipulated data on barest cancer of women in UK, Bangladesh and India. With this regard, I must mention that the methodology helped me in enhancing my practical experience of searching target-oriented data on global interventions, mortality rate and diagnosis of women from wide range of relevant data sources. Moreover, using Boolean Operators for accurate data search from online sources was a specific experience for me.

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