Community engaged breast cancer screening program in Kannur District, Kerala, India: A ray of hope for early diagnosis and treatment
| Autor: | Jaya Prasad Tripathy, Satheesan Balasubramanian, Sairu Philip, Karthickeyan Duraisamy, Phinse Mappalakayil Philip, Neethu Ambali Parambil |
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| Rok vydání: | 2019 |
| Předmět: |
Rural Population
0301 basic medicine Community-Based Participatory Research medicine.medical_specialty Population India Breast Neoplasms 03 medical and health sciences Breast cancer screening 0302 clinical medicine Breast cancer Risk Factors Health care Cancer screening medicine Humans education Poverty Early Detection of Cancer Retrospective Studies education.field_of_study medicine.diagnostic_test Community engagement business.industry Cancer Middle Aged Prognosis medicine.disease Checklist 030104 developmental biology Oncology 030220 oncology & carcinogenesis Family medicine Female business Follow-Up Studies |
| Zdroj: | Indian Journal of Cancer. 56:222 |
| ISSN: | 0019-509X |
| DOI: | 10.4103/ijc.ijc_397_18 |
| Popis: | INTRODUCTION: Community based programs can assist in early detection and improved survival of breast cancer. AIMS: To assess the feasibility and explore challenges of a district-wide door-to-door breast cancer screening program “ASWAS” conducted in Kannur district, Kerala, India from 2011 to 2014. METHODS: Aggregate data from survey records were collected in terms of the population screened, referred, diagnosed, and treated. Case records of breast cancer patients who were identified were reviewed and updated. In-depth interviews were conducted with program stakeholders. The contents of the interview were organized into a strength, weakness, opportunity and threat (SWOT) matrix to describe the screening program. RESULTS: A total of 1,049,410 eligible women above 30 years residing in 81 panchayats were visited door-to-door by 8,200 community volunteers; of them, 93% were screened using a symptom-risk factor checklist. Of those referred with symptoms (n = 5353), 81% attended the cancer camp. In total, 23 breast cancer cases were confirmed. 14 (61%) were in early stages, treated, and are disease free at 3-year follow-up. Those in the advanced stage and old age had poor outcomes. SWOT analysis identified political support, female volunteers, community engagement, dedicated fund for treatment, and teamwork as strengths. Weaknesses included poor healthcare access, maintaining volunteer motivation, and issues around sustainability. CONCLUSION: Community participation with the engagement of the health system and local self-government are required for implementing a comprehensive cancer screening strategy. Breast-cancer screening program using local volunteers for early detection is feasible in low-income settings, thereby improving survival. |
| Databáze: | OpenAIRE |
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