Preventive Oncology is a unique discipline in oncology that focuses on critical measures that can prevent cancer development or delay the progression of the malignant process.
Cancer prevention aims to reduce incidence, morbidity, and mortality due to cancer by identifying and eliminating precancerous lesions and early detection of minimally invasive cancers.
Donate and take part in the transformation.
The Government of India introduced a new operational guideline in 2016 to screen people aged 30 to 65 for population-based cancers at Primary Health Centers (PHCs). The study was undertaken by hiring Accredited Social Health Activists (ASHAs) from the community instead of Auxiliary nurses for the screening programme. Our goal was to screen people for oral, breast, and cervical cancer as well as diabetes and hypertension at their homes rather than at PHCs.
By preparing ASHA for home-based screening for oral, breast, and cervical cancer and referral and treatment of positive screens, we aimed to launch a comprehensive population-based cancer screening programme in the Cachar district. This screening program's primary goal was to assess if at-home screening was practical and whether ASHAs would be accepted by the community and willing to conduct additional screenings in the future.
ASHAs were given training at sub-centres by master trainers for 7 days with the help of visual aids, leaflets and videos and were educated on healthy lifestyle, common cancer and importance of screening, early detection and prevention. They were given re-training to run the existing Community Based Assessment Checklist form (CBAC form) in their community.
Training of ASHA was conducted in 3 domains of theory, practical and communication for 14 days.
For theory, ASHA staff were taught about the anatomy of the oral cavity, breast and cervix, causes of cancer, modifiable and non-modifiable risk factors, and early signs and symptoms of cancer.
For practical knowledge, ASHA were taught how to conduct oral and visual examination and inspection, collect Lugol’s tests and acetic acid, collect HPV samples, practice clinical breast examinations, measure blood pressure and capillary blood sugar, collect data in tablets, and conduct feasible and effective disinfection procedures in a community setup.
For communication, on-field supervision for ASHA was conducted by the master trainer on how to approach and encourage people for screening and how to handle myths and taboos about cancer.
ASHAs were trained by the master trainer. Screening of individuals by ASHA during home visits. Rescreening of the screened positive by project doctors at subcentres. Further evaluation and treatment of screen positive at CCHRC.