CERVICAL AND BREAST CANCER SCREENING PROGRAM
A CONCEPT NOTE
PADMASHREE SCHOOL OF PUBLC HEALTH
According to World Cancer Report, there is a high incidence rate of cancer throughout the world and it may reach about 20 million by 2030 (World Cancer Report, 2008). In India, around 0.95 million new cancer cases are detected every year with 0.63 million deaths. Overall, the three leading sites are cervix, breast and oral cavity, accounting for 0.32 million cases and 0.18 million deaths (Ferlay et al., 2008).These cancers can be prevented by early detection through screening, for which, awareness is essential.
Unfortunately, in a developing country like India there is a lack of awareness among people about the various risk factors and preventive aspects of these common cancers, such as early detection through screening and treatment of precancerous lesions.
Women in particular fail to disclose the early symptoms of cervical and breast cancer due to ignorance and cultural taboos. Hence around 80% of women access the health facility only in the advanced stage of the cancer, which again depicts the low awareness levels about cervical and breast cancer.
NEED FOR THE STUDY/ SITUATIONAL ANALYSIS
Cervical cancer is the first largest killer of women and breast cancer being the second.
• There are no visible programs that promote Breast & Cervix health.
• Insufficient access to cervical and breast health care services.Lack of awareness among people.
• Poor infrastructure and shortage of skilled technicians, less number of cancercare hospitals, backlogs in screening, limited governmental support, and lack of coordination between governmental agencies.
To increase the awareness and access to cervical and breast cancer among the women.
• To create an informal environment for healthy interactions between the women and clinicians/technicians for examination and diagnosis of cervical and breast cancer.
• To educate the women to self examine for cervical and breast cancer symptoms
• To detect the high risk patients by clinical examination by skilled technicians and navigate the patients to definitive point of health care
(Approach: educate, screen, diagnose, test, confirm, and treat, follow up)
• To increase the awareness about cervical and breast cancer through awareness camps
• To empower women for early detection and educate thewomen for self examination and indentifying the symptoms
• To screen the high risk women with smears and mammography
Our implementation process