Health System Preparedness for Screening of Cervical Cancer: Situational Analysis in Tribal District of Gujarat State, India

Chandni P  Parmar; Shahin L  Saiyed; Kranti S Vora

doi:10.5455/njcm.20190408061631

Authors

Chandni P Parmar Health Department, District Pancha-yat, Himmatnagar, Gujarat
Shahin L Saiyed IIPH, Gandhinagar
Kranti S Vora IIPH, Gandhinagar

DOI:

https://doi.org/10.5455/njcm.20190408061631

Keywords:

Health system preparedness, cervical cancer, screening, pap smear

Abstract

Introduction: Cervical cancer control program is well implemented prevention and control programme by health system in India. The study is to understand the health system situation for implementation of the programme as per WHO Framework theme and findings. The second objective is to propose Screening Model in one of the tribal district of Gujarat.

Methodology: Cross sectional study was done in randomly selected blocks of Aravalli district. Data were collected by using quantitative facility checklist and questionnaires for health care providers, health official were interviewed by using semi structured questionnaire. Secondary data review was conducted to understand financial condition and reporting mechanism.

Results: Majority of Health facilities have basic infrastructure to carry out screening programme for cervical cancer, although only 2% health institution are providing pap smear services. A few women are being screened. Lack of community awareness, Lack of skill based training and awareness among health care professionals for screening methods for cervical cancer were the most common reasons reported in our study.

Conclusion: The study suggested urgent need to generate demand from the community by increasing community participation, provide skill based training and motivation for work among health care providers to increase uptake of screening for cervical cancer programme to reduce mortality among women.

References

International Agency For Research on cancer WHO. Cancer fact sheets: cervical cancer , globocan 2012. , International Agency for Research on cancer,WHO; 2012.

Stewart BWCP,2AahvocCR2p. World cancer report 2014. , World Health Organization, pp.1–2; 2014. Report No.: Available at: http://www.videnza.org/wp-content/ uploads/World-Cancer-Report-2014.pdf.

HHakama1 M. Evaluation of screening programmes for gynaecological cancer. 1985; 52(667-673).

Bruni L BRLAGSBMMGDMJBFdS. Human Papillomavirus and Related Diseases Report. , Information Centre on HPV and Cancer (HPV Information Centre).; 15 December,2016.

SEINFELD J. Draft – Not for Circulation Cost-Benefit Analysis of Cancer Care and Control : the Case of Cervical , Colorectal and Breast Cancer in Low and Middle Income Countries..

Chhabra S, BM, MN, BR. Cervical cancer in Indian rural women: Trends over two decades. Journal of Obstetrics and Gynaecology. 2010; 30(7).

India Go. National Cancer Control Programme. , Overview of NCCP:MoHFW.

India Go. National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) PROGRAMME. http://nrhm.gov.in/images/ pdf/NPCDCS.pdf. , MOH.

Dr. Damodar Bachani MD MC. Integrating NCDs in Health System: Experiences in India MPHM Deputy Commissioner (NCD) Ministry of Health & Family Welfare Government of India, New Delhi. , MOH.

Sankaranarayanan R, BAM, RR. Effective screening programmes for cervical cancer in low- and middle-income developing countries. Bulletin of the World Health Organization. 2001; 79(10).

Geneva W. Report Of A Who Consultation Cervical Cancer Screening In Developing Countries WHO Library Cataloguing-in-Publication Data Cervical cancer screening in developing countries . , report of a WHO consultation.

Varkevisser CM, PI. Prevention of cervical cancer through screening using visual inspection with acetic acid ( VIA ) and treatment with cryotherapy. , Research, Who Alliance for Health Policy and Systems; 2003.

(ACCP) TAfCCP. Planning and Implementing Cervical Cancer Prevention and Control Programs A MANUAL FOR MANAGERS. , WHO; 2014.

Urasa M. Knowledge of cervical cancer and screening practices of nurses at a regional hospital in Tanzania. African Health Sciences. 2011; 11(111).

Sudharshini S, AV, CA. A cross-sectional study on knowledge, attitude, and practice on cervical cancer and screening among female health care providers of Chennai corporation, 2013. Journal of Academy of Medical Sciences. 2012; 2(4).

Sepúlveda C. Effective cervical cytology screening programmes in middle-income countries: The Chilean experience. Cancer Detection and Prevention. 2005; 29(5).

Maseko FC, CML, MAS. Health systems challenges in cervical cancer prevention program in Malawi. Global health action. 2015; 8.

Government of India & WHO 2. Strategies for Cervical Cancer Control. Guidelines for Cervical Cancer Screening Programme, (June), p.42. Available at: http://screening .iarc.fr/doc/WHO_India_CCSP_guidelines_2005.pdf. , Government of India & WHO, 2006. ; 2006.

Capalash. N SR. Epidemiology of cervical cancer – A case control study on North Indian Population. Indian Journal of Cancer. 1999; 36.