Page 35 - ACCF Essentia | Vol. III | Issue 3 | June 2024

so
e
h
ti
ra
r
cl
p
up
ud
g
di
al also provide demonstration and handholding support
po
aw
is
ra
an
in
st
a
nd
re
nc
de
ve
er
em
s
d
p
in
n
ng
on
ro
dh
nt
io
ca
vi
es
for cancer prevention include raising awareness
s
on
ol
rt
en
ar
fo for cancer prevention include raising awareness also provide demonstration and handholding support
rt
gs
at
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n
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ve
at
WC
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ly
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ar
To
en
e
.
to HWC staff. To date, over 800,000 screenings have
th through screening at HWC, particularly targeting
h
o
through screening at HWC, particularly targeting to to HWC staff. To date, over 800,000 screenings have
re
ff
sc
r
t
i
ul
ar
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,
-
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t
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on
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common cancers, which proves to be a cost-
wh
25
common cancers, which proves to be a cost- been conducted, resulting in the detection of 255
ti
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su
lt
es
ov
en
in
5
c
b
a
been conducted, resulting in the detection of 255
be
et
os
o
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g
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effective method with signi cant public health
iv
th
e
ef effective method with signi cant public health cancer cases - the majority of which were identi ed
od
ch
ti
as
en
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t
cancer cases - the majority of which were identi ed
er
-
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ic
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e
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ed

gn
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aj
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me
h
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c

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ct
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or
it
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id
t
rr
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ac
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ta
un
rg
o
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a
he
l.
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n
y
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as
s
i
rl
s
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ob
ry
e
ng
v
at
tu
ma
i
cu
st
en
p
y
tl
r
at an early stage and are currently undergoing
a
potential. Given tobacco’s status as the primary
d
ar
an
po
nt
te
potential. Given tobacco’s status as the primary at an early stage and are currently undergoing
i
e
is
an
r
e
y
ce
la
d
an
p
ce
fo
-u
treatment and follow-up.
-
ly
ob
tm
ll
al
en
us
p
p.
ea
t
it
ow
ri
gl
or
of
c
cause of cancer globally - priority is placed tr treatment and follow-up.
d
ca
cause of cancer globally - priority is placed
on tobacco control measures through various Targeted outreach is crucial for ensuring the
on tobacco control measures through various
s
ob
re
ol
s
h
ou
ug
co
on
ro
c
th
tr
on
va
r
ac
i
ea
t
su
m
ed
ur
is
or
g
h
al
ac
th
re
e
c
f

ru
in
ci
et
rg
ns
ut
o
Targeted outreach is crucial for ensuring the
e
Ta
r
ca
h
fo
co
ri
mp
gn
ob
ac
st
ct
campaign with District Tobacco Control Cell for un de rs er ve d co mm un i t i e s i n cl ud i n g m i no r i t i es , ru ra l
campaign with District Tobacco Control Cell for
on
T
Di
l
C
el
it
ol
C
tr
w
ai
underserved communities including minorities, rural
underserved communities including minorities, rural
g
im pl em en ti ng t he C ig ar et te a nd O th er T ob ac co populations, and low-income groups have access to
g
g
g
implementing the Cigarette and Other Tobacco
g
g
implementing the Cigarette and Other Tobacco
l
gr
t
i
ow
s,
o
av
h
nc
ac
e
i
t
ou
a
ps
om
la
e
ss
p
populations, and low-income groups have access to
nd
-
ce
o
pu
on
.
al
2
rt
Product Act 2003. (CoTPA 2003). Efforts also
Pr Product Act 2003. (CoTPA 2003). Efforts also es se nt ia l ca nc er s cr ee ni n g s er vi ce s. T he r st s te p in
so
oT
3)
uc
PA
od
.
s
03
20
00
Ef
Ac
(C
t
fo
t
essential cancer screening services. The rst step in
essential cancer screening services. The rst step in
on
li
c
ng
ub
e
fo focus on educating the public about common
p
on
ti
ou
ca
t
focus on educating the public about common targeted outreach is identifying priority communities
he
co
cu
s
mm
ab
du
t
ed
h
ac
p
yi
or
y
ri
it
nt
et
re
i
ta
mm
if
ut
co
targeted outreach is identifying priority communities
ie
is
ng
s
de
o
it
rg
un
i
symptoms, emphasizing early diagnosis and
sy
em
i
g
i
ag
n
ms
i
no
to
mp
symptoms, emphasizing early diagnosis and th that are underserved or at higher risk of cancer
ph
z
s
as
,
d
y
ea
rl
s
an
d
at
o
rv
re
ig
er
o
sk
at
r
ed
r
that are underserved or at higher risk of cancer
se
a
er
nc
ca
u
f

he
ri
h
nd
tr treatment. The educational outreach extends in incidence. This may include rural areas with limited
o
re
t
h
nd
ac
treatment. The educational outreach extends
ea
ut
ex
al
s
te
i
on
he
T
tm
e
du
ca
en
t.
y
s
i
th
ud
l
i
i
de
t
c
e.
l
e
ra
ea
h
m
ar
s
i
w
incidence. This may include rural areas with limited
i
T
i
cl
ed
ma
n
nc
ru
di
f
hc
to to various healthcare professionals, including healthcare infrastructure, minority communities facing
es
al
lt
ng
h
s,
ea
lu
si
nc
io
i
on
to various healthcare professionals, including
ar
ar
pr
o
v
us
e
ru
ng
i
it
or
healthcare infrastructure, minority communities facing
in
h
al
ra
un
a
it
m
e,
f
mm
co
n
ci
ie
ct
st
ca
f
ur
e
re
th
y
s
t
y
ct
un
i
co
doctors, pharmacists, and community health
rm
he
i
mm
th
ac
d
p
do
ha
ts
doctors, pharmacists, and community health disparities in healthcare access, and low-income
or
al
s
,
s,
an
lo
hc
w-
,
me
d
e
co
n
ar
i
di disparities in healthcare access, and low-income
h
s
lt
i
an
ce
i
n
t
ea
i
sp
e
ac
ss
ar
t
io
wi
ng
en
it
rk
s.
er
A
e
workers. Additionally, engagement with in uential
workers. Additionally, engagement with in uential populations with nancial barriers to healthcare. To
ag
dd
al
u
ll
ti
n
y,
en
em
th
na
i
wo
ti
ar

p
e.
ea
ar
h
er
la
to
on
o

n
an
ci
T
al
b
s
lt
ri
s
populations with nancial barriers to healthcare. To
o
hc
th
pu
wi
ho
ch
su
in
th
wi
s,
er
ol
v
il
s
gures within villages such as school teachers, ef effectively reach these communities, it is essential
ea
t
re
sc
ch
s
gures within villages such as school teachers,
gu
a
la
s
ge
iv
is
e
al
h
ac
f
ti
es
e
t
th
co
it
y
ss
re
e
mm
s,
en
i
effectively reach these communities, it is essential
el
ct
ie
un
s
sarpanch, and youth leaders ampli es awareness to understand the speci c barriers they face in
ut
d
aw
i
sarpanch, and youth leaders ampli es awareness
e
ch
en
h
am
sa
ad
s

s
an
es
an
rp
er
pl
le
,
yo
ar
u
d
an
ac
ey
st

i
s
f
ar
c
b
ri
th
e
e
th

er
ec
in
nd

to to understand the speci c barriers they face in
er
sp
efforts through diverse methods like competitions,
efforts through diverse methods like competitions, ac ce ss i n g ca nc er s cr ee n i ng s er v i ce s. T h i s i n vo lv es
accessing cancer screening services. This involves
accessing cancer screening services. This involves
workshops, and participatory programmes across
workshops, and participatory programmes across conducting community assessments, surveys, and
c
es
i
a
mu
om
,
nd
en
su
ng
ty
ts
a
ss
sm
s,
i
ey
t
conducting community assessments, surveys, and
co
rv
nd
n
uc
media platforms.
media platforms.
f
ch
fo focus groups to identify challenges such as lack of
f
la
ti
y
c
ge
ps
su
en
en
a
ll
s
ha
t
o
s
ou
o
focus groups to identify challenges such as lack of
s
cu
id
gr
ck
Cancer screening and early detection tr transportation, language barriers, cultural beliefs and
Cancer screening and early detection
c
d
be
ti
f
l
,
ra
transportation, language barriers, cultural beliefs and
e
sp
ua
la
tu
ri
or
b
ng
li
an
er
ul
on
ta
s
an
s,
ar
ge
AC CF - s er vi n g a s th e no da l a g en cy i n ca nc er stigma, and mistrust of the healthcare system. Once
ACCF - serving as the nodal agency in cancer
ACCF - serving as the nodal agency in cancer
ru
O
ig
re
o
ca
m.
al
te
e
st stigma, and mistrust of the healthcare system. Once
th
an
nc
e
th
s
he
st
mi
st
d
f
,
ma
ys
i
ro
ca
a
an
s
nc
As
m
care in Assam - has taken an active role in cancer th the barriers are identi ed, tailored outreach strategies
ca
i
le
sa
e
re
ta
iv
er
ct
n
ha
ke
care in Assam - has taken an active role in cancer
-
n
n
re
ou
eg
de
i
e

d,
nt
ea
tr
s
ie
e
i

rr
the barriers are identi ed, tailored outreach strategies
rs
ba
a
ie
at
t
tr
d
lo
s
ai
ch
re
te
c
in
g
at
t
n
he
ev
l
ty
.
el
Ea
mu
om
de
rl
ni
y
screening at the community level. Early detection ar e de ve lo pe d to a dd re ss t he u ni qu e ne ed s o f e ac h
en
re
sc
io
screening at the community level. Early detection
ct
are developed to address the unique needs of each
are developed to address the unique needs of each
mo
r
tr
is crucial for cancer treatment to reduce mortality.
c
is is crucial for cancer treatment to reduce mortality. community.
t
ce
to
y.
en
e
an
f
tm
or
ci
al
rt
r
it
al
ru
c
ed
ea
uc
un
mm
t
i
community.
co
y.
The community level screening consists of door-
Th e co mm un it y le ve l sc re en in g co ns is ts o f do or -
g
The community level screening consists of door-
g
ta
The targeted outreach efforts are conducted in
The targeted outreach efforts are conducted in
o
e
co
e
h
Th
rt
te
et
o
ac
e
re
f
nd
ed
uc
in
ut
ar
rg
s
d
f
r
in
to
oo
sc
en
re
to-door screening, mobilization to HWC / Primary
at
m
ob
il
iz
to to-door screening, mobilization to HWC / Primary
g
g
-d
n
g
g
io
g,
H
ma
WC
ry
ri
P
/
s
i
at
na
l
cl close collaboration with the National Health Mission
o
th
or
al
e
on
th
at
N
i
i
w
ll
he
i
t
co
M
He
os
ab
close collaboration with the National Health Mission
o
n
s
i
)
WC
(P
d
HC
e
H
tr
g
in
g
/
g
re
P
at
Health Centre (PHC) and screening at HWC / PHC. .
He
Health Centre (PHC) and screening at HWC / PHC.
an
C
HC
en
sc
en
al
th
( N HM ) an d CS R fu nd s to e ns ur e th e su st ai na bi li ty o f
(NHM) and CSR funds to ensure the sustainability of
(NHM) and CSR funds to ensure the sustainability of
e
pu
po
-6
en
s
ye
s)
HA
ASHAs enlist all eligible population (30-65 years)
ar
ASHAs enlist all eligible population (30-65 years)
AS
li
5
bl
gi
e
st
li
ll
a
la
30
on
ti
(
ra
og
the programme and avoid the creation of parallel
an
th the programme and avoid the creation of parallel
d
on
ll
av
f
cr
pr
mm
ea
ra
ti
pa
e
d
oi
el
e
e
o
th
t
a
do
o-
an
c
do
nt
ch
at
me
t
or
re
he
a
or
in the catchment area and visit door-to-door
in in the catchment area and visit door-to-door
-t
vi
d
si
uc
B
re
s.
M
gi
ng
f
NH
st
tu
r
s
g
ve
xi
le
y
as
st
in
ra
tr
systems. By leveraging existing NHM infrastructure
systems. By leveraging existing NHM infrastructure
em
e
y
in
en
sc
it
of
an
re
b
ce
as
in
fo for initial screening of oral, breast and cervical
rv
in
al
ic
r
t
d
g
re
ia
ra
for initial screening of oral, breast and cervical
l,
o
l
and resources, such as healthcare facilities and
an d re so ur ce s, s uc h as h ea lt hc ar e f a ci li ti es a nd
and resources, such as healthcare facilities and
ro
p
ca
cancers through a set of prede
qu
es
of
s
ne
a
on

ti

ned questions as
nc
d
h
s

se
ug
th
t
er
de
re
cancers through a set of prede ned questions as
as
y
,
it
e
ea
th
it
community health workers, the outreach activities
ou
rs
a
co
al
community health workers, the outreach activities
ke
w
ie
he
or
iv
ch
mm
s
th
tr
ct
un
per the Community-Based Assessment Checklist
per the Community-Based Assessment Checklist
pe r th e Co mm un i t y- Ba se d As se ss me nt C he ck l i st
e
ss

d
xi
st
nt
se
t
i
g
te
th
ra
al
e
to
e
am
he
ar
ca
are seamlessly integrated into the existing healthcare
he
are seamlessly integrated into the existing healthcare
ly
in
re
in
g
le
(CBAC) designed by the National Health Mission.
io
(C
t
th
si
ig
he
He
M
d
N
.
na
l
es
BA
al
by
d
at
is
on
ne
C)
(CBAC) designed by the National Health Mission.
a
sy
system. This collaborative approach allows for the
system. This collaborative approach allows for the
ol
Th
bo
.
ve
t
lo
he
f
ac
pp
ws
al
ra
st
c
em
ti
ro
la
h
or
is
AS HA s al so r ec or d de mo gr ap h i c de ta i l s. A ll
ASHAs also record demographic details. All
ASHAs also record demographic details. All
to
ca
s
nc
o
er
f
ry
ef ef
t
er
s
s
vi
ci
de
li
ce

ve
ni
cr

en
cient delivery of cancer screeningng services to

ee
ef cient delivery of cancer screening services to
e
re
re
d
th
g
p
p
ng
s
AC
suspects from the CBAC screening are referred to
suspects from the CBAC screening are referred to
su
ni
sp
cr
ef
r
CB
a
f
ro
ts
g
er
ee
m
ec
to
un de rs er ve d co mm un it ie s, i nc lu di n g m in or it ie s, r ur al
underserved communities, including minorities, rural
underserved communities, including minorities, rural
HW
en
hy
f
t
HC
l
A
ll
e
P
ar
in
re
ne
th the nearest HWC/ PHC for physical screening. All
g
the nearest HWC/ PHC for physical screening. All
g.
es
g
ca
si
p
sc
p
p
C/
or
nd
la
w
g
By
or
.
om
r
a
n
s,
p
populations, and low-income groups. By working
pu
ps
populations, and low-income groups. By working
ou
ki
-i
nc
o
ti
g
ow
on
l
e
PH
ht
HW
o
he
/
t
b
ay
su
ro
e
on
re
ts
d
ec
a
t
sp
the suspects are brought to HWC / PHC on the day
th the suspects are brought to HWC / PHC on the day
C
C
ug
it
ch
t
to together with NHM, the program aims to achieve
together with NHM, the program aims to achieve
ve
th
g
NH
a
h
to
w
M,
er
g
p
e
he
ie
ro
im
r
am
s
a
hn
ec
ni
ee
T
ic
o
b
y
AC
CF
ng
t
’s
of screening by ACCF’s technical support team. To
rt
s
po
ea
t
up
cr
al
of of screening by ACCF’s technical support team. To
s
m.
e
n
at
to
lo long-term sustainability and ensure that access to
ur
a
cc
a
nd
long-term sustainability and ensure that access to
g
th
su
e
m
st
ns
ty
ai
bi
li
-t
na
s
es
er
d
fo
te
po
A
in
CC
in
s,
reinforce the screening process, ACCF-appointed
in
e
g
en
re
ap
sc
F-
rc
es
re reinforce the screening process, ACCF-appointed
oc
th
pr
e
hi
ty
ma
w
re
ri
it
in
e
ee
n
th
io
n
a
ni
cr
ce
er
nc
pr
cancer screening services remains a priority within the
cancer screening services remains a priority within the
s
ca
s
g
s
vi
er
s
d
at
dentists and nurses provide demonstrations of
dentists and nurses provide demonstrations of
id
de
n
p
ur
se
s
ov
io
r
n
e
f
mo
s
t
ns
nt
is
o

de
a
tr
ns
r
oa
s
te
he
ca
th
r
re
al
y
de
s
broader healthcare system.
broader healthcare system. .
b
m
O
d
an
re
er
en
me
l
e
the screening protocols and methods. Oral cancer
th the screening protocols and methods. Oral cancer
s.
ra
th
nc
ca
od
sc
i
g
ot
pr
n
s
oc
ol
Up to this point our efforts have been concentrated
Up to this point our efforts have been concentrated
is
ti
on
cr
is is screened by a dentist through visualization of
is screened by a dentist through visualization of Up t o th is p oi nt o ur e ff or ts h av e be en c on ce nt ra te d
en
d
ti
s
ua
by
ou
li
ne
za
d
t
hr
ee
a
v
o
gh
st
f
i
a
e
to
e
m
xp
n,
w
across ten districts in Assam. Soon, we aim to expand
n
i
ro

ac
As
sa
d
m.
an
ss
oo
s
c
i
tr
i
en
S
t
d
ts
er
bu

buccal cavity with a light source, Breast cancer is across ten districts in Assam. Soon, we aim to expand
s
i
buccal cavity with a light source, Breast cancer is
i
w
cc
l
a
th
av
c
al
y
t
i
i
as
re
B
nc
ca
t
s
ht
g
e,
rc
ou
s
wi
ta
l
he
en
fo
o
in
s
rt
al
t
mp
t
co
our effort to encompass all districts within the state.
ou
ef
ri
r
s
th
st
ct
di
te
as
re
ic
as
B
screened by female nurses through Clinical Breast our effort to encompass all districts within the state. .
al
screened by female nurses through Clinical Breast
t
re
ma
n
le
fe
en
ed
y
b
ur
Cl
h
sc
in
ug
s
se
ro
th
al
nd
ca
ov
Ou
r
go
i
ch
a
s
i
ar

es
Our overarching goal is to destigmatize cancer and
d
er
z
g
i
gm
er
nc
t
e
i
n
to
at
i
ca
re
Ex Examination, while cervical cancer is screened
i

er
nc
s
ca
l
sc
Examination, while cervical cancer is screened Our overarching goal is to destigmatize cancer and
at
en
h
w
i
c
le
n
o
i
n
,
er
v
am
i
ed
at
n
a
g
at
e
s
ab
th

de
un
ta
t
promote the understanding that it is a treatable
rs
om
re
r
p
th
e
le
i
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by visualization of cervix under 5% acetic acid promote the understanding that it is a treatable
5
by visualization of cervix under 5% acetic acid
ic
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solution. All abnormal ndings are referred to the

so lu ti on . Al l ab no rm al n di ng s ar e re fe rr ed t o th e condition with accessible care available right at
solution. All abnormal ndings are referred to the
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people’s doorsteps.
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nearest ACCF hospitals. The dentists and nurses people’s doorsteps. .
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es
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Cancer can take away many things, but it
Cancer can take away many things, but it
y
g
35
can’t take away your spirit.
yy
p
can’t take away your spirit.
35
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