Community based Screening for Uterine Cervix Cancers using Visual Based Methods in India Authors: Gauravi A Mishra, Sharmila A Pimple, Meenal S Rokade, Sonal S Raote, Subhadra D Gupta Institution: Tata Memorial Hospital, Mumbai, India

Track: 1-Stemming the tide: innovations in prevention and screening,

Poster number: RF5-18, Fundraising campaign reports

Abstract presented before: N

Disclosure of interest: None Declared

Presenting author: Dr. Gauravi Mishra

Introduction India bears nearly one fourth of the global cervical cancer burden. Absence of organised population based cancer screening program Majority of cases are detected at advanced stages Cytology based screening is not feasible in India for logistics reasons Hence, low-cost, effective and appropriate alternatives are being tried.

Objectives: Create awareness Screen women for uterine cervix cancers by PHWs Facilitate diagnostic confirmation & treatment completion

Mishra GA. Community based Screening for Uterine Cervix Cancers using Visual Based Methods in India. RF5-18, Fundraising campaign reports, Track 1 - Stemming the tide: innovations in prevention and screening, DOI: NIL, TATA MEMORIAL HOSPITAL

Map of Mumbai, highlighting the areas selected for screening

Program Procedures

Staff Training Area Mapping House to house survey

Informed Consent VIA by PHW Counseling Screen +ve women

Health Education

Mishra GA. Community based Screening for Uterine Cervix Cancers using Visual Based Methods in India. RF5-18, Fundraising campaign reports, Track 1 - Stemming the tide: innovations in prevention and screening, DOI: NIL, TATA MEMORIAL HOSPITAL

Community Slum Cluster

Processes & Results

Mishra GA. Community based Screening for Uterine Cervix Cancers using Visual Based Methods in India . RF5-18, Fundraising campaign reports, Track 1 - Stemming the tide: innovations in prevention and screening, DOI: NIL, TATA MEMORIAL HOSPITAL

Fixed Referral Criteria for Screen positive women

Diagnostic Investigations & Treatment at the Referral Hospital

Quality Check by the Medical Officer

Compliance to Screening & Referral

Site Eligible women

Women contacted & invited

Screening

Participation

Screen Positives

Referral Compliance

Pre-cancers Cancers

Cervix 23177 19238 (83%)

16145 (83.92%)

1477 (9.15%)

1105 (74.81%) 107 07

Conclusions Health awareness and screening for cervical cancers linked to referral and treatment services is feasible, acceptable and implementable at the population level in India.

Funding: Department of Atomic Energy, Govt. of India