utd_medknow
Indian Journal of Cancer
Home  ICS  Feedback Subscribe Top cited articles Login 
Users Online :255
Small font sizeDefault font sizeIncrease font size
Resource Links
     Search Pubmed for
 
    -  Viswanathan V
    -  Ganeshkumar P
    -  Selvam JM
    -  Selvavinayagam T S
 

 Article Access Statistics
    Viewed227    
    PDF Downloaded8    

Recommend this journal

 

 ORIGINAL ARTICLE

Referral mechanism and beneficiary adherence in cervical cancer screening program in Tiruchirappalli district, Tamil Nadu state, India, 2012–2015


1 Department of Epidemiology, Indian Council of Medical Research – National Institute of Epidemiology, Ayapakkam, Chennai, Tamil Nadu, India
2 National Health Mission, Government of Tamil Nadu, Tamil Nadu, India
3 Department of Public Health and Preventive Medicine, Government of Tamil Nadu, Tamil Nadu, India

Correspondence Address:
Parasuraman Ganeshkumar,
Department of Epidemiology, Indian Council of Medical Research – National Institute of Epidemiology, Ayapakkam, Chennai, Tamil Nadu
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijc.IJC_548_19

Background: A screening program for cervical cancer was established in 2011 in Tamil Nadu. Since the inception of the program, coverage, and dropout of screening has not been analyzed. We conducted a study to describe the referral mechanism in the cervical cancer screening program implemented in Tamil Nadu, to estimate the level of adherence to the referral process by the beneficiaries, and to identify strengths and weaknesses related to the referral mechanism in the program. Methods: This descriptive study was conducted during 2015–2016 in the Tiruchirappalli administrative district of Tamil Nadu. All women aged 30 years and above, who were screened in public health facilities, were the participants. Using a structured form, we collected the data maintained in the registers at the district health administration. We estimated the screening coverage, follow-up evaluation, and dropout rates at different stages of the referral mechanism. We used SPSS and Epi Info software for analysis. Results: Coverage of cervical cancer screening was 4,838(41.6%). We estimated 4,838(41.6%) of screened positives were lost to follow-up for a colposcopy examination. Biopsy samples were obtained from 3425(84%) of those who required a biopsy. Cervical cancer was diagnosed in 159(4.6%) and precancerous lesions in 528(15.4%) women. Conclusion: More than half of the target population was screened in public health facilities. The dropout rate was less than half of those screened at the colposcopy evaluation level. Major pitfalls of the program were human resource issues at referral centers and poor maintenance of meaningful data.




  Site Map | What's new | Copyright and Disclaimer
  Online since 1st April '07
  2007 - Indian Journal of Cancer | Published by Wolters Kluwer - Medknow