Novel Program of Using Village Health Workers in Early Detection and Awareness of Head and Neck Cancers: Audit of a Community Screening Program
Head and neck cancers together (oral cavity, pharynx and larynx) are sixth commonest worldwide and are the commonest cancers in developing countries. The Cancer Project was started in Kheda/Anand, Gujarat, a harvest land of tobacco. The objective of this programme was to indoctrinate the most vulnerable and the least tended upon; the basics of head and neck cancers via the medium of their own kins. Voluntary village health workers were educated and trained to pick up the early signs of head and neck cancers. Oral self examination was taught to them and they went to peripheral villages to screen the population. They would refer suspicious cases to tertiary healthcare centre. The population was enlightened upon the basics of preventable measures, treatment options and rehabilitation facilities for head and neck cancer patients. Knowledge, attitude and practice analysis was done in the population which showed widespread disbelief and false practices. A population of 26,10,432 was surveyed in 1862 villages of which 10,522 (1.1%) individuals successfully quit the habit. The minimally educated workers referred 3309 suspicious individuals to higher centre of which 1890 (57.11%) tested positive for cancer. A lot of resource is put in research and development of rapid diagnosis and complete cure; however such a minimally costing program may help the most in primordial, primary and secondary level of prevention. Such programs should be advocated on the global platform on lines of Breast Self Examination.
KeywordsPrevention of head and neck cancers Oral self examination Village health workers Cancer project
Humble thanks to The Tribhuvandas Foundation, Anand, Gujarat, India for their generous contribution.
Compliance with Ethical Standards
Conflict of interest
The authors declare they have no conflict of interest.
Research Involving Human Participants and/or Animals
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research and ethics committee and with the 1964 Helsinki declaration and its later amendments.”
Informed consent was obtained from all individual participants included in the study.
- 1.International Agency for Research on Cancer. World Health Organization (WHO). GLOBOCAN 2012 (2012) Estimated cancer incidence, mortality & prevalence worldwide. http://globocan.iarc.fr/Pages/fact_sheets_population.aspx. Accessed 26 Jan 2017
- 4.WHO (2017) Media centre; tobacco. http://www.who.int/mediacentre/factsheets/fs339/en/. Accessed 17 June 2017
- 5.WHO Report on Global Tobacco Epidemic (2008). http://www.who.int/tobacco/mpower/mpower_report_full_2008.pdf. Accessed 17 June 2017
- 6.The Oral Cancer Foundation, WHO (1999). http://www.oralcancerfoundation.org/tobacco/. Accessed 17 June 2017
- 7.Ministry of Health & Family Welfare, Government of India, World Health Organization (WHO). Global Tobacco Surveillance System (GTSS). Centre for Disease Control & Prevention (CDC). Global Adult Tobacco Survey (GATS). Fact Sheet India 2009–2010. http://www.who.int/tobacco/surveillance/en_tfi_india_gats_fact_sheet.pdf. Accessed 17 June 2017)
- 8.Cleveland Clinic (2010) Centre for continuing education. Disease management: head and neck cancer (published August 2010). http://www.clevelandclinicmeded.com/medicalpubs/diseasemanagement/hematologyoncology/head-and-neck-cancer/Default.htm. Accessed 17 June 2017
- 12.Elango JK et al (2009) Factors affecting oral cancer awareness in a high-risk population in India. Asian Pac J Cancer Prev 9(4):627–630Google Scholar
- 18.John Hopkins Medicine. The John Hopkins University (2015) Bad luck of random mutations plays predominant role in cancer, study shows. Last updated January 07, 2016. http://www.hopkinsmedicine.org/news/media/releases/bad_luck_of_random_mutations_plays_predominant_role_in_cancer_study_shows. Accessed 17 June 2017)