Cervical Cancer Screening Activities Directory (CxCaScreen)

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India
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A. Cervical cancer screening activity identification
Country:	India
Activity title:	Screening for cervix, breast and oral cancers by application of science and technology for health in rural areas - ASTHRA strategy

B. Current status
Start year:	2008
End year:	2020
Current status:	active

C. Source of funding
Source:	Narayana medical institutions, Nellore, AP, India
International principal investigator (if existing):

D. Country leader contact information
Name:	Rajamanickam Rajkumar
Institution:	Community medicine, Narayana medical institutions
Address:	Andhra Pradesh, India - 524 002
City:	NELLORE
Country:	India
Phone:	0091 98421 91989
Email:	rajcfchc@gmail.com


E. Screening activity
Type:	Pilot project
Localization:	District
Test/diagnosistic tool used:
VIA:	Primary test
VILI:	Primary test
Colposcopy:	Confirmation diagnosis for positive patients in the screening center
Biopsy:	Confirmation diagnosis for positive patients in the referral center
Pap smear:	Confirmation diagnosis for positive patients in the referral center
HPV Hybrid Capture:	Not used
Fast HPV:	Not used
Other:	No
Treatment available:
Cryotherapy:	In both clinics
LEEP:	Only in treatment/referral clinic
Conization:	Only in treatment/referral clinic
Hysterectomy:	Only in treatment/referral clinic
Surgery:	Only in treatment/referral clinic
Chemotherapy:	Only in treatment/referral clinic
Radiotherapy:	Only in treatment/referral clinic

number of screening facilities:	2
number of treatment facilities:	2
number of medical doctors trained:	3
number of midwifes/nurses trained:	6

Eligibility criteria:
Age groups targetted:	30-59
Other eligible criteria:	married women
Other exclusion criteria:	Known case of cervical cancer

Total number eligible (or target) women:	25000
Total number screened women:	100
Total number screened positive women:	12
Total number screened invasive cancer:
Total number confirmed invasive cancer:
Treatment:
Total number treated by cryotherapy:	12
Total number treated by LEEP:	1
Total number treated by conization:
Total number treated by hysterectomy:
Total number treated by surgery:
Total number treated by chemotherapy:
Total number treated by radiotherapy:
Total number not treated:

More about the background:
More about the objective(s):	A multi organ screening approach is made for all the eligible women in the region. They are also screened for other diseases and intensive health education is given for reducing material and infant morbidity and mortality. The strategy followed is called "ASTHRA" (application of science and technology for health rural areas). The word ASTHRA in Sanskrit means a very powerful weapon which is launched to achieve the mission.
More about the result(s):
More about the difficulties/challenges:	Rural areas of India which have no electricity, motorable roads, ignorence, illiteracy and poverty.
List of publications related to this project: