The aim of this study is to evaluate the feasibility and acceptability of the model of delivering CHW-driven home-based comprehensive NCD control services aimed to prevent premature deaths from cardio-vascular diseases, stroke and breast, cervix and oral cancers in the hard-to-reach women.
Specific objectives of this study are the evaluation of: 1. The social, cultural and behavioral factors that impact the uptake of the NCD control services among rural women using the Rapid Assessment, Response and Evaluation (RARE) approach; 2. The feasibility and acceptability of the strategy to deliver the following NCD control services to the rural women at their homes by the trained CHWs: * Counselling of the tobacco habitués to give up the practice * Early detection of hypertension and diabetes to ensure prompt and regular treatment * Creating breast awareness and ensuring access to prompt diagnosis and treatment of the women with symptoms suggestive of breast cancer * Screening for cervical cancer by self-collected HPV test and ensuring prompt treatment of screen detected precancers and cancers * Screening of the habitual tobacco/alcohol users for oral cancer by OVE and ensuring prompt treatment of screen detected precancers and cancers
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SCREENING
Masking
NONE
Enrollment
1,200
Evaluation of the social, cultural and behavioral factors that impact the uptake of the NCD prevention and control services among women, using the RARE methodology
Evaluation of the feasibility and acceptability of delivery of the NCD early detections services by the trained community health workers at home settings
GBH Cancer Memorial Hospital
Udaipur, Rajasthan, India
Outcomes of the questionnaire survey 1/5
proportion of the participants who know about the adverse effect of smoking, chewing tobacco and consuming alcohol on health in general and NCDs in particular
Time frame: 1 year
Outcomes of the questionnaire survey 2/5
proportion of the participants who know about the common NCDs including cancers and their early symptoms
Time frame: 1 year
Outcomes of the questionnaire survey 3/5
proportion of the participants with a diagnosis of hypertension who adhere to the treatment advised
Time frame: 1 year
Outcomes of the questionnaire survey 4/5
proportion of the participants with a diagnosis of diabetes who adhere to the treatment advised
Time frame: 1 year
Outcomes of the questionnaire survey 5/5
proportion of the participants with a diagnosis of cancer who adhere to the treatment advised
Time frame: 1 year
NCD Screening study 1/11
screen positivity - proportion of the screened participants detected to have high blood pressure
Time frame: 1 year
NCD Screening study 2/11
screen positivity - proportion of the screened participants detected to have high BMI
Time frame: 1 year
NCD Screening study 3/11
screen positivity - proportion of the screened participants detected to have abnormal HPV detection test
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Time frame: 1 year
NCD Screening study 4/11
screen positivity - proportion of the screened participants detected to have abnormal oral examination test
Time frame: 1 year
NCD Screening study 5/11
screen positivity - proportion of the screened participants detected to have abnormal visual examination test
Time frame: 1 year
NCD Screening study 6/11
compliance to further assessment - proportion of screen positive participants undergoing further assessment at the primary health center or at the hospital
Time frame: 1 year
NCD Screening study 7/11
positive predictive values of further assessment - proportion of participants with confirmed diagnosis of hypertension among those assessed for high BP
Time frame: 1 year
NCD Screening study 8/11
positive predictive values of further assessment - proportion of participants with confirmed diabetes among those assessed for high sugar
Time frame: 1 year
NCD Screening study 9/11
positive predictive values of further assessment - proportion of participants with confirmed cervical neoplasias on colposcopy and/or biopsy among those assessed for positive HPV test
Time frame: 1 year
NCD Screening study 10/11
positive predictive values of further assessment - proportion of participants with confirmed oral premalignant and malignant lesions on examination and/or biopsy among those assessed for positive oral examination
Time frame: 1 year
NCD Screening study 11/11
positive predictive values of further assessment - proportion of participants with confirmed visual premalignant and malignant lesions on examination and/or biopsy among those assessed for positive visual examination
Time frame: 1 year
effect of different participant characteristics on the final diagnosis of hypertension and diabetes using multivariate analysis
effect of different participant characteristics on the final diagnosis of hypertension and diabetes using multivariate analysis
Time frame: 1 year