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Enablers & challenges of tribal women & health system for implementation of screening of non-communicable diseases & common cancers: A mixed-methods study in Palghar district of Maharashtra, India
BACKGROUND & OBJECTIVES: Non-communicable diseases (NCDs) and cancers of breast, oral cavity and cervix contribute to around 5.87 million (60%) deaths in India. Despite this, there is limited evidence on preparedness of the tribal health system in mitigating these conditions. This mixed-methods...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10057353/ https://www.ncbi.nlm.nih.gov/pubmed/36629192 http://dx.doi.org/10.4103/ijmr.ijmr_3240_21 |
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author | Birje, Shantanu Patil, Anushree Devashish Munne, Kiran Ramdas Chavan, Vidya Joshi, Beena Nitin Akula, Anamika Salvi, Neha Nair, Smitha Valawalkar, Shahanara Prabhu Tandon, Deepti Chauhan, Sanjay Patil, Devendra Babu, Bontha V. |
author_facet | Birje, Shantanu Patil, Anushree Devashish Munne, Kiran Ramdas Chavan, Vidya Joshi, Beena Nitin Akula, Anamika Salvi, Neha Nair, Smitha Valawalkar, Shahanara Prabhu Tandon, Deepti Chauhan, Sanjay Patil, Devendra Babu, Bontha V. |
author_sort | Birje, Shantanu |
collection | PubMed |
description | BACKGROUND & OBJECTIVES: Non-communicable diseases (NCDs) and cancers of breast, oral cavity and cervix contribute to around 5.87 million (60%) deaths in India. Despite this, there is limited evidence on preparedness of the tribal health system in mitigating these conditions. This mixed-methods study aimed at identifying enablers and challenges using a multistakeholder approach for the screening of NCDs and common cancers in a tribal block of Maharashtra, India. METHODS: This study was conducted in a tribal community of Dahanu taluka in Palghar district of Maharashtra. A total of nine focus group discussions (FGDs) among tribal women and accredited social health activists (ASHAs), 13 key informant interviews (KIIs) among auxiliary nurse midwives (ANMs) and community health officers (CHO) and facility surveys of five public health facilities were conducted. The FGDs and KIIs were conducted using guides, recorded digitally, transcribed, analyzed and triangulated to identify emerging themes. RESULTS: The tribal women had limited knowledge about NCDs and common cancers. Paucity of health facilities, out-of-pocket expenditure, misconceptions, belief on traditional healers and inability to prioritize health were identified as major challenges. The ASHAs were recognized as a key connecting link between health system and community while provision of culturally appropriate IEC materials and adequate training were recognized as critical enablers by healthcare providers in implementing screening for NCDs and common cancers. INTERPRETATION & CONCLUSIONS: The study recommends incorporating socioculturally relevant strategies in the tribal population and strengthening health facilities in terms of infrastructure and training with involvement of ASHAs for successful implementation of the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) through health and wellness centres. |
format | Online Article Text |
id | pubmed-10057353 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-100573532023-03-30 Enablers & challenges of tribal women & health system for implementation of screening of non-communicable diseases & common cancers: A mixed-methods study in Palghar district of Maharashtra, India Birje, Shantanu Patil, Anushree Devashish Munne, Kiran Ramdas Chavan, Vidya Joshi, Beena Nitin Akula, Anamika Salvi, Neha Nair, Smitha Valawalkar, Shahanara Prabhu Tandon, Deepti Chauhan, Sanjay Patil, Devendra Babu, Bontha V. Indian J Med Res Practice: Original Article BACKGROUND & OBJECTIVES: Non-communicable diseases (NCDs) and cancers of breast, oral cavity and cervix contribute to around 5.87 million (60%) deaths in India. Despite this, there is limited evidence on preparedness of the tribal health system in mitigating these conditions. This mixed-methods study aimed at identifying enablers and challenges using a multistakeholder approach for the screening of NCDs and common cancers in a tribal block of Maharashtra, India. METHODS: This study was conducted in a tribal community of Dahanu taluka in Palghar district of Maharashtra. A total of nine focus group discussions (FGDs) among tribal women and accredited social health activists (ASHAs), 13 key informant interviews (KIIs) among auxiliary nurse midwives (ANMs) and community health officers (CHO) and facility surveys of five public health facilities were conducted. The FGDs and KIIs were conducted using guides, recorded digitally, transcribed, analyzed and triangulated to identify emerging themes. RESULTS: The tribal women had limited knowledge about NCDs and common cancers. Paucity of health facilities, out-of-pocket expenditure, misconceptions, belief on traditional healers and inability to prioritize health were identified as major challenges. The ASHAs were recognized as a key connecting link between health system and community while provision of culturally appropriate IEC materials and adequate training were recognized as critical enablers by healthcare providers in implementing screening for NCDs and common cancers. INTERPRETATION & CONCLUSIONS: The study recommends incorporating socioculturally relevant strategies in the tribal population and strengthening health facilities in terms of infrastructure and training with involvement of ASHAs for successful implementation of the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) through health and wellness centres. Wolters Kluwer - Medknow 2022-08 2023-01-05 /pmc/articles/PMC10057353/ /pubmed/36629192 http://dx.doi.org/10.4103/ijmr.ijmr_3240_21 Text en Copyright: © 2022 Indian Journal of Medical Research https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Practice: Original Article Birje, Shantanu Patil, Anushree Devashish Munne, Kiran Ramdas Chavan, Vidya Joshi, Beena Nitin Akula, Anamika Salvi, Neha Nair, Smitha Valawalkar, Shahanara Prabhu Tandon, Deepti Chauhan, Sanjay Patil, Devendra Babu, Bontha V. Enablers & challenges of tribal women & health system for implementation of screening of non-communicable diseases & common cancers: A mixed-methods study in Palghar district of Maharashtra, India |
title | Enablers & challenges of tribal women & health system for implementation of screening of non-communicable diseases & common cancers: A mixed-methods study in Palghar district of Maharashtra, India |
title_full | Enablers & challenges of tribal women & health system for implementation of screening of non-communicable diseases & common cancers: A mixed-methods study in Palghar district of Maharashtra, India |
title_fullStr | Enablers & challenges of tribal women & health system for implementation of screening of non-communicable diseases & common cancers: A mixed-methods study in Palghar district of Maharashtra, India |
title_full_unstemmed | Enablers & challenges of tribal women & health system for implementation of screening of non-communicable diseases & common cancers: A mixed-methods study in Palghar district of Maharashtra, India |
title_short | Enablers & challenges of tribal women & health system for implementation of screening of non-communicable diseases & common cancers: A mixed-methods study in Palghar district of Maharashtra, India |
title_sort | enablers & challenges of tribal women & health system for implementation of screening of non-communicable diseases & common cancers: a mixed-methods study in palghar district of maharashtra, india |
topic | Practice: Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10057353/ https://www.ncbi.nlm.nih.gov/pubmed/36629192 http://dx.doi.org/10.4103/ijmr.ijmr_3240_21 |
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