Evaluation of utilisation of health workers for secondary prevention of oral cancer in Kerala, India.
The utilisation of primary health workers (HWs) for cancer control in developing countries has often been suggested, based on the experience of feasibility studies in India and Sri Lanka.
Two hundred and eighty-two HWs attached to 14 primary health centres (PGCs), serving approximately 0.92 million rural population in the northernh half of Trivandrum district in Kerala, India, were trained in oral visual inspection to detect precancerous, malignant and other suspicious lesions of the oral cavity and refer them for confirmation and treatment.
They were asked to examine subjects aged 35 years and above and to give person to person health education on tobacco in their target population.
Only 9/282 (3.2%) trained HWs were motivated and they examined 17 812 eligible subjects in 3 years and referred 408 subjects with lesions ; 258/408 (63.2%) referred subjects reported for further examination and ten oral cancers were detected among them.
There were no differences in the proportions of various clinical stages of the 302 oral cancer patients from the intervention area and the 287 patients from the control area who reported for treatment between July 1989 and June 1992.
Only ten (3.3%) of 302 oral cancers in the interventions area had been referred by trained HWs.
The present study failed to motivate the HWs for oral cancer control.
No trend towards earlier detection of oral cancers was observed in the intervention area.
Mots-clés Pascal : Tumeur maligne, Cavité buccale, Stomatologie, Homme, Inde, Asie, Dépistage, Prévention, Programme sanitaire, Personnel sanitaire, Agent santé
Mots-clés Pascal anglais : Malignant tumor, Oral cavity, Stomatology, Human, India, Asia, Medical screening, Prevention, Sanitary program, Health staff, Health worker
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0398297
Code Inist : 002B10C01. Création : 01/03/1996.