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
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 en...
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| Veröffentlicht in: | Indian Journal of Medical Research 2022-08, Vol.156 (2), p.319-329 |
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| creator | 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 |
| description | 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.
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.
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.
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. |
| doi_str_mv | 10.4103/ijmr.ijmr_3240_21 |
| format | Article |
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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.
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.
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.</description><identifier>ISSN: 0971-5916</identifier><identifier>EISSN: 0975-9174</identifier><identifier>DOI: 10.4103/ijmr.ijmr_3240_21</identifier><identifier>PMID: 36348588</identifier><language>eng</language><publisher>India: Medknow Publications and Media Pvt. Ltd</publisher><subject>Cancer ; Chronic diseases ; Demographic aspects ; Diagnosis ; Health aspects ; Health facilities ; Indigenous peoples ; Mixed methods research ; Women ; Womens health</subject><ispartof>Indian Journal of Medical Research, 2022-08, Vol.156 (2), p.319-329</ispartof><rights>COPYRIGHT 2022 Medknow Publications and Media Pvt. Ltd.</rights><rights>2022. This article is published under (http://creativecommons.org/licenses/by-nc-sa/3.0/) (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3792-74b0f42fa34061b8ae5c76a5b29bf5ad316043b519ccbe9d67b0d9549df90eef3</citedby><cites>FETCH-LOGICAL-c3792-74b0f42fa34061b8ae5c76a5b29bf5ad316043b519ccbe9d67b0d9549df90eef3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36348588$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Birje, Shantanu</creatorcontrib><creatorcontrib>Patil, Anushree Devashish</creatorcontrib><creatorcontrib>Munne, Kiran Ramdas</creatorcontrib><creatorcontrib>Chavan, Vidya</creatorcontrib><creatorcontrib>Joshi, Beena Nitin</creatorcontrib><creatorcontrib>Akula, Anamika</creatorcontrib><creatorcontrib>Salvi, Neha</creatorcontrib><creatorcontrib>Nair, Smitha</creatorcontrib><creatorcontrib>Valawalkar, Shahanara Prabhu</creatorcontrib><creatorcontrib>Tandon, Deepti</creatorcontrib><creatorcontrib>Chauhan, Sanjay</creatorcontrib><creatorcontrib>Patil, Devendra</creatorcontrib><creatorcontrib>Babu, Bontha V</creatorcontrib><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><title>Indian Journal of Medical Research</title><addtitle>Indian J Med Res</addtitle><description>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.
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.
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.
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.</description><subject>Cancer</subject><subject>Chronic diseases</subject><subject>Demographic aspects</subject><subject>Diagnosis</subject><subject>Health aspects</subject><subject>Health facilities</subject><subject>Indigenous peoples</subject><subject>Mixed methods research</subject><subject>Women</subject><subject>Womens health</subject><issn>0971-5916</issn><issn>0975-9174</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9UsmO1DAQjRCIWeADuCBLSGgOZPCWOObWGg0w0iA4wNlynErHLS-NnQj6__gwnJ5hEQcuVeWq9-qVpVdVzwi-5ASz13bn0-UaFKMcK0oeVKdYiqaWRPCHx5rUjSTtSXWW8w5jIqmQj6sT1jLeNV13Wv24Drp3kDJ6icyknYOwhYziiOZke-3Qt-ghlOEE2s0Tyoc8g0djTMj6vYMynPVsY1gp2SSAYMN2fYQYahO9X4I1qwQabAad4ahU-oVidDBF-g3aIG-_w1B7mKc4ZJTnZTggG9An7baTTiu33GPmdfEHXTo6T3PSr9BNGKx-Uj0atcvw9D6fV1_eXn--el_ffnx3c7W5rQ0TktaC93jkdNSM45b0nYbGiFY3PZX92OiBkRZz1jdEGtODHFrR40E2XA6jxAAjO68u7vbuU_y6QJ6Vt9mAczpAXLKiouWck67hBfriH-guLimU6xQjjAlK1vQfFBWCypYJjP-gttqBsmGM5etmlVYbwVrMKCErityhTIo5JxjVPlmv00ERrFa7qKNT_rZL4Ty_1196D8Nvxi9_sJ8TL77f</recordid><startdate>20220801</startdate><enddate>20220801</enddate><creator>Birje, Shantanu</creator><creator>Patil, Anushree Devashish</creator><creator>Munne, Kiran Ramdas</creator><creator>Chavan, Vidya</creator><creator>Joshi, Beena Nitin</creator><creator>Akula, Anamika</creator><creator>Salvi, Neha</creator><creator>Nair, Smitha</creator><creator>Valawalkar, Shahanara Prabhu</creator><creator>Tandon, Deepti</creator><creator>Chauhan, Sanjay</creator><creator>Patil, Devendra</creator><creator>Babu, Bontha V</creator><general>Medknow Publications and Media Pvt. 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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.
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.
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.
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.</abstract><cop>India</cop><pub>Medknow Publications and Media Pvt. Ltd</pub><pmid>36348588</pmid><doi>10.4103/ijmr.ijmr_3240_21</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Cancer Chronic diseases Demographic aspects Diagnosis Health aspects Health facilities Indigenous peoples Mixed methods research Women Womens health |
| 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 |
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