Screening and health promotion for non-communicable diseases, malignancies and associated risk factors in integrated child development services functionaries of Panvel Taluka, Maharashtra
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20252855Keywords:
NCD, Risk factor, Screening, Pap Smear, T.A.L.K. method, Anganwadi workersAbstract
Background: Anganwadi workers play an important role in providing health care to mother and child. As an appreciation to their contribution, ‘Screening and Health Promotion Project’ was launched. Objectives of this study were to study the prevalence of hypertension and diabetes. To screen for oral cancer, breast malignancies cervical cancer. Associated risk factors with the above NCDs. Health promotion by T.A.L.K method.
Methods: It was an observational study with an all-inclusive sample of 315 Anganwadi Sevikas and Madatnis from randomly selected 3 PHCs of Panvel Taluka for one year. Modified community-based assessment checklist form was used for data collection. Descriptive statistics Chi Square and t test were applied using Microsoft Excel and SPSS 27 for statistical analysis.
Results: Amongst all the participants raised blood sugar was found in 12.69%, raised blood pressure in 13.96%, and high stress in 49% of participants. The less than 39 years aged participants had 44% of the raised B. S, 42.8% of raised BP, 41% of the higher stress. Consumption of smokeless products was strongly related to High Blood Pressure P 0.019. Two known cases of breast cancer and one case of cervical cancer were found. Pap Smear test detected bacterial vaginosis in 18.36% and inflammation in 42.8% of the participants providing consent.
Conclusions: The younger strata of Anganwadi workers presenting noticeable increase in B.S, B.P, obesity and stress highlights the need of early and periodic screening, health promotion and awareness sessions for NCDs and malignancies.
Metrics
References
Module for Multi-Purpose Workers (MPW) - Female/Male on Prevention, Screening and Control of Common Non-Communicable Diseases Page no.8 Para 1 Page no 60, 4th para. Available at: https://main.mohfw.gov.in/sites/default/files/Module%20for%20Multi-Purpose%20Workers%20-%20Prevention%2C%20Screening%20and%20Control%20of%20Common%20NCDS_2.pdf. Accessed on May 2024.
World Health Organization Noncommunicable diseases, 2023 Available at https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases. Accessed on May 2024.
Pradeepa R, Mohan V. Epidemiology of type 2 diabetes in India. Indian J Ophthalmol. 2021;69(11):2932-8. DOI: https://doi.org/10.4103/ijo.IJO_1627_21
Anchala R, Kannuri NK, Pant H, Khan H, Franco OH, Di Angelantonio E, et al. Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension. J Hypertens. 2014;32(6):1170-7. DOI: https://doi.org/10.1097/HJH.0000000000000146
Gouda J, Prusty RK. Overweight and obesity among women by economic stratum in urban India. J Health Popul Nutr. 2014;32(1):79-88.
Why Are India’s Women So Stressed Out? by Sylvia Ann Hewlett and Ripa Rashid August 29, 2011, Harvard Business Review. Available at: https://hbr.org/2011/08/why-are-indias-women-so-stress. Accessed on May 2024.
Indian Cancer Society Oral cancer, Indian Burden, Available at: https://www.indiancancersociety.org/oral-cancer/ https://www.google.com/search?q=https%3A%2F%2Fwww.indiancancersociety.org%2Foral-cancer%2F+Indian+Burden&sca_esv=954b93ba754f5c0c&rlz=1C1VDKB_en-GBIN1075IN10. Accessed on May 2024.
Report of National Cancer Registry Programme (ICMR-NCDIR), Bengaluru. Available at: https://ncdirindia.org/All_Reports/Report_2020/PB/Policy_Brief.pdf. Accessed on May 2024.
50 Years of Cancer Control in India, Cancer Prevention and Control in India Cherian Varghese page 4/12, 4th para. Available at: https://main.mohfw.gov.in/sites/default/files/Cancer%20Prevention%20And%20Control%20In%20India.pdf. Accessed on May 2024.
Sachan PL, Singh M, Patel ML, Sachan R. A study on cervical cancer screening using pap smear test and clinical correlation. Asia-Pac J Oncol Nurs. 201;5(3):337-41. DOI: https://doi.org/10.4103/apjon.apjon_15_18
Training Module for Medical Officers for Prevention, Control and Population Level Screening of Hypertension, Diabetes and Common Cancer (Oral, Breast & Cervical). Available at: https://nhmodisha.gov.in/writereaddata/Upload/Documents/MOModuleforPBSforNCds.pdf. chapter 3 page no 15, 6th para-Chapter 4 page no 23 table 4.1. Accessed on May 2024.
World Health OrganizationNon-Communicable Diseases, Rehabilitation and Disability. Available at: https://www.who.int/data/gho/data/themes/noncommunicable-diseases. Accessed on May 2024.
Basu S, Malik M, Anand T, Singh A. Hypertension Control Cascade and Performance in India: A Repeated Cross-Sectional Analysis (2015-2021). Cureus. 2023 Feb 25;15(2):e35449. DOI: https://doi.org/10.7759/cureus.35449
Ramachandran A, Snehalatha C, Kapur A, Vijay V, Mohan V, Das AK, et al. Diabetes Epidemiology Study Group in India (DESI). High prevalence of diabetes and impaired glucose tolerance in India: National Urban Diabetes Survey. Diabetologia. 2001;44(9):1094-101. DOI: https://doi.org/10.1007/s001250100627
Kadu AV, Mane SS, Lakde RN, Vedpathak VL, Gaikwad AE, Choudhari SG. Prevalence of hypertension in the rural community of Central Maharashtra, India.
Kharde AL, Deshpande J, Phulambrikar R, Mahavarakar V. Prevalence of hypertension and its risk factors in a field practice area of tertiary care teaching hospital in rural area of Western Maharashtra. Int J Med Sci Public Health. 2018;7(2):76-9. DOI: https://doi.org/10.5455/ijmsph.2018.1027705122017
Patel PA, Patel PP, Chiplonkar SA, Patel AD, Khadilkar AV. Association of body fat with stress levels and dietary intakes in Indian women. Women & Health. 2019;59(6):591-600. DOI: https://doi.org/10.1080/03630242.2018.1539429
Bindhu AS, Thankam K, Jose R, Benny PV, Beevi N, Haran JC. Prevalence of obesity and overweight among adults in a rural area in Trivandrum-a cross sectional study. Kerala Medical Journal. 2019;12(2):31-4.
Kalra S, Unnikrishnan AG. Obesity in India: The weight of the nation. J Med Nutr Nutraceut. 2012;1:37-41. DOI: https://doi.org/10.4103/2278-019X.94634
Chaudhary M, Sharma P. Abdominal obesity in India: analysis of the National Family Health Survey-5 (2019-2021) data. Lancet Reg Health Southeast Asia. 2023;14:100208. DOI: https://doi.org/10.1016/j.lansea.2023.100208
Bhatt D, Sharma S, Gupta R, Sinha DN, Mehrotra R. Predictors of Hypertension among Nonpregnant Females Attending Health Promotion Clinic with Special Emphasis on Smokeless Tobacco: A Cross‐Sectional Study. BioMed Research International. 2017;2017(1):8765217. DOI: https://doi.org/10.1155/2017/8765217
Prasad JB, Tyagi NK, Verma P. Age at menopause in India: A systematic review. Diabetes Metab Syndr. 2021;15(1):373-377 DOI: https://doi.org/10.1016/j.dsx.2021.01.013
Turovskiy Y, Sutyak Noll K, Chikindas ML. The aetiology of bacterial vaginosis. J Appl Microbiol. 2011;110(5):1105-28. DOI: https://doi.org/10.1111/j.1365-2672.2011.04977.x
Oluwatosin Goje ; Overview of Vaginitis (Vaginal Infection or Inflammation)/Revised Mar 2023. Available at: https://www.msdmanuals.com/en-in/home/women-s-health-issues/vaginitis,-cervicitis,-and pelvic-inflammatory-disease/overview-of-vaginitis-vaginal-infection-or-inflammation Manuals. Accessed on May 2024.
Van Gerwen OT, Smith SE, Muzny CA. Bacterial Vaginosis in Postmenopausal Women. Curr Infect Dis Rep. 2023;25(1):7-15. DOI: https://doi.org/10.1007/s11908-022-00794-1