Faculty of Public Health - Andalas University - OCS, 13th IEA SEA Meeting and ICPH - SDev

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Atul Kotwal

Last modified: 2018-08-10


Atul Kotwal1, Tulika Seth2, Rakesh Thakur3, G K Rath3

1Armed Forces Medical Services and Army College of Medical Sciences, New Delhi, India

2Dept of Hematology-Oncology, AIIMS, New Delhi, India

3BRAIRCH, AIIMS, New Delhi, India

Background: Cancer prevention and control needs to be based on effective implementation of preventive, promotive, treatment and rehabilitative approaches. Community as well as individual level interventions to increase knowledge and early reporting have shown interventions being effective. A community-based intervention trial was conducted to design and implement evidence based preventive strategies and to test the short-term outcome of these strategies.

Material and Methods: A mixed methods, three phased study was utilized to assess community needs, design appropriate interventions and assess their short-term impact. Three districts of Delhi were selected by a random process after listing all the districts of Delhi and two randomly selected districts out of these three were intervention districts while one district was used as control. A total sample of 500 in each District was studied in quantitative pre and post -intervention phases. Multistage, stratified, cluster sampling was utilized. Pre-tested and validated tools (assessment sheets, questionnaires) were used.

Results: Post intervention, a statistically significant higher scores were seen in all domains in intervention districts as compared to control (p<0.01). Though comparison of slum versus non-slum showed significant increment in knowledge scores and practice scores between them, with higher scores for non-slum respondents, the attitudes were very similar and not significant statistically. Post intervention scores for males increased in all intervention districts compared to control district, as did scores for females in all categories. The increment between score changes between males and females was similar-showing equivalent benefit of intervention in both groups, in all classes of society versus control district. Comparison within the intervention and control groups revealed a statistically significant difference in pre and post scores (p<0.001). While the intervention districts showed an increase in scores the control district showed a decrease in scores in all domains.

Conclusion: Our study has helped in understanding the determinants of perceptions, attitude and practices regarding cancer in the community, This, helped in formulating the need-based intervention strategies. Testing the short-term outcome of intervention showed it to be effective.

Acknowledgement: ICMR, New Delhi, India

Keywords: Cancers, Community based Intervention, Knowledge, Attitude, Practices