Training ASHAs,ANMs,Medical Officers and Staff Nurses in Population based Screening of NCDs
at CDER,AIIMS-New Delhi
11-31 May 2017
The Population based Screening programme for the Non Communicable Diseases was envisaged in the year 2016. Hypertension, Diabetes, Oral Cancer, Breast Cancer and Cervical Cancer were the diseases to be screened for. The agenda is to shift from disease centric programmes towards a preventive and promotive approach addressing the risk factors common to all the NCDs. The framework for oral cancer screening at the primary, secondary and tertiary levels of health care was prepared by the CDER AIIMS New Delhi. The framework was released in the Year 2016 and the training launched in early 2017.As a part of the screening programme, capacity building for the Accredited Social Health Activists, Auxiliary Nurse Midwives, Staff Nurses and the Medical Officers placed at various levels of health care in all the 29 states and 7 Union Territories is being rolled out.
The model followed for capacity building is Training of Trainers. This was formally launched on the 16th of May 2017 by the Union Minister of Health and Family Welfare. Two sessions for the frontline workers, one for the staff nurses and one more for the facilitators have been completed. The rest of the sessions are scheduled in mid May and end of May 2017. The capacity building sessions include a presentation on the most common Oral Potentially Malignant Lesions, risk factors for Oral Cancer, significance of screening and recap of the screening framework. In addition a video on head and neck node examination, intra oral and extra oral examination is also shown to the participant to understand the protocols. Also, tobacco cessation protocols and medical management of the Oral potentially malignant lesions are explained. A video on Mouth Self Examination is added as well, stressing on this being passed down to the frontline workers as well as the public at grassroot level to help downstage the disease and also enhance awareness levels. This is followed by a hands-on demonstration and practice using basic equipments like a wooden spatula/ blade and an incandescent light source. A pre training as well as post training assessment of the participants is also done for robust evaluation and outcome measurement.
This is in collaboration with the National Health Systems Resource Centre and the National Centre for Disease Control, Government of India.