Development of Mobile Application Based System for Improving Population Based Cancer Screening by Community Health Workers.

Roopa Hariprasad, Manjeet Singh Chalga, Ashwini Kedar, Vipin Kumar, Subhadra Goala, Ritesh Tapkire, Ravi Kannan
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Abstract

Objective: Cancer remains a leading cause of morbidity and mortality globally, with India experiencing a significant cancer burden. Effective population-based cancer screening is crucial for early detection and reduction of cancer-related deaths. This study aims to develop a mobile application-based Cancer Screening and Surveillance System (CSMS) to enhance the efficiency and effectiveness of population-based cancer screening by community health workers (CHWs).

Methods: An applied research approach was employed, integrating traditional cancer screening procedures with a newly developed mobile application system. The CSMS includes an Android-based mobile application and a web portal designed for real-time data collection, monitoring, and rapid referral of screen-positive cases. The system was piloted in the Cachar district of Assam and training sessions were conducted to equip CHWs with traditional cancer screening procedures and the necessary skills to utilize the mobile application for cancer screening.  199 CHWs were trained and screened eligible population of 73,630 individuals.

Results: The mobile application facilitated efficient data collection and synchronization with a central server, enabling timely referrals and follow-ups. The system supported comprehensive data management, ensuring patient privacy and data security. The pilot implementation demonstrated improved screening coverage and streamlined referral processes, highlighting the system's potential to enhance cancer screening programs.

Conclusion: Mobile application-based Cancer Screening and Surveillance System provides a cost-effective and robust solution for population-based cancer screening. The developed system can improve data accuracy, facilitate timely referral and aid in early detection of cancer. Further studies should be conducted to evaluate the impact of the developed system and its scalability in more diverse settings.

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基于移动应用程序的系统开发,以提高社区卫生工作者基于人群的癌症筛查。
目的:癌症仍然是全球发病率和死亡率的主要原因,印度正在经历重大的癌症负担。有效的基于人群的癌症筛查对于早期发现和减少癌症相关死亡至关重要。本研究旨在开发一个基于移动应用程序的癌症筛查和监测系统(CSMS),以提高社区卫生工作者(chw)以人群为基础的癌症筛查的效率和效果。方法:采用应用研究的方法,将传统的癌症筛查程序与新开发的移动应用系统相结合。CSMS包括一个基于android的移动应用程序和一个门户网站,用于实时数据收集、监测和快速转诊筛检阳性病例。该系统在阿萨姆邦的Cachar地区进行了试点,并举办了培训课程,以使卫生保健员掌握传统的癌症筛查程序和利用移动应用程序进行癌症筛查的必要技能。对199名卫生保健员进行了培训,并对73,630名符合条件的人进行了筛查。结果:移动应用程序促进了高效的数据收集和与中央服务器的同步,实现了及时的转诊和随访。该系统支持全面的数据管理,确保患者隐私和数据安全。试点实施证明了筛查覆盖率的提高和转诊流程的简化,突出了该系统在加强癌症筛查项目方面的潜力。结论:基于移动应用程序的癌症筛查和监测系统为基于人群的癌症筛查提供了一种经济有效的解决方案。开发的系统可以提高数据的准确性,促进及时转诊,并有助于早期发现癌症。应进行进一步的研究,以评价已开发的系统的影响及其在更多样化环境中的可扩展性。
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来源期刊
CiteScore
2.80
自引率
0.00%
发文量
779
审稿时长
3 months
期刊介绍: Cancer is a very complex disease. While many aspects of carcinoge-nesis and oncogenesis are known, cancer control and prevention at the community level is however still in its infancy. Much more work needs to be done and many more steps need to be taken before effective strategies are developed. The multidisciplinary approaches and efforts to understand and control cancer in an effective and efficient manner, require highly trained scientists in all branches of the cancer sciences, from cellular and molecular aspects to patient care and palliation. The Asia Pacific Organization for Cancer Prevention (APOCP) and its official publication, the Asia Pacific Journal of Cancer Prevention (APJCP), have served the community of cancer scientists very well and intends to continue to serve in this capacity to the best of its abilities. One of the objectives of the APOCP is to provide all relevant and current scientific information on the whole spectrum of cancer sciences. They aim to do this by providing a forum for communication and propagation of original and innovative research findings that have relevance to understanding the etiology, progression, treatment, and survival of patients, through their journal. The APJCP with its distinguished, diverse, and Asia-wide team of editors, reviewers, and readers, ensure the highest standards of research communication within the cancer sciences community across Asia as well as globally. The APJCP publishes original research results under the following categories: -Epidemiology, detection and screening. -Cellular research and bio-markers. -Identification of bio-targets and agents with novel mechanisms of action. -Optimal clinical use of existing anti-cancer agents, including combination therapies. -Radiation and surgery. -Palliative care. -Patient adherence, quality of life, satisfaction. -Health economic evaluations.
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