To address the critical need for identifying individuals at the high-risk for the development of premalignant and malign
Main beneficiary country:India
Country of origin: India
Healthcare themes targeted
Stage of development:
Area where initiative is utilised
Initiative start date
1. Estimating the proportion of population at high risk for oral cancer. Long term surveillance is important in oral cancer and this will help follow up patients at risk over the years. In populations where high risk is identified need based screening can be carried out in other populations with a similar socio cultural milieu
2. Attrition rates for different steps of screening i.e. field level, field to PHC, adherence to chemo prevention and tobacco cessation advice as well as secondary or tertiary care referral advice.
3. Assess the role of Frontline Health providers (ASHAs Accredited Social Health Activist) as a primary contact to facilitate early detection and timely referral.
Diagnosis is often delayed in marginalized at-risk populations living in rural areas with lack of access to primary health care, low health literacy, and poor adherence to follow up. There is significant need to create referral pathways from primary to secondary care and their effects on delay in diagnosis and stage of presentation for OSCC. Efficient diagnosis and management strategies for early stage OSCC and pre-malignant lesions often require a specialist’s input. In rural and resource restricted settings there are few primary healthcare providers and even fewer specialists. Using the mhealth system, local healthcare worker can screen patients in rural areas, obtain triage guidance, and send images to specialists. Remote specialists can guide non-specialists to identify suspicious lesions, narrow differential diagnoses, decide on biopsy and follow up strategies for early stage oral cancer and pre-malignant lesions.
This input from specialists can be extremely valuable to the non-specialists in rural settings for early diagnosis of OSCC. The cost of screening per person using this platform is Rs 58. It is therefore a cost effective screening module which requires low skill and resources and can be scaled up in partnership with government and community based organizations
Health professional training - Telemedicine (remote diagnosis and consultations) - Information, education and communication for behaviour change (IEC) - Patient monitoring and medical data
60000 Number of beneficiaries since launch
10 Number of users per Day
Health: Healthcare professionals and structures
Organizational: Communities, public authorities, NGOs, associations, foundations, etc.