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Oral Health Assessment by Lay Personnel for Older Adults

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Evaluation of Health Education on Oral Cancer Screening Knowledge and Skills Among Community Health Workers in Agra

Shubham Ruhela¹, Geetu Singh², Akhil P Singh³

¹Preventive Medicine, Sarojini Naidu Medical College, Agra, IND.

|December 31, 2025

Abstract

Objective:

To evaluate the effect of health education intervention on the knowledge and skills of community health workers (CHWs) regarding oral cancer screening in the Agra district, India.

Methods:

A community-based interventional study on oral cancer was commissioned among community healthcare workers in the Agra district. A total of 242 CHWs participated, selected via purposive sampling. Data was collected using a pre-tested, semi-structured questionnaire. A 45-minute educational session with audiovisual aids and hands-on oral visual examination (OVE) training was delivered. Post-intervention assessment was done after one month. Statistical analysis included paired t-tests and chi-square tests (p < 0.05 considered significant).

Results:

The mean knowledge score of CHWs increased from 26.6 ± 8.36 to 39.3 ± 7.51 (47.74% improvement; p < 0.001). Skill scores improved from 4.79 ± 2.82 to 8.18 ± 3.68 (70.77% improvement; p < 0.001). The proportion of CHWs with good knowledge rose from 4.5% to 28.5%, and those with poor knowledge declined from 69.8% to 13.2%.

Conclusion:

Targeted training interventions can significantly improve CHWs' competence in oral cancer screening. Scaling up such initiatives and integrating them into national non-communicable disease (NCD) programs can strengthen early detection efforts in resource-limited settings.

Keywords:

community health workers health education oral cancer oral visual examination screening

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