在印度东北部实施癌症预防计划的障碍:梅加拉雅州的案例研究
Fellicita Pohsnem1, Melari Shisha Nongrum1, Rajiv Sarkar1
1Indian Institute for Public Health Shillong, Shillong, Meghalaya, India.
The Indian journal of medical research
|February 6, 2026
概括
梅加拉雅州的癌症预防工作面临重大障碍,包括资源不足和沟通缺口. 解决这些问题对于改善癌症控制在国家癌症,糖尿病,心血管疾病和中风预防和控制计划 (NPCDCS) 中至关重要.
科学领域:
- 公共卫生 公共卫生
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 印度面临着相当大的癌症负担,东北地区的发病率最高.
- 预防和控制癌症,糖尿病,心血管疾病和中风的国家计划 (NPCDCS) 于2010年启动,但在梅加拉雅州实施延迟.
研究的目的:
- 检查在梅加拉亚州实施癌症预防的促进者和障碍.
- 分析该地区NPCDCS框架的有效性.
主要方法:
- 这项定性研究涉及56名医疗保健专业人员和前线卫生工作者.
- 通过20次深入采访和4次焦点小组讨论收集数据.
- 使用混合编码策略和NVivo-12软件进行分析.
主要成果:
- 高血压和糖尿病优先于癌症预防活动.
- 障碍包括IEC材料不足,选用品 (乙酸) 缺乏以及隐私问题.
- 发现了沟通缺口,培训不足,社区意识低,以及对传统治疗师的偏好.
结论:
- 梅加拉亚的高癌症发病率迫切需要改善癌症预防策略.
- 解决已识别的障碍对于有效实施NPCDCS和癌症控制至关重要.
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