Limited Engagement in Cancer Screening Initiatives in India: A Comprehensive Review of Breast and Cervical Cancer Programs
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By
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Jubina Balan Venghateri
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Priyansh Nathani
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Shreya Goyal
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Bhakti Sarang
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Harshal Rawtani
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Priti Patil
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Deepa KV
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Nethra Jain
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Anita Gadgil
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Nobhojit Roy
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November 7, 2025
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Clinical Scorecard: Limited Engagement in Cancer Screening Initiatives in India: A Comprehensive Review of Breast and Cervical Cancer Programs
At a Glance
| Category | Detail |
| Condition | Breast and Cervical Cancer Screening |
| Key Mechanisms | Opportunistic screening, Clinical Breast Examination, Visual Inspection with Acetic Acid, Oral Visual Examination |
| Target Population | Women aged 30-60 years, particularly in urban and rural areas |
| Care Setting | Community health programs, regional cancer centers, tertiary care centers |
Key Highlights
- Breast and cervical cancers account for nearly 39% of all cancers among women in India.
- Cervical cancer incidence has declined in urban areas due to improved hygiene and screening.
- Less than 2% of women in India participate in breast and cervical cancer screening programs.
- Breast cancer incidence is rising among younger urban women aged 30-50 years.
- The national screening program launched in 2016 has not significantly improved screening uptake.
Guideline-Based Recommendations
Diagnosis
- Clinical Breast Examination for breast cancer.
- Visual Inspection with Acetic Acid for cervical cancer.
Management
- Implement organized screening programs to improve early detection.
Monitoring & Follow-up
- Track participation rates and outcomes of screening initiatives.
Risks
- Late-stage diagnosis leading to higher mortality rates, particularly for breast cancer.
Patient & Prescribing Data
Women aged 30-60 years, especially in rural areas with limited access to healthcare.
Access to timely treatment is crucial for reducing cancer-related deaths.
Clinical Best Practices
- Enhance awareness and education about cancer screening.
- Improve access to screening services in rural areas.
- Integrate mobile technology to track and promote screening efforts.
References