International Journal of Community Medicine and Public Health | February 2020 | Vol 7 | Issue 2 Page 711
International Journal of Community Medicine and Public Health
Kotwal A et al. Int J Community Med Public Health. 2020 Feb;7(2):711-716
http://www.ijcmph.com
pISSN 2394-6032 | eISSN 2394-6040
Original Research Article
Outcome of community based planned intervention targeting
perceptions, attitudes and health seeking behaviour regarding cancers
in New Delhi, India
Atul Kotwal
1
*, Tulika Seth
2
, Rakesh Thakur
3
, G. K. Rath
4
, D. N. Sharma
5
, Jitendra Nagpal
6
INTRODUCTION
Cancer prevention and control, a complex issue needs to
be based on effective implementation of preventive,
promotive, treatment and rehabilitative approaches.
Additionally, palliative care is required for improving
quality of life of patients in incurable terminal stages. In
the context of limited resources in LMIC countries like
India, appropriate planning, strategies and their effective
implementation can lead to remarkable results in
ABSTRACT
Background: Cancer prevention and control needs to be based on effective implementation of all approaches.
Community as well as individual level interventions to increase knowledge and early reporting have shown
effectiveness. A community-based intervention trial was conducted to design, implement and test short-term
outcomes of evidence based preventive strategies.
Methods: A mixed methods, three phased study was conducted in three districts of Delhi, which were selected by a
random process. Two randomly selected districts out of these three were intervention districts while third was the
control. A total sample of 500 in each district was studied in quantitative pre and post -intervention phases.
Multistage, stratified, cluster sampling was utilized. Pre-tested and validated tools were used.
Results: Post intervention, statistically significant higher scores were observed in all domains in intervention districts
as compared to control (p<0.01). Though comparison of slum versus non-slum showed significant increment in
knowledge and practice scores, with higher scores for non-slum respondents, the attitudes were very similar (p>0.05).
The increment score changes between males and females was similar in all classes of society versus control district.
Comparison within the intervention and control groups revealed increased scores in intervention districts and
decreased scores in control district, in all domains (p<0.05).
Conclusions: Our study has helped in understanding the determinants of perceptions, attitude and practices regarding
cancer in the community, This, helped in formulating the need-based intervention strategies. Testing the short-term
outcome of intervention showed it to be effective.
Keywords: Attitude, Cancers, Cancer control programme, Community based intervention, Knowledge, Practices
1
Department of Community Medicine and Epidemiology, Armed Forces Medical Services, India
2
Department of Hematology-Oncology, All India Institute of Medical Sciences, New Delhi, India
3
Department of Community Oncology,
4
Chief, Bhim Rao Ambedkar Institute Rotary Cancer Hospital, All India
Institute of Medical Sciences, New Delhi, India
5
Department of Radiation Oncology, All India Institute Of Medical Science, New Delhi, India
6
Consultant, Psychiatry, Mool Chand Hospital, New Delhi, India
Received: 06 December 2019
Revised: 14 January 2020
Accepted: 16 January 2020
*Correspondence:
Dr. Atul Kotwal,
E-mail: dratulkotwal@gmail.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20200454