Table 2 Comparison of the results of recent Clinical Breast Examination (CBE)-based screening experiences with the current program
Institution [reference] | TMC, Mumbai9 | RCC Trivandrum10 | JHPIEGO35 | This study |
|---|---|---|---|---|
Duration of study | 1998–2019 [20 years] | 2006–2019 [14 years] | 2018–2020 [18 months] | 2022–2023 [18 months] |
Scale of screening | Multiple clusters in one district | Multiple clusters in one district | Two districts of Bihar/ Jharkhand | Entire state [23 districts] |
Screening methodology | 4 rounds of CBE and 5 rounds of active surveillance every two years. | 3 rounds of CBE screening provided by trained health workers [HWs] at 3-year intervals | v-CHW,s implement health awareness/ community level CBE with referral to DH for further care | Line listing by existing v-CHW’s followed by technology-based screening/ digital referral |
Digital component | Absent | Absent | Absent | Both screening and follow-up employed digital tools |
Scalability to state-level | Not attempted | Not attempted | Possible | Accomplished |
Total screened | 46554 A | 38798 B | 52248 | 15,074 |
Recall rate | 1024[2.2%] A | 2041[5.26%] B | 1736 [3.3%] | 460 [3.0%] |
Follow-up completed | 819[79.9%] A | data not adequate B | 386 [22%] | 268 [58.2%] |
Screen-detected Cancer | 30 A | 38 B | 24 | 27 |
Cancers detected of total number screened | 0.06% A [30/46554] | 0.09% B [38/38798] | 0.04% | 0.18% |
Cancers detected in screened positive women | 3.66%A [30/819] | Data not adequate B | 6.2% | 10.1% |
