TABLE 1.
Publication | 1 | 2 | 3 | 4 | 5 |
Location | Trivandrum District, Kerala, India | Dindigul District, Tamil Nadu, India | Osmanabad District, Maharashtra, India | Mumbai, Maharashtra, India | Mumbai, Maharashtra, India |
Screening test | Oral visual inspection | VIA screening | HPV testing, Cytology and VIA screening | VIA screening | Clinical Breast Examination |
Provider | Trained Health workers | Trained Nurses | Trained Auxiliary nurse midwives | Primary Health workers | Trained female primary health workers |
Sample size | 191 873 | 80 654 | 131 746 | 151 538 | 151 538 |
Screening round | 3 | 1 | 1 | 4 | 4 |
Surveillance | Trivendrum PBCR, HBCR of RCC, source visits and household visits | Dindigul district PBCR, Medical records, Source visits, House hold visits by registry staff | District death‐registration offices, hospital records, annual home visits by Barshi registry staff | Primarily through door to door visits and later cross checked the data with Mumbai Cancer Registry | Primarily through home visits and later cross checked the data with Mumbai Cancer Registry |
Outcome | 34% reduction in the mortality in tobacco or alcohol users (0.66 95% CI [0.45‐0.95]) | 35% Reduction in the cervical cancer mortality (0.65 95% CI [0.47‐0.89]) | 53% significant reduction in rate of advanced cervical cancer (0.47 95% CI [0.32‐0.69]) and 48% reduction in associated mortality in HPV testing group (0.52 95% CI [0.33‐0.83]) | 31% reduction in Mortality in the screening group (0.69 95% CI [0.54‐0.88]) | Nearly 30% reduction in mortality in women ≥50 and older (0.71 95% CI [0.54‐0.94]) |
Abbreviations: CI, confidence interval; HBCR, Hospital Based Cancer Registry; HPV, human papillomavirus; PBCR, Population Based Cancer Registry; RCC, Regional Cancer Centre; VIA, visual inspection with acetic acid.