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<p>Oral cancer is a serious health problem in India, particularly in high-risk and densely populated areas like Uttar Pradesh. Community health workers (CHWs) play an important role in early detection through oral cancer screening, but they encounter a number of challenges and opportunities when working in the community. To identify the various barriers and facilitators in oral cancer screening as perceived by CHWs. A cross-sectional research was undertaken on community health workers (ASHAs, ANMs, and CHOs) in three blocks of Agra district. A pre-tested, semi-structured questionnaire was used to obtain data from CHWs on their sociodemographic features, perceived obstacles, and facilitators. Data were analysed using descriptive statistics. The most important difficulties indicated by CHWs (242 participants) were a lack of resources (49.2%), insufficient incentives (33.1%), poor training (26%), and job overload (24%). Facilitators included intrinsic drive to save lives (76.4%), as well as professional job satisfaction (67.4%). Among tested individuals, barriers included a lack of desire (87.6%) and a fear of cancer (80.2%), whereas the option to participate in health programs (70.7%) and recommendations from healthcare providers (69.0%) served as important facilitators. The study found that community health workers confront substantial challenges such as insufficient resources, restricted incentives, poor training, and job stress. Despite this, strong internal desire, professional devotion, and community involvement served as important facilitators. Community hurdles such as fear and lack of desire further impede screening adoption, whereas healthcare recommendations boost participation.</p>

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Voices from the Field: Study Among Community Health Workers for Barriers and Facilitators During Oral Cancer Screening

  • 期刊论文

  • 发表日期：

    2026年7月22日

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  • Shubham Ruhela,
  • Geetu Singh,
  • Akhil Pratap Singh

摘要

Oral cancer is a serious health problem in India, particularly in high-risk and densely populated areas like Uttar Pradesh. Community health workers (CHWs) play an important role in early detection through oral cancer screening, but they encounter a number of challenges and opportunities when working in the community. To identify the various barriers and facilitators in oral cancer screening as perceived by CHWs. A cross-sectional research was undertaken on community health workers (ASHAs, ANMs, and CHOs) in three blocks of Agra district. A pre-tested, semi-structured questionnaire was used to obtain data from CHWs on their sociodemographic features, perceived obstacles, and facilitators. Data were analysed using descriptive statistics. The most important difficulties indicated by CHWs (242 participants) were a lack of resources (49.2%), insufficient incentives (33.1%), poor training (26%), and job overload (24%). Facilitators included intrinsic drive to save lives (76.4%), as well as professional job satisfaction (67.4%). Among tested individuals, barriers included a lack of desire (87.6%) and a fear of cancer (80.2%), whereas the option to participate in health programs (70.7%) and recommendations from healthcare providers (69.0%) served as important facilitators. The study found that community health workers confront substantial challenges such as insufficient resources, restricted incentives, poor training, and job stress. Despite this, strong internal desire, professional devotion, and community involvement served as important facilitators. Community hurdles such as fear and lack of desire further impede screening adoption, whereas healthcare recommendations boost participation.