Community Medicine (PSM) · Non-Communicable Disease Control (Cardiovascular, Cancer)

Under NPCDCS (National Programme for Prevention and Control of Cancer, Diabetes, CVD and Stroke), which of the following is the opportunistic screening strategy employed at health and wellness centres?

  • A Population-level mammography screening for all women above 40 years
  • B Annual fasting blood glucose for all adults above 18 years nationwide
  • C ECG screening for all adults above 40 years in CHC settings
  • D Opportunistic screening for oral cancer, cervical cancer, and breast cancer in individuals ≥30 years attending any government health facility, plus CBE and VIA/VILI
Correct answer: D. Opportunistic screening for oral cancer, cervical cancer, and breast cancer in individuals ≥30 years attending any government health facility, plus CBE and VIA/VILI

Explanation

Under NPCDCS (now integrated as part of NP-NCD), Health and Wellness Centres (HWCs) conduct opportunistic NCD screening for individuals aged ≥30 years who visit any government facility. The three common cancers screened are oral cancer (visual inspection with acetic acid), cervical cancer (VIA/VILI or HPV testing), and breast cancer (Clinical Breast Examination — CBE). Screening is opportunistic (at point of service contact), not population-wide call-and-recall as in organized programs. These are embedded within Comprehensive Primary Health Care at HWCs.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.

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