Development of a Health Intervention Model(HIM) for Primary Health Care Work Force (PHCWF)in Implarting oral Cancer Information to Indian Rural Community

Oralcancer is the sixth most common cancer in the world and highly prevalent in inSouth-east Asian countries (Ken Russell Coelho2012, Warnakulasuriya S, 2010,Sully C  et al 2008). India has thehighest prevalence of oral cancer in the world (20/100,000 population) andIncidence expected to rise by 2030 (Gupta B et al 2013, Ken Russell Coelho2012, WHO 2005). There are challenges to tackle rise in the burden as there isinequality in the distribution of dental work force which is concentrated inurban areas. Primary health care facilities are established and successfullyoperating in our country since 1946 (park k 2011).  Various national health programs are reachedto 1.3 billion Indian populations. The feasibility of utilising the primaryhealth care personnel (PHCP) for promoting oral health is still in dawn stage.

So the possibility of leveraging on health carepersonnel to tackle the existing health burden, oral health promotion, and itsneed in  minimising challenges have to beestablished. Health education is a most important and powerful tool to addressthe issue as it is reported often in the literature.  The health education regarding the oralcancer and risk factors will be planned to the primary health care workforce.Health education based on theories or models help us to understand the factorsthat are influencing on behaviours. If the factors are properly understood thestrategies and methods can be prepared which communicates better with thecommunity and the goals are achieved. Theories are ‘‘useful in planning,implementing, and evaluating interventions’’ and are particularly valued inhealth promotion because they can explain influences on health as well assuggest ways where audience change can be achieved (Hall & Johnson-Turbes2015; Jönsson et al. 2012, pine 2007).So this thesis will explore the feasibleand sustainable health education model to create the awareness in the communityregarding the oral cancer and its prevention