Background unavailability of acetic acid for cervical cancer screening; and lack of privacy for cancer screenings. Communication gaps stem from the absence of patient tracking mechanism and programme review meetings at NCD clinics. Training inadequacies affected staff confidence in conducting screenings, while low community awareness compromised the accuracy of data collated for the community-based assessment checklist. Preference for traditional healers further complicated the treatment pathways. Interpretation & conclusions Meghalaya’s high cancer incidence underscores the urgency to address these gaps for efficient implementation of the cancer activities within NPCDCS framework.
Pohsnem et al. (2026) studied this question.