STReTCH

Comprehensive Family-Based Screening, Management & Linkage Utilizing Molecular Diagnostics in a Rural, Underserved Community

5,510

Individuals Screened

1,747

HPV DNA Tests Conducted

89

High-Risk Cases Identified

Overview

STReTCH is a community- and family-based screening program in rural Telangana that integrates molecular diagnostics to identify and manage hypertension, diabetes, tuberculosis, and cervical cancer. The project leverages electronic data capture and geo-coded demographic information to ensure accurate documentation and targeted interventions.

Aim

To strengthen early detection, timely management, and referral for chronic and infectious diseases at the family level, improving health outcomes in underserved communities.

Objectives

Update the existing geo-coded database and demographic and health information for 5,000 individuals.
Implement a community-based, family-level screening intervention for hypertension, diabetes, and tuberculosis, cervical cancer.
Electronically document biological parameters at the family level, including height, weight, blood pressure, serum creatinine, fasting blood glucose, and glycosylated hemoglobin (HbA1c), as required.
Conduct molecular diagnostic testing for tuberculosis among high-risk individuals and collect self-swabs to test for human papillomavirus (HPV) DNA virus, indicative of cervical cancer.
Facilitate management, referral, and linkage for patients, including colposcopy for cervical cancer and treatment for tuberculosis.

Project Implementation

Site:

Medchal Mandal, Telangana. Five field teams (data collector + phlebotomist) conduct household visits using electronic data capture with customized software and tablets; supervised by two Project Managers and one Coordinator; medical advice and referrals provided by a designated Medical Officer. HPV-positive participants receive counseling and are referred to hospital for further assessment and colposcopy as needed. Participants with diabetes or hypertension are provided medical and dietary advice, with newly diagnosed cases linked to appropriate care and ongoing follow-up coordinated through ASHA workers and government facilities.

Current Status of the Project

Number of Participants Screened for Diabetes, Hypertension & Tuberculosis: 5510
Number of vaginal Swabs collected: 1747
Number of women who tested positive for HPV DNA: 89
Further samples, data analysis and consolidation are in progress.