Operational Model

Operational model of the program - 'Hub and Spoke'

Primary care

Community Sensitization

BC : Education/Awareness, SBE* training
CC : Education/Awareness

Secondary care

Mobile Diagnostic Unit

BC : Analog Mammography, CBE*
CC : VIA/Colposcopy

Tertiary care

Center of Excellence in Women Cancers

BC : Digitial Mammography, USG, Biopsy
CC : Biopsy, Pap Smear

*BC – Breast Cancer | CC – Cervical Cancer | USG – Ultrasound | SBE – Self Breast Exam | CBE – Clinical Breast Exam

Technology use

Operational model of the program

Exhaustive and Non-discriminatory	Appropriate Referral	Treatment for All
Cover women from all socioeconomic strata in the city of Pune. Attractive and scalable enough to absorb this heavy load.	Mere detection is not good enough. Suspected BC or CC cases: counsel and referral to tertiary facilities for further treatment & care.	All patients should be treated with affordable & excellent Oncological care. Generate funds, on a sustainable basis, Cross-subsidy Model
Support for Starting up	Supported by Tata Trusts (and other like-minded institutions) Building the backend-infrastructure (equipment, infrastructure, project staff, and technology) needed to run such a large-scale programme. The 'unit cost' of each screening and treatment may still have to be recovered (or subsidized, as the case may be) from the individual patients
Link with government to scale-up	Linkages to Government of Maharashtra's public-health infrastructure to : reduce overall project costs (by using its paramedics and existing facilities in hospitals and urban-centers), increase outreach and promotion (by using the government's messaging platforms) create systems & processes of working with the government system (which is the only media for facilitating country-wide adoption)

A Joint Initiative by