Practical Feasibility of the Brahams Protocol as a Partner-Assisted Breast Cancer Screening Modality and Its Public-Health Implications: A Cross-Sectional Survey among Hospital Nursing Staff

Background: Breast cancer screening is influenced not only by the clinical rationale and performance of a screening approach but also by its social acceptability and practical feasibility. The Brahams Protocol (BP), developed by Indian medical oncologist Dr. (Lt Col) Brahamjit Singh, is a partner-assisted breast cancer screening approach designed to integrate structured breast-health vigilance into routine life. Previous work has examined its behavioral rationale, relevance to early detection in younger women, knowledge gaps among nursing professionals, and social and cultural acceptability. The present study assessed the practical feasibility and public-health relevance of BP. Methods: A cross-sectional survey was conducted following a series of eight structured seminars on BP among 300 nursing staff at Sarvodaya Hospital, Faridabad and Noida, during April–June 2026. Of these, 273 participants completed the survey, comprising 61 males and 212 females. The questionnaire included demographic characteristics and multiple domains assessing perceptions of BP. The present analysis focused on feasibility and practicality, including ease of practice, partner participation, equipment requirements, affordability, applicability across socioeconomic and educational groups, privacy and dignity, cultural adaptability, rural applicability, community-health integration, and routine practice. Results: Among 5,460 item-level responses from 273 participants, 5,319 (97.4%) were affirmative. Individual feasibility items received affirmative responses ranging from 89.7% to 98.9%. High levels of perceived feasibility were observed for partner participation, affordability, minimal equipment requirements, applicability across socioeconomic and educational groups, privacy and dignity, cultural compatibility, routine practice, and integration into nursing and community-health activities. Conclusion: BP demonstrated high perceived practical feasibility and social acceptability among the nursing personnel surveyed. Its partner-assisted structure, low resource requirements, affordability, cultural compatibility, and potential integration into routine and community-health practice represent favorable implementation characteristics. These findings add practical-feasibility evidence to the emerging evidence base supporting BP and provide an encouraging public-health signal for its further evaluation as a complementary breast cancer screening approach. The findings should be interpreted as implementation evidence and not as evidence of screening effectiveness or clinical outcome benefit.

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