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Using Implementation Science to Advance Cancer Prevention in India

  • Krishnan, Suneeta (Women's Global Health Imperative, RTI) ;
  • Sivaram, Sudha (Center for Global Health, National Cancer Institute, NIH, DHHS) ;
  • Anderson, Benjamin O. (Department of Surgery, University of Washington) ;
  • Basu, Partha (Department of Gynecological Oncology, Chittaranjan National Cancer Institute) ;
  • Belinson, Jerome L (Preventive Oncology International and the Women's Health Institute of the Cleveland Clinic) ;
  • Bhatla, Neerja (Department of Obstetrics and Gynaecology, All Indian Institute of Medical Sciences) ;
  • D' Cruz, Anil (Head Neck Services, Tata Memorial Hospital) ;
  • Dhillon, Preet K. (Public Health Foundation of India) ;
  • Gupta, Prakash C. (Healis-Sekhsaria Institute for Public Health) ;
  • Joshi, Niranjan (Healthcare Technology Innovation Centre) ;
  • Jhulka, PK (Department of Radiotherapy, All India Institute of Medical Sciences) ;
  • Kailash, Uma (Institute of Cytology and Preventive Oncology) ;
  • Kapambwe, Sharon (Africa Centre of Excellence for Women's Cancer Control, Centre for Infectious Disease Research) ;
  • Katoch, Vishwa Mohan (Indian Council of Medical Research) ;
  • Kaur, Prabhdeep (National Institute of Epidemiology) ;
  • Kaur, Tanvir (Indian Council of Medical Research) ;
  • Mathur, Prashant (Indian Council of Medical Research) ;
  • Prakash, Anshu (Ministry of Health and Family Welfare) ;
  • Sankaranarayanan, R (Early Detection & Prevention Section (EDP) and Screening Group (SCR), International Agency for Research on Cancer (WHO-IARC)) ;
  • Selvam, Jerard M (Tamil Nadu Health Systems Project) ;
  • Seth, Tulika (Department of Haematology, All India Institute of Medical Sciences) ;
  • Shah, Keerti V (Johns Hopkins University Bloomberg School of Public Health) ;
  • Shastri, Surendra (Department of Preventive Oncology, Tata Memorial Center) ;
  • Siddiqi, Maqsood (Cancer Foundation of India) ;
  • Srivastava, Anurag (Department of Surgery, All India Institute of Medical Sciences) ;
  • Trimble, Edward (Center for Global Health, National Cancer Institute, NIH, DHHS) ;
  • Rajaraman, Preetha (Center for Global Health, National Cancer Institute, NIH, DHHS) ;
  • Mehrotra, Ravi (Institute of Cytology and Preventive Oncology)
  • Published : 2015.05.18

Abstract

Oral, cervical and breast cancers, which are either preventable and/or amenable to early detection and treatment, are the leading causes of cancer-related morbidity and mortality in India. In this paper, we describe implementation science research priorities to catalyze the prevention and control of these cancers in India. Research priorities were organized using a framework based on the implementation science literature and the World Health Organization's definition of health systems. They addressed both community-level as well as health systems-level issues. Community-level or "pull" priorities included the need to identify effective strategies to raise public awareness and understanding of cancer prevention, monitor knowledge levels, and address fear and stigma. Health systems-level or "push" and "infrastructure" priorities included dissemination of evidence-based practices, testing of point-of-care technologies for screening and diagnosis, identification of appropriate service delivery and financing models, and assessment of strategies to enhance the health workforce. Given the extent of available evidence, it is critical that cancer prevention and treatment efforts in India are accelerated. Implementation science research can generate critical insights and evidence to inform this acceleration.

Keywords

Cancer prevention;implementation science;oral cancer;breast cancer;cervical cancer;India

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