Publication:
Advancing Cervical Cancer Prevention in India : Insights from Research and Programs

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dc.contributor.authorKrishnan, Suneeta
dc.contributor.authorMadson, Emily
dc.contributor.authorPorterfield, Deborah
dc.contributor.authorVarghese, Beena
dc.date.accessioned2014-04-16T17:30:26Z
dc.date.available2014-04-16T17:30:26Z
dc.date.issued2013-10
dc.description.abstractCervical cancer is the leading cause of cancer mortality in India, accounting for 17 percent of all cancer deaths among women age 30 to 69 years. At current incidence rates, the World Health Organization (WHO) estimates that the annual burden of new cases in India will increase to nearly 225,000 by 2025. Despite the considerable burden of cervical cancer morbidity and mortality in India, there are few large-scale, organized cervical cancer prevention programs in the country. We reviewed the research literature and conducted interviews with individuals engaged in research and public health program implementation to identify important elements of cervical cancer prevention efforts in India and implementation issues that merit further investigation. Although primary prevention through HPV vaccination has been endorsed by WHO, under certain conditions, in low- and middle-income countries (LMICs), its cost, partial efficacy and safety have been intensely debated in India. Further research and advocacy efforts are needed to determine the optimal strategies for its introduction and sustained use in the country. However, there is considerable research and programmatic evidence in support of secondary prevention of cervical cancer through screening and treatment. Regardless of screening approach, research and prevention programs have underscored the importance of ensuring strong linkages between screening, diagnosis, and treatment services for program and cost effectiveness. Available evidence also emphasizes that programs that are 'women-centered,' or actively respond to women's concerns and constraints are likely to be the most successful. In conclusion, research and prevention program experiences provide a strong rationale for investments in cervical cancer prevention in India.en
dc.identifierhttp://documents.worldbank.org/curated/en/2013/10/19226581/advancing-cervical-cancer-prevention-india-insights-research-programs
dc.identifier.doi10.1596/17850
dc.identifier.urihttps://hdl.handle.net/10986/17850
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank, Washington, DC
dc.relation.ispartofseriesHealth, Nutrition, and Population (HNP) discussion paper;
dc.rightsCC BY 3.0 IGO
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectABILITY TO PAY
dc.subjectABNORMALITIES
dc.subjectACCESS TO CARE
dc.subjectACCESS TO HEALTH SERVICES
dc.subjectACCESS TO TREATMENT
dc.subjectADOLESCENCE
dc.subjectADOLESCENT GIRLS
dc.subjectADOLESCENT HEALTH
dc.subjectADULTHOOD
dc.subjectADVOCACY EFFORTS
dc.subjectAIDS RESEARCH
dc.subjectALLERGIC REACTIONS
dc.subjectBIOPSY
dc.subjectBLIND
dc.subjectCANCER PREVENTION AND CONTROL
dc.subjectCARDIOVASCULAR DISEASE
dc.subjectCAREGIVERS
dc.subjectCERVICAL CANCER
dc.subjectCERVICAL CANCER SCREENING
dc.subjectCERVICAL CANCERS
dc.subjectCHRONIC CONDITIONS
dc.subjectCHRONIC DISEASES
dc.subjectCLINICAL OUTCOMES
dc.subjectCLINICS
dc.subjectCOMMUNICABLE DISEASE
dc.subjectCOMMUNITY EDUCATION
dc.subjectCOMMUNITY HEALTH
dc.subjectCONTRACEPTION
dc.subjectCOST EFFECTIVENESS
dc.subjectCOUNSELING
dc.subjectCOUNSELORS
dc.subjectCRYOTHERAPY
dc.subjectCYTOLOGY
dc.subjectDEOXYRIBONUCLEIC ACID
dc.subjectDEVELOPING COUNTRIES
dc.subjectDIABETES
dc.subjectDIAGNOSIS
dc.subjectDISABILITY
dc.subjectDISEASE PREVALENCE
dc.subjectDISEASE PREVENTION
dc.subjectDNA
dc.subjectDOCTORS
dc.subjectDRUGS
dc.subjectDYING
dc.subjectEARLY DETECTION
dc.subjectEARLY MARRIAGE
dc.subjectEDUCATIONAL ACTIVITIES
dc.subjectEPIDEMIOLOGY
dc.subjectEQUITABLE ACCESS
dc.subjectEXPENDITURES
dc.subjectFAMILIES
dc.subjectFAMILY MEMBERS
dc.subjectFAMILY SUPPORT
dc.subjectFEMALE
dc.subjectFEMALES
dc.subjectFERTILITY
dc.subjectGENITAL WARTS
dc.subjectGLOBAL HEALTH
dc.subjectGOVERNMENT DEPARTMENTS
dc.subjectGOVERNMENT HEALTH WORKERS
dc.subjectGOVERNMENT PROGRAMS
dc.subjectGROSS NATIONAL INCOME
dc.subjectHEALTH ACTIVISTS
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE ACCESS
dc.subjectHEALTH CARE INFRASTRUCTURE
dc.subjectHEALTH CARE PROVIDER
dc.subjectHEALTH CARE PROVIDERS
dc.subjectHEALTH CARE SERVICES
dc.subjectHEALTH CARE SYSTEM
dc.subjectHEALTH CARE WORKERS
dc.subjectHEALTH CENTERS
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH INFORMATION
dc.subjectHEALTH INFORMATION SYSTEM
dc.subjectHEALTH INFORMATION SYSTEMS
dc.subjectHEALTH POLICY
dc.subjectHEALTH PROMOTION
dc.subjectHEALTH RESEARCH
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SPECIALIST
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEMS
dc.subjectHIGH FERTILITY
dc.subjectHIV
dc.subjectHOSPITAL
dc.subjectHOUSEHOLD RESPONSIBILITIES
dc.subjectHUMAN DEVELOPMENT
dc.subjectHUMAN RESOURCES
dc.subjectHUSBANDS
dc.subjectHYPERTENSION
dc.subjectILLNESS
dc.subjectILLNESSES
dc.subjectIMMUNE SYSTEM
dc.subjectIMMUNIZATION
dc.subjectINCLUSION OF WOMEN
dc.subjectINFECTION
dc.subjectINFLAMMATION
dc.subjectINFORMATION SYSTEM
dc.subjectINFORMATION SYSTEMS
dc.subjectINFORMED CONSENT
dc.subjectINFORMED DECISIONS
dc.subjectINJURY
dc.subjectINPATIENT CARE
dc.subjectINSURANCE
dc.subjectINSURANCE SCHEMES
dc.subjectINTERPERSONAL COMMUNICATION
dc.subjectINTERVENTION
dc.subjectLACK OF AWARENESS
dc.subjectLIFETIME RISK
dc.subjectMEDICAL CARE
dc.subjectMEDICAL ETHICS
dc.subjectMEDICAL EXPENSES
dc.subjectMEDICAL OFFICERS
dc.subjectMEDICAL RESEARCH
dc.subjectMEDICINE
dc.subjectMEDICINES
dc.subjectMIDWIFE
dc.subjectMIDWIVES
dc.subjectMIGRATION
dc.subjectMINISTRY OF HEALTH
dc.subjectMINORITY
dc.subjectMORBIDITY
dc.subjectMORBIDITY AND MORTALITY
dc.subjectMORTALITY
dc.subjectMORTALITY RATE
dc.subjectNATIONAL AIDS
dc.subjectNATIONAL GOVERNMENT
dc.subjectNCD
dc.subjectNONCOMMUNICABLE DISEASES
dc.subjectNUMBER OF DEATHS
dc.subjectNUMBER OF WOMEN
dc.subjectNURSE
dc.subjectNURSES
dc.subjectNUTRITION
dc.subjectOLDER WOMEN
dc.subjectPAP SMEAR
dc.subjectPATHOLOGY
dc.subjectPATIENT
dc.subjectPATIENTS
dc.subjectPHYSICIANS
dc.subjectPILOT PROJECTS
dc.subjectPOLITICAL SUPPORT
dc.subjectPOPULATION DISCUSSION
dc.subjectPREMATURE DEATH
dc.subjectPREVALENCE
dc.subjectPREVENTION EFFORTS
dc.subjectPREVENTION STRATEGIES
dc.subjectPRIMARY CARE
dc.subjectPRIMARY HEALTH CARE
dc.subjectPRODUCTIVE YEARS
dc.subjectPROGNOSIS
dc.subjectPROGRESS
dc.subjectPUBERTY
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH OFFICIALS
dc.subjectPUBLIC HEALTH SERVICES
dc.subjectQUALITY ASSURANCE
dc.subjectQUALITY IMPROVEMENT
dc.subjectQUALITY OF CARE
dc.subjectRANDOMIZED CONTROLLED TRIALS
dc.subjectREAGENTS
dc.subjectREPRODUCTIVE AGE
dc.subjectREPRODUCTIVE HEALTH
dc.subjectREPRODUCTIVE TRACT
dc.subjectREPRODUCTIVE TRACT INFECTIONS
dc.subjectRESEARCH EFFORTS
dc.subjectRESOURCE ALLOCATION
dc.subjectRESOURCE CONSTRAINTS
dc.subjectRURAL AREAS
dc.subjectSANITATION
dc.subjectSCREENING
dc.subjectSERVICE DELIVERY
dc.subjectSERVICE PROVISION
dc.subjectSEXUAL ACTIVITY
dc.subjectSEXUAL HEALTH
dc.subjectSEXUALLY ACTIVE
dc.subjectSEXUALLY TRANSMITTED DISEASES
dc.subjectSOCIAL NORMS
dc.subjectSPECIALIST
dc.subjectSTATE GOVERNMENTS
dc.subjectSURGERY
dc.subjectSURVIVAL RATE
dc.subjectSYMPTOMS
dc.subjectSYRINGES
dc.subjectTERTIARY LEVELS
dc.subjectTRANSPORTATION
dc.subjectTREATMENT
dc.subjectTREATMENT SERVICES
dc.subjectVACCINATION
dc.subjectVACCINATION PROGRAM
dc.subjectVACCINATION PROGRAMS
dc.subjectVACCINE
dc.subjectVACCINE DELIVERY
dc.subjectVACCINE SAFETY
dc.subjectVACCINES
dc.subjectVIRUS
dc.subjectWOMAN
dc.subjectWOMEN'S HEALTH
dc.subjectWORKERS
dc.subjectWORLD HEALTH ORGANIZATION
dc.subjectYOUNG AGE
dc.subjectYOUNG MEN
dc.subjectYOUNG WOMEN
dc.titleAdvancing Cervical Cancer Prevention in India : Insights from Research and Programsen
dspace.entity.typePublication
okr.crosscuttingsolutionareaGender
okr.date.disclosure2014-03-11
okr.date.doiregistration2025-05-05T12:26:31.368136Z
okr.doctypePublications & Research::Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2013/10/19226581/advancing-cervical-cancer-prevention-india-insights-research-programs
okr.globalpracticeHealth, Nutrition, and Population
okr.guid496601468044350068
okr.identifier.externaldocumentum000333037_20140311124333
okr.identifier.internaldocumentum19226581
okr.identifier.report85980
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2014/03/11/000333037_20140311124333/Rendered/PDF/859800WP0India00Box382171B00PUBLIC0.pdfen
okr.region.administrativeSouth Asia
okr.region.countryIndia
okr.topicHealth Monitoring and Evaluation
okr.topicHealth, Nutrition and Population::Population Policies
okr.topicGender::Gender and Health
okr.topicHealth Systems Development and Reform
okr.topicDisease Control and Prevention
okr.unitHealth, Nutrition, and Population Family (HNP), Human Development Network
okr.volume1 of 1
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