Advancing Cervical Cancer Prevention in India : Insights from Research and Programs
Cervical 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 ne...
| Main Authors: | , , , |
|---|---|
| Format: | Working Paper |
| Language: | English en_US |
| Published: |
World Bank, Washington, DC
2014
|
| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/2013/10/19226581/advancing-cervical-cancer-prevention-india-insights-research-programs http://hdl.handle.net/10986/17850 |
| id |
okr-10986-17850 |
|---|---|
| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ABILITY TO PAY ABNORMALITIES ACCESS TO CARE ACCESS TO HEALTH SERVICES ACCESS TO TREATMENT ADOLESCENCE ADOLESCENT GIRLS ADOLESCENT HEALTH ADULTHOOD ADVOCACY EFFORTS AIDS RESEARCH ALLERGIC REACTIONS BIOPSY BLIND CANCER PREVENTION AND CONTROL CARDIOVASCULAR DISEASE CAREGIVERS CERVICAL CANCER CERVICAL CANCER SCREENING CERVICAL CANCERS CHRONIC CONDITIONS CHRONIC DISEASES CLINICAL OUTCOMES CLINICS COMMUNICABLE DISEASE COMMUNITY EDUCATION COMMUNITY HEALTH CONTRACEPTION COST EFFECTIVENESS COUNSELING COUNSELORS CRYOTHERAPY CYTOLOGY DEOXYRIBONUCLEIC ACID DEVELOPING COUNTRIES DIABETES DIAGNOSIS DISABILITY DISEASE PREVALENCE DISEASE PREVENTION DNA DOCTORS DRUGS DYING EARLY DETECTION EARLY MARRIAGE EDUCATIONAL ACTIVITIES EPIDEMIOLOGY EQUITABLE ACCESS EXPENDITURES FAMILIES FAMILY MEMBERS FAMILY SUPPORT FEMALE FEMALES FERTILITY GENITAL WARTS GLOBAL HEALTH GOVERNMENT DEPARTMENTS GOVERNMENT HEALTH WORKERS GOVERNMENT PROGRAMS GROSS NATIONAL INCOME HEALTH ACTIVISTS HEALTH CARE HEALTH CARE ACCESS HEALTH CARE INFRASTRUCTURE HEALTH CARE PROVIDER HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE SYSTEM HEALTH CARE WORKERS HEALTH CENTERS HEALTH EXPENDITURE HEALTH FACILITIES HEALTH INFORMATION HEALTH INFORMATION SYSTEM HEALTH INFORMATION SYSTEMS HEALTH POLICY HEALTH PROMOTION HEALTH RESEARCH HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH SYSTEMS HIGH FERTILITY HIV HOSPITAL HOUSEHOLD RESPONSIBILITIES HUMAN DEVELOPMENT HUMAN RESOURCES HUSBANDS HYPERTENSION ILLNESS ILLNESSES IMMUNE SYSTEM IMMUNIZATION INCLUSION OF WOMEN INFECTION INFLAMMATION INFORMATION SYSTEM INFORMATION SYSTEMS INFORMED CONSENT INFORMED DECISIONS INJURY INPATIENT CARE INSURANCE INSURANCE SCHEMES INTERPERSONAL COMMUNICATION INTERVENTION LACK OF AWARENESS LIFETIME RISK MEDICAL CARE MEDICAL ETHICS MEDICAL EXPENSES MEDICAL OFFICERS MEDICAL RESEARCH MEDICINE MEDICINES MIDWIFE MIDWIVES MIGRATION MINISTRY OF HEALTH MINORITY MORBIDITY MORBIDITY AND MORTALITY MORTALITY MORTALITY RATE NATIONAL AIDS NATIONAL GOVERNMENT NCD NONCOMMUNICABLE DISEASES NUMBER OF DEATHS NUMBER OF WOMEN NURSE NURSES NUTRITION OLDER WOMEN PAP SMEAR PATHOLOGY PATIENT PATIENTS PHYSICIANS PILOT PROJECTS POLITICAL SUPPORT POPULATION DISCUSSION PREMATURE DEATH PREVALENCE PREVENTION EFFORTS PREVENTION STRATEGIES PRIMARY CARE PRIMARY HEALTH CARE PRODUCTIVE YEARS PROGNOSIS PROGRESS PUBERTY PUBLIC HEALTH PUBLIC HEALTH OFFICIALS PUBLIC HEALTH SERVICES QUALITY ASSURANCE QUALITY IMPROVEMENT QUALITY OF CARE RANDOMIZED CONTROLLED TRIALS REAGENTS REPRODUCTIVE AGE REPRODUCTIVE HEALTH REPRODUCTIVE TRACT REPRODUCTIVE TRACT INFECTIONS RESEARCH EFFORTS RESOURCE ALLOCATION RESOURCE CONSTRAINTS RURAL AREAS SANITATION SCREENING SERVICE DELIVERY SERVICE PROVISION SEXUAL ACTIVITY SEXUAL HEALTH SEXUALLY ACTIVE SEXUALLY TRANSMITTED DISEASES SOCIAL NORMS SPECIALIST STATE GOVERNMENTS SURGERY SURVIVAL RATE SYMPTOMS SYRINGES TERTIARY LEVELS TRANSPORTATION TREATMENT TREATMENT SERVICES VACCINATION VACCINATION PROGRAM VACCINATION PROGRAMS VACCINE VACCINE DELIVERY VACCINE SAFETY VACCINES VIRUS WOMAN WOMEN'S HEALTH WORKERS WORLD HEALTH ORGANIZATION YOUNG AGE YOUNG MEN YOUNG WOMEN |
| spellingShingle |
ABILITY TO PAY ABNORMALITIES ACCESS TO CARE ACCESS TO HEALTH SERVICES ACCESS TO TREATMENT ADOLESCENCE ADOLESCENT GIRLS ADOLESCENT HEALTH ADULTHOOD ADVOCACY EFFORTS AIDS RESEARCH ALLERGIC REACTIONS BIOPSY BLIND CANCER PREVENTION AND CONTROL CARDIOVASCULAR DISEASE CAREGIVERS CERVICAL CANCER CERVICAL CANCER SCREENING CERVICAL CANCERS CHRONIC CONDITIONS CHRONIC DISEASES CLINICAL OUTCOMES CLINICS COMMUNICABLE DISEASE COMMUNITY EDUCATION COMMUNITY HEALTH CONTRACEPTION COST EFFECTIVENESS COUNSELING COUNSELORS CRYOTHERAPY CYTOLOGY DEOXYRIBONUCLEIC ACID DEVELOPING COUNTRIES DIABETES DIAGNOSIS DISABILITY DISEASE PREVALENCE DISEASE PREVENTION DNA DOCTORS DRUGS DYING EARLY DETECTION EARLY MARRIAGE EDUCATIONAL ACTIVITIES EPIDEMIOLOGY EQUITABLE ACCESS EXPENDITURES FAMILIES FAMILY MEMBERS FAMILY SUPPORT FEMALE FEMALES FERTILITY GENITAL WARTS GLOBAL HEALTH GOVERNMENT DEPARTMENTS GOVERNMENT HEALTH WORKERS GOVERNMENT PROGRAMS GROSS NATIONAL INCOME HEALTH ACTIVISTS HEALTH CARE HEALTH CARE ACCESS HEALTH CARE INFRASTRUCTURE HEALTH CARE PROVIDER HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE SYSTEM HEALTH CARE WORKERS HEALTH CENTERS HEALTH EXPENDITURE HEALTH FACILITIES HEALTH INFORMATION HEALTH INFORMATION SYSTEM HEALTH INFORMATION SYSTEMS HEALTH POLICY HEALTH PROMOTION HEALTH RESEARCH HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH SYSTEMS HIGH FERTILITY HIV HOSPITAL HOUSEHOLD RESPONSIBILITIES HUMAN DEVELOPMENT HUMAN RESOURCES HUSBANDS HYPERTENSION ILLNESS ILLNESSES IMMUNE SYSTEM IMMUNIZATION INCLUSION OF WOMEN INFECTION INFLAMMATION INFORMATION SYSTEM INFORMATION SYSTEMS INFORMED CONSENT INFORMED DECISIONS INJURY INPATIENT CARE INSURANCE INSURANCE SCHEMES INTERPERSONAL COMMUNICATION INTERVENTION LACK OF AWARENESS LIFETIME RISK MEDICAL CARE MEDICAL ETHICS MEDICAL EXPENSES MEDICAL OFFICERS MEDICAL RESEARCH MEDICINE MEDICINES MIDWIFE MIDWIVES MIGRATION MINISTRY OF HEALTH MINORITY MORBIDITY MORBIDITY AND MORTALITY MORTALITY MORTALITY RATE NATIONAL AIDS NATIONAL GOVERNMENT NCD NONCOMMUNICABLE DISEASES NUMBER OF DEATHS NUMBER OF WOMEN NURSE NURSES NUTRITION OLDER WOMEN PAP SMEAR PATHOLOGY PATIENT PATIENTS PHYSICIANS PILOT PROJECTS POLITICAL SUPPORT POPULATION DISCUSSION PREMATURE DEATH PREVALENCE PREVENTION EFFORTS PREVENTION STRATEGIES PRIMARY CARE PRIMARY HEALTH CARE PRODUCTIVE YEARS PROGNOSIS PROGRESS PUBERTY PUBLIC HEALTH PUBLIC HEALTH OFFICIALS PUBLIC HEALTH SERVICES QUALITY ASSURANCE QUALITY IMPROVEMENT QUALITY OF CARE RANDOMIZED CONTROLLED TRIALS REAGENTS REPRODUCTIVE AGE REPRODUCTIVE HEALTH REPRODUCTIVE TRACT REPRODUCTIVE TRACT INFECTIONS RESEARCH EFFORTS RESOURCE ALLOCATION RESOURCE CONSTRAINTS RURAL AREAS SANITATION SCREENING SERVICE DELIVERY SERVICE PROVISION SEXUAL ACTIVITY SEXUAL HEALTH SEXUALLY ACTIVE SEXUALLY TRANSMITTED DISEASES SOCIAL NORMS SPECIALIST STATE GOVERNMENTS SURGERY SURVIVAL RATE SYMPTOMS SYRINGES TERTIARY LEVELS TRANSPORTATION TREATMENT TREATMENT SERVICES VACCINATION VACCINATION PROGRAM VACCINATION PROGRAMS VACCINE VACCINE DELIVERY VACCINE SAFETY VACCINES VIRUS WOMAN WOMEN'S HEALTH WORKERS WORLD HEALTH ORGANIZATION YOUNG AGE YOUNG MEN YOUNG WOMEN Krishnan, Suneeta Madson, Emily Porterfield, Deborah Varghese, Beena Advancing Cervical Cancer Prevention in India : Insights from Research and Programs |
| geographic_facet |
South Asia India |
| relation |
Health, Nutrition, and Population (HNP)
discussion paper; |
| description |
Cervical 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. |
| format |
Publications & Research :: Working Paper |
| author |
Krishnan, Suneeta Madson, Emily Porterfield, Deborah Varghese, Beena |
| author_facet |
Krishnan, Suneeta Madson, Emily Porterfield, Deborah Varghese, Beena |
| author_sort |
Krishnan, Suneeta |
| title |
Advancing Cervical Cancer Prevention in India : Insights from Research and Programs |
| title_short |
Advancing Cervical Cancer Prevention in India : Insights from Research and Programs |
| title_full |
Advancing Cervical Cancer Prevention in India : Insights from Research and Programs |
| title_fullStr |
Advancing Cervical Cancer Prevention in India : Insights from Research and Programs |
| title_full_unstemmed |
Advancing Cervical Cancer Prevention in India : Insights from Research and Programs |
| title_sort |
advancing cervical cancer prevention in india : insights from research and programs |
| publisher |
World Bank, Washington, DC |
| publishDate |
2014 |
| url |
http://documents.worldbank.org/curated/en/2013/10/19226581/advancing-cervical-cancer-prevention-india-insights-research-programs http://hdl.handle.net/10986/17850 |
| _version_ |
1764438421931032576 |
| spelling |
okr-10986-178502021-04-23T14:03:40Z Advancing Cervical Cancer Prevention in India : Insights from Research and Programs Krishnan, Suneeta Madson, Emily Porterfield, Deborah Varghese, Beena ABILITY TO PAY ABNORMALITIES ACCESS TO CARE ACCESS TO HEALTH SERVICES ACCESS TO TREATMENT ADOLESCENCE ADOLESCENT GIRLS ADOLESCENT HEALTH ADULTHOOD ADVOCACY EFFORTS AIDS RESEARCH ALLERGIC REACTIONS BIOPSY BLIND CANCER PREVENTION AND CONTROL CARDIOVASCULAR DISEASE CAREGIVERS CERVICAL CANCER CERVICAL CANCER SCREENING CERVICAL CANCERS CHRONIC CONDITIONS CHRONIC DISEASES CLINICAL OUTCOMES CLINICS COMMUNICABLE DISEASE COMMUNITY EDUCATION COMMUNITY HEALTH CONTRACEPTION COST EFFECTIVENESS COUNSELING COUNSELORS CRYOTHERAPY CYTOLOGY DEOXYRIBONUCLEIC ACID DEVELOPING COUNTRIES DIABETES DIAGNOSIS DISABILITY DISEASE PREVALENCE DISEASE PREVENTION DNA DOCTORS DRUGS DYING EARLY DETECTION EARLY MARRIAGE EDUCATIONAL ACTIVITIES EPIDEMIOLOGY EQUITABLE ACCESS EXPENDITURES FAMILIES FAMILY MEMBERS FAMILY SUPPORT FEMALE FEMALES FERTILITY GENITAL WARTS GLOBAL HEALTH GOVERNMENT DEPARTMENTS GOVERNMENT HEALTH WORKERS GOVERNMENT PROGRAMS GROSS NATIONAL INCOME HEALTH ACTIVISTS HEALTH CARE HEALTH CARE ACCESS HEALTH CARE INFRASTRUCTURE HEALTH CARE PROVIDER HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE SYSTEM HEALTH CARE WORKERS HEALTH CENTERS HEALTH EXPENDITURE HEALTH FACILITIES HEALTH INFORMATION HEALTH INFORMATION SYSTEM HEALTH INFORMATION SYSTEMS HEALTH POLICY HEALTH PROMOTION HEALTH RESEARCH HEALTH SERVICES HEALTH SPECIALIST HEALTH SYSTEM HEALTH SYSTEMS HIGH FERTILITY HIV HOSPITAL HOUSEHOLD RESPONSIBILITIES HUMAN DEVELOPMENT HUMAN RESOURCES HUSBANDS HYPERTENSION ILLNESS ILLNESSES IMMUNE SYSTEM IMMUNIZATION INCLUSION OF WOMEN INFECTION INFLAMMATION INFORMATION SYSTEM INFORMATION SYSTEMS INFORMED CONSENT INFORMED DECISIONS INJURY INPATIENT CARE INSURANCE INSURANCE SCHEMES INTERPERSONAL COMMUNICATION INTERVENTION LACK OF AWARENESS LIFETIME RISK MEDICAL CARE MEDICAL ETHICS MEDICAL EXPENSES MEDICAL OFFICERS MEDICAL RESEARCH MEDICINE MEDICINES MIDWIFE MIDWIVES MIGRATION MINISTRY OF HEALTH MINORITY MORBIDITY MORBIDITY AND MORTALITY MORTALITY MORTALITY RATE NATIONAL AIDS NATIONAL GOVERNMENT NCD NONCOMMUNICABLE DISEASES NUMBER OF DEATHS NUMBER OF WOMEN NURSE NURSES NUTRITION OLDER WOMEN PAP SMEAR PATHOLOGY PATIENT PATIENTS PHYSICIANS PILOT PROJECTS POLITICAL SUPPORT POPULATION DISCUSSION PREMATURE DEATH PREVALENCE PREVENTION EFFORTS PREVENTION STRATEGIES PRIMARY CARE PRIMARY HEALTH CARE PRODUCTIVE YEARS PROGNOSIS PROGRESS PUBERTY PUBLIC HEALTH PUBLIC HEALTH OFFICIALS PUBLIC HEALTH SERVICES QUALITY ASSURANCE QUALITY IMPROVEMENT QUALITY OF CARE RANDOMIZED CONTROLLED TRIALS REAGENTS REPRODUCTIVE AGE REPRODUCTIVE HEALTH REPRODUCTIVE TRACT REPRODUCTIVE TRACT INFECTIONS RESEARCH EFFORTS RESOURCE ALLOCATION RESOURCE CONSTRAINTS RURAL AREAS SANITATION SCREENING SERVICE DELIVERY SERVICE PROVISION SEXUAL ACTIVITY SEXUAL HEALTH SEXUALLY ACTIVE SEXUALLY TRANSMITTED DISEASES SOCIAL NORMS SPECIALIST STATE GOVERNMENTS SURGERY SURVIVAL RATE SYMPTOMS SYRINGES TERTIARY LEVELS TRANSPORTATION TREATMENT TREATMENT SERVICES VACCINATION VACCINATION PROGRAM VACCINATION PROGRAMS VACCINE VACCINE DELIVERY VACCINE SAFETY VACCINES VIRUS WOMAN WOMEN'S HEALTH WORKERS WORLD HEALTH ORGANIZATION YOUNG AGE YOUNG MEN YOUNG WOMEN Cervical 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. 2014-04-16T17:30:26Z 2014-04-16T17:30:26Z 2013-10 http://documents.worldbank.org/curated/en/2013/10/19226581/advancing-cervical-cancer-prevention-india-insights-research-programs http://hdl.handle.net/10986/17850 English en_US Health, Nutrition, and Population (HNP) discussion paper; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research South Asia India |