Using implementation science to advance cancer prevention in India

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...

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Published inAsian Pacific journal of cancer prevention : APJCP Vol. 16; no. 9; p. 3639
Main Authors Krishnan, Suneeta, Sivaram, Sudha, Anderson, Benjamin O, Basu, Partha, Belinson, Jerome L, Bhatla, Neerja, D'Cruz, Anil, Dhillon, Preet K, Gupta, Prakash C, Joshi, Niranjan, Jhulka, P K, Kailash, Uma, Kapambwe, Sharon, Katoch, Vishwa Mohan, Kaur, Prabhdeep, Kaur, Tanvir, Mathur, Prashant, Prakash, Anshu, Sankaranarayanan, R, Selvam, Jerard M, Seth, Tulika, Shah, Keerti V, Shastri, Surendra, Siddiqi, Maqsood, Srivastava, Anurag, Trimble, Edward, Rajaraman, Preetha, Mehrotra, Ravi
Format Journal Article
LanguageEnglish
Published Thailand 2015
Subjects
Delivery of Health Care
Early Detection of Cancer
Health Plan Implementation
Health Priorities
Humans
India
Neoplasms - diagnosis
Neoplasms - prevention & control
Prognosis
India
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Summary: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.
ISSN:2476-762X