Using implementation science to advance cancer prevention in India

Suneeta Krishnan, Sudha Sivaram, Benjamin O. Anderson, Partha Basu, Jerome L. Belinson, Neerja Bhatla, Anil D'Cruz, Preet K. Dhillon, Prakash C. Gupta, Niranjan Joshi, P. K. Jhulka, Uma Kailash, Sharon Kapambwe, Vishwa Mohan Katoch, Prabhdeep Kaur, Tanvir Kaur, Prashant Mathur, Anshu Prakash, R. Sankaranarayanan, Jerard M. SelvamTulika Seth, Keerti V. Shah, Surendra Shastri, Maqsood Siddiqi, Anurag Srivastava, Edward Trimble, Preetha Rajaraman, Ravi Mehrotra

Research output: Contribution to journalShort surveypeer-review

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 evidencebased 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.

Original languageEnglish (US)
Pages (from-to)3639-3644
Number of pages6
JournalAsian Pacific Journal of Cancer Prevention
Volume16
Issue number9
DOIs
StatePublished - 2015

Keywords

  • Breast cancer
  • Cancer prevention
  • Cervical cancer
  • Implementation science
  • India
  • Oral cancer

ASJC Scopus subject areas

  • Epidemiology
  • Oncology
  • Public Health, Environmental and Occupational Health
  • Cancer Research

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