Promoting Quality of Cervical Cancer Screening and Treatment in India
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World Bank, Washington, DC
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Cervical cancer screening is highly
cost effective, feasible, and culturally acceptable in
higher and lower income settings across the world. According
to the World Health Organization and the World Economic
Forum, screening for cervical cancer is an evidence-based
best buy prevention intervention (1). However, to be
effective in reducing cervical cancer incidence and
mortality, screening programs must be of high quality.
Cervical cancer is the second most common cancer among women
in India. In 2010, nearly 74,000 Indian women were newly
diagnosed with the disease and 34,000 women died (2).
Recognizing the challenge of cervical cancer in India, the
World Bank published a review of research on cervical cancer
prevention and implementation experiences of cervical cancer
screening programs in the country (3). The review found that
program effectiveness depends on the quality of screening
interventions. Cervical cancer screening programs are
effective when they achieve high coverage of the target
population, ensure high rates of follow-up of women who
screen positive, and provide services consistent with
established standards and guidelines. Screening program
quality, shaped by several factors described below,
influences these outcomes.
Palabras clave
ANXIETY, BREAST, CANCER OF THE CERVIX, CANCER PREVENTION AND CONTROL, CARDIOVASCULAR DISEASES, CERVICAL CANCER, CERVICAL CANCER SCREENING, COMMUNICABLE DISEASE, COMMUNICATION SYSTEMS, COMMUNITY EDUCATION, COMMUNITY HEALTH, COMMUNITY LEADERS, CYTOLOGY, DEATHS, DIABETES, DIAGNOSIS, DISEASE, DNA, EXERCISES, FAMILY PLANNING, FASHION, FEMALE, FLOW OF INFORMATION, GENDER, GENDER NORMS, HEALTH CARE, HEALTH CARE PROVIDERS, HEALTH CARE SYSTEM, HEALTH FACILITIES, HEALTH INFORMATION, HEALTH WORKERS, HUSBANDS, INFORMATION SYSTEM, INTERVENTION, LACK OF KNOWLEDGE, LOCAL COMMUNITY, MORTALITY, NUTRITION, PATIENT, PATIENT INFORMATION, POPULATION DISCUSSION, POPULATION KNOWLEDGE, PROGRESS, QUALITY ASSURANCE, REFERRAL SYSTEM, REPRODUCTIVE HEALTH, REPRODUCTIVE HEALTH CARE, RESPECT, SCREENING, SELF-ASSESSMENT, SERVICE UTILIZATION, SOCIAL BARRIERS, SPECIALIST, TRANSPORTATION, TREATMENT, TREATMENT SERVICES, URBAN COMMUNITY, WORKERS, WORLD HEALTH ORGANIZATION