TY - JOUR
T1 - Cervical cancer screening status and implementation challenges
T2 - Report from selected states of India
AU - Dsouza, Jyoshma Preema
AU - Van den Broucke, Stephan
AU - Pattanshetty, Sanjay
AU - Dhoore, William
N1 - Funding Information:
The authors are grateful to State Ministry of Health and Family Welfare of Government of Karnataka, Government of Himachal Pradesh, Government of Meghalaya for the permissions and support provided to conduct the study. The authors are thankful to all program implementers and administrators for their participation. This work was conducted as a part of PhD research which was supported under ‘Co-operation au Development’.
Publisher Copyright:
© 2021 John Wiley & Sons, Ltd.
PY - 2022/3
Y1 - 2022/3
N2 - Background: Cervical cancer contributes to 6%–29% of the cancers in India. Although the Government of India in 2010 integrated cancer screening within the National Programme for the prevention of Non-communicable Diseases, only 22% of women aged 15–45 years had undergone examination of the cervix by 2016. This prompts the question regarding the organisation of the program's implementation and service delivery and regarding challenges that may explain poor screening uptake. Methods: Semi-structured interviews were held with program managers and implementers in seven districts of three selected States of India. The data analysis looked at program content, the organisation of screening delivery, and the challenges to the implementation of the program, considering six theoretically derived dimensions of public health capacity: leadership and governance, organisational structure, financial resources, workforce, partnerships, and knowledge development. Results: Participants perceive the existing capacities across the six domains as insufficient to implement the CCS program nationwide. A context specific implementation, a better coordination between the program and district health facilities, timely remuneration, better maintenance of data and a strong monitoring system are possible solutions to remove health system related barriers. Conclusion: The study provides evidence on the practical challenges and provides recommendations for strengthening the capacities of the health system.
AB - Background: Cervical cancer contributes to 6%–29% of the cancers in India. Although the Government of India in 2010 integrated cancer screening within the National Programme for the prevention of Non-communicable Diseases, only 22% of women aged 15–45 years had undergone examination of the cervix by 2016. This prompts the question regarding the organisation of the program's implementation and service delivery and regarding challenges that may explain poor screening uptake. Methods: Semi-structured interviews were held with program managers and implementers in seven districts of three selected States of India. The data analysis looked at program content, the organisation of screening delivery, and the challenges to the implementation of the program, considering six theoretically derived dimensions of public health capacity: leadership and governance, organisational structure, financial resources, workforce, partnerships, and knowledge development. Results: Participants perceive the existing capacities across the six domains as insufficient to implement the CCS program nationwide. A context specific implementation, a better coordination between the program and district health facilities, timely remuneration, better maintenance of data and a strong monitoring system are possible solutions to remove health system related barriers. Conclusion: The study provides evidence on the practical challenges and provides recommendations for strengthening the capacities of the health system.
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U2 - 10.1002/hpm.3353
DO - 10.1002/hpm.3353
M3 - Article
AN - SCOPUS:85118215971
SN - 0749-6753
VL - 37
SP - 824
EP - 838
JO - International Journal of Health Planning and Management
JF - International Journal of Health Planning and Management
IS - 2
ER -
