title: Meeting the emerging challenge of breast and cervical cancer in low- and middle-income countries.
abstract: Cancer, particularly when it affects women and reproductive health, epitomizes the complexities and inequities of the epidemiological challenge faced by low- and middle-income countries. Women in resource-poor settings face a double cancer burden: the backlog of preventable cancer, and the emerging challenge of cancers that cannot be prevented but whose impact could be dramatically reduced through early detection and treatment. Disparities in cancer incidence, mortality, and other health and non-health outcomes are exacerbated by gender inequity and compounded by discrimination and stigma. The combination of these barriers implies a multiplicative challenge for women who face cancer, particularly when the disease is associated with reproduction. The horizons of maternal and reproductive health should extend to include the life cycle of healthy changes and illness that are embodied in longer life for women. Numerous opportunities exist to strengthen health systems through sexual and reproductive and women and health platforms and better meet the challenge of cancer.
authors.affiliation: Harvard Global Equity Initiative, Boston, MA, USA. Felicia_knaul@harvard.edu
authors.forename: Felicia M
authors.initials: FM
authors.lastname: Knaul
authors.forename: Afsan
authors.initials: A
authors.lastname: Bhadelia
authors.forename: Julie
authors.initials: J
authors.lastname: Gralow
authors.forename: Héctor
authors.initials: H
authors.lastname: Arreola-Ornelas
authors.forename: Ana
authors.initials: A
authors.lastname: Langer
authors.forename: Julio
authors.initials: J
authors.lastname: Frenk
mesh_terms: D001943:Breast Neoplasms / Q000453:epidemiology* / Q000517:prevention & control / Q000628:therapy; D003906:Developing Countries; D005260:Female; D054624:Health Status Disparities; D054625:Healthcare Disparities; D006801:Humans; D008297:Male; D060728:Reproductive Health; D002583:Uterine Cervical Neoplasms / Q000453:epidemiology* / Q000517:prevention & control / Q000628:therapy; D016387:Women's Health