title: Using implementation science to advance cancer prevention in India.
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 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.
authors.affiliation: Women's Global Health Imperative, RTI, San Francisco, USA E-mail : skrishnan@rti.org.
authors.forename: Suneeta
authors.initials: S
authors.lastname: Krishnan
authors.forename: Sudha
authors.initials: S
authors.lastname: Sivaram
authors.forename: Benjamin O
authors.initials: BO
authors.lastname: Anderson
authors.forename: Partha
authors.initials: P
authors.lastname: Basu
authors.forename: Jerome L
authors.initials: JL
authors.lastname: Belinson
authors.forename: Neerja
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authors.lastname: Bhatla
authors.forename: Anil
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authors.lastname: D'Cruz
authors.forename: Preet K
authors.initials: PK
authors.lastname: Dhillon
authors.forename: Prakash C
authors.initials: PC
authors.lastname: Gupta
authors.forename: Niranjan
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authors.lastname: Joshi
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authors.initials: PK
authors.lastname: Jhulka
authors.forename: Uma
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authors.lastname: Kailash
authors.forename: Sharon
authors.initials: S
authors.lastname: Kapambwe
authors.forename: Vishwa Mohan
authors.initials: VM
authors.lastname: Katoch
authors.forename: Prabhdeep
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authors.lastname: Kaur
authors.forename: Tanvir
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authors.lastname: Kaur
authors.forename: Prashant
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authors.lastname: Mathur
authors.forename: Anshu
authors.initials: A
authors.lastname: Prakash
authors.forename: R
authors.initials: R
authors.lastname: Sankaranarayanan
authors.forename: Jerard M
authors.initials: JM
authors.lastname: Selvam
authors.forename: Tulika
authors.initials: T
authors.lastname: Seth
authors.forename: Keerti V
authors.initials: KV
authors.lastname: Shah
authors.forename: Surendra
authors.initials: S
authors.lastname: Shastri
authors.forename: Maqsood
authors.initials: M
authors.lastname: Siddiqi
authors.forename: Anurag
authors.initials: A
authors.lastname: Srivastava
authors.forename: Edward
authors.initials: E
authors.lastname: Trimble
authors.forename: Preetha
authors.initials: P
authors.lastname: Rajaraman
authors.forename: Ravi
authors.initials: R
authors.lastname: Mehrotra
mesh_terms: D003695:Delivery of Health Care; D055088:Early Detection of Cancer; D006284:Health Plan Implementation; D006292:Health Priorities; D006801:Humans; D007194:India; D009369:Neoplasms / Q000175:diagnosis* / Q000517:prevention & control*; D011379:Prognosis