Krishnan Suneeta, Sivaram Sudha, Anderson Benjamin O, Basu Partha, Belinson Jerome L, Bhatla Neerja, D'Cruz Anil, Dhillon Preet K, Gupta Prakash C, Joshi Niranjan, Jhulka P K, Kailash Uma, Kapambwe Sharon, Katoch Vishwa Mohan, Kaur Prabhdeep, Kaur Tanvir, Mathur Prashant, Prakash Anshu, Sankaranarayanan R, Selvam Jerard M, Seth Tulika, Shah Keerti V, Shastri Surendra, Siddiqi Maqsood, Srivastava Anurag, Trimble Edward, Rajaraman Preetha, Mehrotra Ravi
Women's Global Health Imperative, RTI, San Francisco, USA E-mail :
Asian Pac J Cancer Prev. 2015;16(9):3639-44. doi: 10.7314/apjcp.2015.16.9.3639.
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.
口腔癌、宫颈癌和乳腺癌在印度是与癌症相关的发病和死亡的主要原因，这些癌症要么可以预防，要么适合早期发现和治疗。在本文中，我们描述了实施科学研究重点，以促进印度对这些癌症的预防和控制。研究重点是使用基于实施科学文献和世界卫生组织卫生系统定义的框架来组织的。它们既涉及社区层面问题，也涉及卫生系统层面问题。社区层面或“拉动”重点包括需要确定提高公众对癌症预防的认识和理解、监测知识水平以及消除恐惧和耻辱感的有效策略。卫生系统层面或“推动”及“基础设施”重点包括传播循证实践、测试用于筛查和诊断的即时护理技术、确定适当的服务提供和融资模式，以及评估加强卫生人力的策略。鉴于现有证据的程度，加速印度的癌症预防和治疗工作至关重要。实施科学研究可以产生关键见解和证据，为这一加速进程提供信息。
