{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T10:54:58Z","timestamp":1788951298896,"version":"build-2803163510"},"reference-count":33,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2022,2,8]],"date-time":"2022-02-08T00:00:00Z","timestamp":1644278400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["acsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Breast Health Initiative (BHI) was launched to demonstrate a scalable model to improve access to early diagnosis and treatment of breast cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A package of evidence\u2010based interventions was codesigned and implemented with the stakeholders, as part of the national noncommunicable disease program, through the existing primary health care system. Data from the first 18 months of the BHI are presented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 108,112 women received breast health education; 48% visited the health facilities for clinical breast examination (CBE), 3% had a positive CBE result, and 41% were referred to a diagnostic facility. The concordance of CBE findings between health care providers and adherence to follow\u2010up care improved considerably, with more women visiting the diagnostic facilities and completing diagnostic evaluation within 1 month from initial screening, and with only 9% lost to follow\u2010up. The authors observed a clinically meaningful decrease in time to complete diagnostic evaluation with biopsy, from 37 to 9 days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The results demonstrate the feasibility and effectiveness of implementing a large\u2010scale, decentralized breast cancer early detection program delivered through the existing primary health care system in India.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cncr.34114","type":"journal-article","created":{"date-parts":[[2022,2,8]],"date-time":"2022-02-08T08:01:05Z","timestamp":1644307265000},"page":"1757-1766","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Implementation of a large\u2010scale breast cancer early detection program in a resource\u2010constrained setting: real\u2010world experiences from 2 large states in India"],"prefix":"10.1002","volume":"128","author":[{"given":"Somesh","family":"Kumar","sequence":"first","affiliation":[{"name":"Jhpiego New Delhi India"},{"name":"Technical Leadership &amp; Innovations, Jhpiego Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7733-6264","authenticated-orcid":false,"given":"Gulnoza","family":"Usmanova","sequence":"additional","affiliation":[{"name":"Monitoring, Evaluation and Research Jhpiego New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tapas Sadasivan","family":"Nair","sequence":"additional","affiliation":[{"name":"Monitoring, Evaluation and Research Jhpiego New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vineet Kumar","family":"Srivastava","sequence":"additional","affiliation":[{"name":"Programs, Noncommunicable Diseases Jhpiego New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakesh","family":"Singh","sequence":"additional","affiliation":[{"name":"Monitoring, Evaluation and Research Jhpiego Lucknow India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nochiketa","family":"Mohanty","sequence":"additional","affiliation":[{"name":"Programs, Noncommunicable Diseases Jhpiego Bhubaneshwar India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadeem","family":"Akhtar","sequence":"additional","affiliation":[{"name":"Noncommunicable Diseases Unit National Health Mission Lucknow India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meshach Sunny","family":"Kujur","sequence":"additional","affiliation":[{"name":"Programs, Noncommunicable Diseases Jhpiego Ranchi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish Kumar","family":"Srivastava","sequence":"additional","affiliation":[{"name":"Programs, Noncommunicable Diseases Jhpiego New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suranjeen Prasad","family":"Pallipamula","sequence":"additional","affiliation":[{"name":"Programs, Noncommunicable Diseases Jhpiego Guwahati India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaurav","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Sanjay Gandhi Postgraduate Institute of Medical Sciences Lucknow India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amresh Bahadur","family":"Singh","sequence":"additional","affiliation":[{"name":"Noncommunicable Diseases Unit National Health Mission Lucknow India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivek","family":"Kashyap","sequence":"additional","affiliation":[{"name":"Rajendra Institute of Medical Sciences Ranchi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maura","family":"McCarthy","sequence":"additional","affiliation":[{"name":"Corporate and Foundation Partnerships, Jhpiego Baltimore Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica J.","family":"Liebermann","sequence":"additional","affiliation":[{"name":"Department of Population Health New York University Grossman School of Medicine New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ophira","family":"Ginsburg","sequence":"additional","affiliation":[{"name":"Department of Population Health New York University Grossman School of Medicine New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,2,8]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1200\/GO.20.00122"},{"key":"e_1_2_8_3_1","volume-title":"Global Cancer Observatory: Cancer Today","author":"Ferlay J","year":"2020"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.18203\/2320\u20106012.ijrms20162266"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.31557\/APJCP.2020.21.1.169"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.32888"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajco.12661"},{"key":"e_1_2_8_8_1","unstructured":"National Programme for Prevention and Control of Cancer Diabetes Cardiovascular Diseases & Stroke: Operational Guidelines. 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