{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T02:38:47Z","timestamp":1784255927783,"version":"3.55.0"},"reference-count":54,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,10,29]],"date-time":"2021-10-29T00:00:00Z","timestamp":1635465600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Planning &amp; Management"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Cervical cancer contributes to 6%\u201329% of the cancers in India. Although the Government of India in 2010 integrated cancer screening within the National Programme for the prevention of Non\u2010communicable Diseases, only 22% of women aged 15\u201345\u00a0years 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Semi\u2010structured 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The study provides evidence on the practical challenges and provides recommendations for strengthening the capacities of the health system.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hpm.3353","type":"journal-article","created":{"date-parts":[[2021,10,30]],"date-time":"2021-10-30T03:40:48Z","timestamp":1635565248000},"page":"824-838","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Cervical cancer screening status and implementation challenges: Report from selected states of India"],"prefix":"10.1002","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5613-6634","authenticated-orcid":false,"given":"Jyoshma Preema","family":"Dsouza","sequence":"first","affiliation":[{"name":"Psychological Sciences Research Institute (IPSY), School of Public Health Universit\u00e9 Catholique de Louvain  Louvain\u2010la\u2010Neuve Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan","family":"Van den Broucke","sequence":"additional","affiliation":[{"name":"Psychological Sciences Research Institute (IPSY) Universit\u00e9 Catholique de Louvain  Louvain\u2010la\u2010Neuve Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay","family":"Pattanshetty","sequence":"additional","affiliation":[{"name":"School of Public Health, Manipal Academy of Higher Education Manipal University  Manipal India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Dhoore","sequence":"additional","affiliation":[{"name":"School of Public Health Universit\u00e9 Catholique de Louvain  Woluwe, Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,10,29]]},"reference":[{"key":"e_1_2_10_2_1","first-page":"1","article-title":"Global Cancer Facts and Figures","volume":"800","author":"American Cancer Society","year":"2015","journal-title":"Am Cancer Soc"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/jjco\/hyq126"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.meegid.2018.03.003"},{"issue":"3","key":"e_1_2_10_5_1","first-page":"633","article-title":"Disability adjusted life years for cancer patients in India","volume":"11","author":"Murthy NS","year":"2010","journal-title":"Asian Pac J Cancer Prev"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(18)30447-9"},{"key":"e_1_2_10_7_1","article-title":"HPV vaccination in India: critical appraisal","volume":"2014","author":"Nigam A","year":"2014","journal-title":"Int Schol Res Not"},{"key":"e_1_2_10_8_1","volume-title":"Cervical Cancer Screening in Developing Countries: Report of a WHO Consultation","author":"World Health Organization, Zdrowia \u015aO, Control PoC, Health WHOR","year":"2002"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.20190"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.4103\/0976-9668.198354"},{"key":"e_1_2_10_11_1","volume-title":"Operational Framework: Management of Common Cancers","author":"Ministry of Health and Family Welfare, GOI","year":"2016"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0808516"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61195-7"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.24840"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.06.031195"},{"key":"e_1_2_10_16_1","article-title":"Understanding Healthcare Access in India. 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