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Experiences from Zambia, Bangladesh, Guatemala, Honduras, and Nicaragua, where scale\u2010up of evidence\u2010based screening strategies is taking place, may help other countries plan for large\u2010scale implementation. These countries selected screening modalities recommended by the <jats:styled-content style=\"fixed-case\">WHO<\/jats:styled-content> that are within budgetary constraints, improve access for women, and reduce health system bottlenecks. In addition, some common elements such as political will and government investment have facilitated action in these diverse settings. There are several challenges for continued scale\u2010up in these countries, including maintaining trained personnel, overcoming limited follow\u2010up and treatment capacity, and implementing quality assurance measures. Countries considering scale\u2010up should assess their readiness and conduct careful planning, taking into consideration potential obstacles. International organizations can catalyze action by helping governments overcome initial barriers to scale\u2010up.<\/jats:p>","DOI":"10.1002\/ijgo.12185","type":"journal-article","created":{"date-parts":[[2017,7,10]],"date-time":"2017-07-10T02:05:13Z","timestamp":1499652313000},"page":"63-68","source":"Crossref","is-referenced-by-count":69,"title":["Scaling up proven innovative cervical cancer screening strategies: Challenges and opportunities in implementation at the population level in low\u2010 and lower\u2010middle\u2010income countries"],"prefix":"10.1002","volume":"138","author":[{"given":"Francesca","family":"Holme","sequence":"first","affiliation":[{"name":"PATH  Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Kapambwe","sequence":"additional","affiliation":[{"name":"Ministry of Health of Zambia and Centre for Infectious Disease Research in Zambia  Lusaka Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashrafun","family":"Nessa","sequence":"additional","affiliation":[{"name":"Bangabandhu Sheikh Mujib Medical University  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Partha","family":"Basu","sequence":"additional","affiliation":[{"name":"International Agency for Research on Cancer  Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raul","family":"Murillo","sequence":"additional","affiliation":[{"name":"Centro Javeriano de Oncologia Hospital Universitario San Ignacio  Bogota Colombia"},{"name":"Faculty of Medicine Pontificia Universidad Javeriana  Bogota Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose","family":"Jeronimo","sequence":"additional","affiliation":[{"name":"PATH  Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,7,9]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"FerlayJ SoerjomataramI ErvikM et\u00a0al.GLOBOCAN 2012 v1.0 Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11.2012.http:\/\/globocan.iarc.fr. 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