Systems analysis of real-world obstacles to successful cervical cancer prevention in developing countries

Eric J. Suba, Sean K. Murphy, Amber D. Donnelly, Lisa M. Furia, Linh D. Huynh, Stephen S. Raab

Research output: Contribution to journalArticlepeer-review

45 Scopus citations

Abstract

Papanicolaou screening is feasible anywhere that screening for cervical cancer, the leading cause of cancer-related death among women in developing countries, is appropriate. After documenting that the Vietnam War had contributed to the problem of cervical cancer in Vietnam, we participated in a grassroots effort to establish a nationwide cervical cancer prevention program in that country and performed root cause analyses of program deficiencies. We found that real-world obstacles to successful cervical cancer prevention in developing countries involve people far more than technology and that such obstacles can be appropriately managed through a systems approach focused on programmatic quality rather than through ideological commitments to technology. A focus on quality satisfies public health goals, whereas a focus on technology is compatible with market forces.

Original languageEnglish (US)
Pages (from-to)480-487
Number of pages8
JournalAmerican journal of public health
Volume96
Issue number3
DOIs
StatePublished - Mar 2006

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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