克服印度消除宫颈癌的障碍:从实践到政策层面的宣传。

IF 2 Q3 HEALTH POLICY & SERVICES
Abhijit Poddar , S.R. Rao
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引用次数: 0

摘要

由于疾病负担重、筛查率低以及社会文化障碍,印度到 2030 年消除宫颈癌的宏伟目标面临着巨大挑战。尽管政府将重点放在疫苗接种上,但解决宫颈癌问题需要采取更全面的多部门方法,并考虑从实践到政策的参与。不仅要解决疫苗接种问题,还要解决社会障碍、医疗保健基础设施和研究问题,这是预防和控制这种可预防疾病的关键。分散的卫生政策对宫颈癌的覆盖面有限,再加上污名化等社会问题以及医疗服务的有限性,尤其是在农村地区,这些都构成了巨大的挑战。此外,人们对人类乳头瘤病毒和疫苗的认识有限,也阻碍了防治工作的进展。为了有效防治宫颈癌,印度必须在启动新计划之前,优先进行准备情况评估,以评估过去的干预措施、经济可行性和社会问题。改善医疗基础设施、培训医疗工作者以及利用流动诊所等创新模式可以扩大医疗服务的覆盖面。有激励措施的公私合作伙伴关系也能在调动资源方面发挥关键作用。投资于适合不同文化背景的提高公众意识活动,对于教育公众了解人乳头瘤病毒、宫颈癌和预防策略至关重要。为确保疫苗的安全性,有必要实施一项强有力的药物警戒计划。此外,印度还应在科技领域进行投资,支持长期研究工作,同时加深对特定人群易感因素的了解,以推广广谱疫苗和个性化方法。一项具有明确目标、战略和问责机制的专门国家政策对于成功控制宫颈癌至关重要。学习其他国家的经验可以为政策制定提供参考。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Overcoming barriers of cervical cancer elimination in India: A practice to policy level advocacy
India’s ambitious goal of eliminating cervical cancer by 2030 faces significant challenges due to the high burden of disease, low screening rates, and sociocultural barriers. Despite the Government’s focus on vaccination, addressing cervical cancer requires a more comprehensive approach that is multisectoral and consider practice to policy engagement. Addressing not only vaccination but also social barriers, healthcare infrastructure, and research is key to preventing and controlling this preventable disease. Fragmented health policies with limited coverage for cervical cancer, coupled with societal issues like stigma and limited access to healthcare, particularly in rural areas, pose significant challenges. Moreover, limited awareness of HPV and vaccines hinders progress. To effectively combat cervical cancer, India must prioritize a readiness assessment to evaluate past interventions, economic feasibility, and social issues before launching new programs. Improving healthcare infrastructure, training healthcare workers, and utilizing innovative models like mobile clinics can expand access to care. Public-private partnerships with incentives can also play a crucial role in mobilizing resources. Investing in culturally appropriate public awareness campaigns is essential to educate the population about HPV, cervical cancer, and prevention strategies. A robust pharmacovigilance program is necessary to ensure vaccine safety. Additionally, India should invest in science and technology to support long-term research efforts, while increasing understanding of population-specific predisposing factors for broader-spectrum vaccines and personalized approaches. A dedicated national policy with clear objectives, strategies, and accountability mechanisms is crucial for successful cervical cancer control. Learning from the experiences of other countries can inform policy development.
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来源期刊
Journal of Cancer Policy
Journal of Cancer Policy Medicine-Health Policy
CiteScore
2.40
自引率
7.70%
发文量
47
审稿时长
65 days
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