Challenges of health promotion and education strategies to prevent cervical cancer in India: A systematic review

نویسندگان

1 Institute for Medical Epidemiology, Biostatistics and Informatics, Martin‑Luther‑University Halle‑Wittenberg, Halle (Saale), Germany

2 Research Triangle Institute Global India Private Limited (RTI International), New Delhi, 100 037, India, International Agency for Research on Cancer (IARC/WHO), Lyon CEDEX 08, France

3

doi
چکیده

BACKGROUND: Although there is a reduction in cervical cancer incidence over the years, it keepsthe second position of the most common cancers among females in India. The aim of this reviewis to understand the challenges of health promotion and education strategies to prevent cervicalcancer in India.MATERIALS AND METHODS: This review is based on 78 studies published during 1993–2017 onthe topics of awareness, attitude, and acceptance toward cervical cancer, screening, and humanpapilloma virus vaccination among Indians. The extracted information was summarized according todifferent populations such as people from different social and community groups, women and menattended clinics, students (nursing/medical/nonmedical), health‑care providers (doctors, nurses, andother health workers), migrated Indians, and cervical cancer patients.RESULTS: The awareness about cervical cancer and its prevention was very poor among womenfrom different communities and the majority had a negative attitude toward screening and vaccinationin general. The health professionals and medical students were more aware of cervical cancer andits prevention compared to the general population. Majority of students irrespective of medical ornonmedical background had a positive attitude toward vaccination. Only a small proportion of womenin the general population were ever screened.CONCLUSIONS: Observations from this review indicate immediate attention of the public healthauthority to take appropriate actions to educate and motivate general population toward cervicalcancer prevention and to improve the facilities to incorporate the much needed preventive and earlydetection interventions in India.

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