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

E.J. Suba, S.K. Murphy, A.D. Donnelly, L.M. Furia, L.D. Huynh and S.S. Raab

American Journal of Public Health, 2006, vol. 96, issue 3, 480-487

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.

Date: 2006
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2004.061606_5

DOI: 10.2105/AJPH.2004.061606

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