Changing the paradigm of cervical cancer prevention through introduction of HPV-testing: evaluation of the implementation process of the Jujuy Demonstration Project in Argentina

Fil: Arrossi, Silvina. CEDES. Centro de Estudio de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.

Detalles Bibliográficos
Autores principales: Arrossi, Silvina, Paolino, Melisa, Laudi, Rosa, Thouyaret, Laura
Formato: Artículo
Lenguaje:Español
Publicado: 2021
Materias:
Acceso en línea:http://repositorio.cedes.org/handle/123456789/4616
https://doi.org/10.3332/ecancer.2021.1199
https://ecancer.org/en/journal/article/1199-changing-the-paradigm-of-cervical-cancer-prevention-through-introduction-of-hpv-testing-evaluation-of-the-implementation-process-of-the-jujuy-demonstration-project-in-argentina
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spelling I61-R167-123456789-46162025-03-30T23:00:27Z Changing the paradigm of cervical cancer prevention through introduction of HPV-testing: evaluation of the implementation process of the Jujuy Demonstration Project in Argentina Arrossi, Silvina Paolino, Melisa Laudi, Rosa Thouyaret, Laura PREVENCION DE CANCER DE CUELLO UTERINO SALUD DE LA MUJER SALUD PUBLICA Pruebas de ADN del Papillomavirus Humano Regionalización Fil: Arrossi, Silvina. CEDES. Centro de Estudio de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina. Fil: Paolino, Melisa. CEDES. Centro de Estudio de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina. Fil: Laudi, Rosa. Hospital Ramos Mejía; Argentina. Fil: Thouyaret, Laura. Programa Nacional de Prevención de Cáncer Cervicouterino. Instituto Nacional del Cáncer; Argentina. Introduction: The Jujuy Demonstration Project (JDP) was a project carried out over the course of 4 years (2011–2014) to develop, implement and evaluate the programmatic components of a Human Papilloma Virus (HPV)-based screening programme in Argentina. The aim of this paper is to present a qualitative evaluation of the context and implementation process of the JDP. Methods: We used an adaptation of the Health System Framework (HSF), which includes interconnected contextual factors that are considered key drivers for successful health interventions. We reviewed secondary documents, which included scientific reports, norms and regulations, information sheets, power point presentations and manuals and recommendations published by the National Programme for Cervical Cancer Prevention. We also carried out semi-structured interviews with key informants to explore their views about technology acceptability. Results: Key components of the JDP implementation process were: a high level of political support and consensus among stakeholders, the demonstrated effectiveness of the technology and its acceptability by health authorities and providers, the funding of tests and diagnosis/treatment services, the implementation of an information system for monitoring and evaluation and the reorganisation of the network of screening, diagnosis and treatment services. Conclusion: This analysis examines the policy context in which the JDP was implemented and the system components that were key for the demonstrated effectiveness of the strategy. Such analyses provide useful insights into core components of HPV testing implementation that are needed to guarantee its potential effectiveness to reduce cervical cancer incidence and mortality 2021-03-04T17:23:08Z 2021-03-04T17:23:08Z 2020-03-04 Artículo http://repositorio.cedes.org/handle/123456789/4616 https://doi.org/10.3332/ecancer.2021.1199 https://ecancer.org/en/journal/article/1199-changing-the-paradigm-of-cervical-cancer-prevention-through-introduction-of-hpv-testing-evaluation-of-the-implementation-process-of-the-jujuy-demonstration-project-in-argentina spa ecancer;2021, 15:1199 application/pdf
institution Centro de Estudios de Estado y Sociedad (CEDES)
institution_str I-61
repository_str R-167
collection Respositorio Digital CRIS del CEDES - Centro de Estudios de Estado y Sociedad
language Español
topic PREVENCION DE CANCER DE CUELLO UTERINO
SALUD DE LA MUJER
SALUD PUBLICA
Pruebas de ADN del Papillomavirus Humano
Regionalización
spellingShingle PREVENCION DE CANCER DE CUELLO UTERINO
SALUD DE LA MUJER
SALUD PUBLICA
Pruebas de ADN del Papillomavirus Humano
Regionalización
Arrossi, Silvina
Paolino, Melisa
Laudi, Rosa
Thouyaret, Laura
Changing the paradigm of cervical cancer prevention through introduction of HPV-testing: evaluation of the implementation process of the Jujuy Demonstration Project in Argentina
topic_facet PREVENCION DE CANCER DE CUELLO UTERINO
SALUD DE LA MUJER
SALUD PUBLICA
Pruebas de ADN del Papillomavirus Humano
Regionalización
description Fil: Arrossi, Silvina. CEDES. Centro de Estudio de Estado y Sociedad. Área de Salud, Economía y Sociedad; Argentina.
format Artículo
author Arrossi, Silvina
Paolino, Melisa
Laudi, Rosa
Thouyaret, Laura
author_facet Arrossi, Silvina
Paolino, Melisa
Laudi, Rosa
Thouyaret, Laura
author_sort Arrossi, Silvina
title Changing the paradigm of cervical cancer prevention through introduction of HPV-testing: evaluation of the implementation process of the Jujuy Demonstration Project in Argentina
title_short Changing the paradigm of cervical cancer prevention through introduction of HPV-testing: evaluation of the implementation process of the Jujuy Demonstration Project in Argentina
title_full Changing the paradigm of cervical cancer prevention through introduction of HPV-testing: evaluation of the implementation process of the Jujuy Demonstration Project in Argentina
title_fullStr Changing the paradigm of cervical cancer prevention through introduction of HPV-testing: evaluation of the implementation process of the Jujuy Demonstration Project in Argentina
title_full_unstemmed Changing the paradigm of cervical cancer prevention through introduction of HPV-testing: evaluation of the implementation process of the Jujuy Demonstration Project in Argentina
title_sort changing the paradigm of cervical cancer prevention through introduction of hpv-testing: evaluation of the implementation process of the jujuy demonstration project in argentina
publishDate 2021
url http://repositorio.cedes.org/handle/123456789/4616
https://doi.org/10.3332/ecancer.2021.1199
https://ecancer.org/en/journal/article/1199-changing-the-paradigm-of-cervical-cancer-prevention-through-introduction-of-hpv-testing-evaluation-of-the-implementation-process-of-the-jujuy-demonstration-project-in-argentina
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