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.
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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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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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