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dc.contributor.author
Arrossi, Silvina
dc.contributor.author
Paolino, Melisa Delia
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Laudi, Rosa Maria del Valle
dc.contributor.author
Thouyaret, Laura
dc.date.available
2022-04-13T15:28:02Z
dc.date.issued
2021-03
dc.identifier.citation
Arrossi, Silvina; Paolino, Melisa Delia; Laudi, Rosa Maria del Valle; 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; Ecancer Global Foundation; ecancermedicalscience; 15; 3-2021; 1-16
dc.identifier.uri
http://hdl.handle.net/11336/155196
dc.description.abstract
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.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Ecancer Global Foundation
dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by/2.5/ar/
dc.subject
CERVICAL CANCER
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HUMAN PAPILLOMAVIRUS DNA TEST
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IMPLEMENTATION
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PUBLIC HEALTH
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ARGENTINA
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Políticas y Servicios de Salud
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Ciencias de la Salud
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CIENCIAS MÉDICAS Y DE LA SALUD
dc.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
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2022-04-07T22:29:54Z
dc.identifier.eissn
1754-6605
dc.journal.volume
15
dc.journal.pagination
1-16
dc.journal.pais
Reino Unido
dc.journal.ciudad
Bristol
dc.description.fil
Fil: Arrossi, Silvina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Centro de Estudios de Estado y Sociedad; Argentina
dc.description.fil
Fil: Paolino, Melisa Delia. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos "Ramos Mejía"; Argentina
dc.description.fil
Fil: Laudi, Rosa Maria del Valle. Gobierno de la Ciudad de Buenos Aires. Hospital General de Agudos "Ramos Mejía"; Argentina
dc.description.fil
Fil: Thouyaret, Laura. Ministerio de Salud. Instituto Nacional del Cáncer; Argentina
dc.journal.title
ecancermedicalscience
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/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
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.3332/ecancer.2021.1199
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