Implementation of new technologies designed to improve cervical cancer screening and completion of care in low-resource settings: a case study from the Proyecto Precancer.
Sarah D GilmanPatti E GravittValerie A Paz-Soldannull nullPublished in: Implementation science communications (2024)
Proyecto Precancer facilitated the adoption and sustainment of HPV testing with subsequent treatment of HPV-positive women (after visual inspection) using portable thermal ablation at the primary level. This was accompanied by the de-implementation of existing visual inspection-based screening strategies and colposcopy for routine precancer triage at the hospital level. This case study highlights how implementation science approaches were used to guide the sustained adoption of a new screen-and-treat strategy in the Peruvian Amazon, while facilitating de-implementation of older screening practices.
Keyphrases
- cervical cancer screening
- healthcare
- primary care
- quality improvement
- emergency department
- high grade
- electronic health record
- physical activity
- palliative care
- polycystic ovary syndrome
- type diabetes
- clinical practice
- adipose tissue
- skeletal muscle
- metabolic syndrome
- atrial fibrillation
- smoking cessation
- drug induced