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Cited by 35Cervical Cancer and HPV ResearchWomen's cancer prevention and managementGlobal Cancer Incidence and Screening

Challenges of health promotion and education strategies to prevent cervical cancer in India: A systematic review

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Thulaseedharan, Jissa Vinoda, Frie, Kirstin Grosse, Sankaranarayanan, Rengaswamy·2019·Journal of Education and Health Promotion
DOI 10.4103/jehp.jehp_156_19PMC PMC6905291
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Abstract

BACKGROUND: Although there is a reduction in cervical cancer incidence over the years, it keeps the second position of the most common cancers among females in India. The aim of this review is to understand the challenges of health promotion and education strategies to prevent cervical cancer in India. MATERIALS AND METHODS: This review is based on 78 studies published during 1993–2017 on the topics of awareness, attitude, and acceptance toward cervical cancer, screening, and human papilloma virus vaccination among Indians. The extracted information was summarized according to different populations such as people from different social and community groups, women and men attended clinics, students (nursing/medical/nonmedical), health-care providers (doctors, nurses, and other health workers), migrated Indians, and cervical cancer patients. RESULTS: The awareness about cervical cancer and its prevention was very poor among women from different communities and the majority had a negative attitude toward screening and vaccination in general. The health professionals and medical students were more aware of cervical cancer and its prevention compared to the general population. Majority of students irrespective of medical or nonmedical background had a positive attitude toward vaccination. Only a small proportion of women in the general population were ever screened. CONCLUSIONS: Observations from this review indicate immediate attention of the public health authority to take appropriate actions to educate and motivate general population toward cervical cancer prevention and to improve the facilities to incorporate the much needed preventive and early detection interventions in India.

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Authors
Thulaseedharan, J. V., Frie, K. G., & Sankaranarayanan, R.
Affiliations
  • Sree Chitra Thirunal Institute for Medical Sciences and Technology (IN)
  • Martin Luther University Halle-Wittenberg (DE)
  • RTI International (US)
Corresponding author
Thulaseedharan, Jissa Vinoda
ORCID
Venue
Journal of Education and Health Promotion
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2019-11
Volume
8
Issue
1
Pages
216-216
ISSN
  • 2277-9531 (ISSN-L)
  • 2319-6440
DOI
10.4103/jehp.jehp_156_19
PMC
PMC6905291
OpenAlex
W2999455225
Cited by
35
References
4
Citations by year
2026: 2 · 2025: 4 · 2024: 7 · 2023: 9 · 2022: 5 · 2021: 6 · 2020: 1 · 2019: 1
FWCI
0.47
Type
journal article
Language
en
Open access
Licence
cc-by-nc-sa
Locations
  • Journal of Education and Health Promotion (publishedVersion, cc-by-nc-sa)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
  • PubMed Central (publishedVersion, cc-by-nc-sa)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
World Health Organization
Topics
  • Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
  • Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
Keywords
cervical cancer prevention, health promotion, health education, cervical cancer screening, HPV vaccination, awareness and attitudes, migrants, healthcare workers, medical students, India

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