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Systems analysis of real-world obstacles to successful cervical cancer prevention in developing countries

Author

Listed:
  • Suba, E.J.
  • Murphy, S.K.
  • Donnelly, A.D.
  • Furia, L.M.
  • Huynh, L.D.
  • Raab, S.S.

Abstract

Papanicolaou screening is feasible anywhere that screening for cervical cancer, the leading cause of cancer-related death among women in developing countries, is appropriate. After documenting that the Vietnam War had contributed to the problem of cervical cancer in Vietnam, we participated in a grassroots effort to establish a nationwide cervical cancer prevention program in that country and performed root cause analyses of program deficiencies. We found that real-world obstacles to successful cervical cancer prevention in developing countries involve people far more than technology and that such obstacles can be appropriately managed through a systems approach focused on programmatic quality rather than through ideological commitments to technology. A focus on quality satisfies public health goals, whereas a focus on technology is compatible with market forces.

Suggested Citation

  • Suba, E.J. & Murphy, S.K. & Donnelly, A.D. & Furia, L.M. & Huynh, L.D. & Raab, S.S., 2006. "Systems analysis of real-world obstacles to successful cervical cancer prevention in developing countries," American Journal of Public Health, American Public Health Association, vol. 96(3), pages 480-487.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.061606_5
    DOI: 10.2105/AJPH.2004.061606
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    Cited by:

    1. Colin Thunhurst, 2012. "Public health systems analysis—the transfer of learning between developed and developing countries," Health Care Management Science, Springer, vol. 15(3), pages 283-291, September.
    2. Mingers, John & White, Leroy, 2010. "A review of the recent contribution of systems thinking to operational research and management science," European Journal of Operational Research, Elsevier, vol. 207(3), pages 1147-1161, December.
    3. Dunn, Richard A. & Tan, Andrew K.G., 2010. "Cervical cancer screening in Malaysia: Are targeted interventions necessary?," Social Science & Medicine, Elsevier, vol. 71(6), pages 1089-1093, September.

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