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Distributed for Dartmouth College Press

Cancer Screening in the Developing World

Case Studies and Strategies from the Field

Worldwide, cancer is responsible for one in eight deaths—more than AIDS, tuberculosis, and malaria combined. This global burden starkly illustrates the inequality between the developed and the developing world. While the majority of people living in developed countries receive timely treatment, those living in developing countries are not as fortunate and their survival rates are much lower—not only due to delays in diagnosis, but also to a lack of personnel, a paucity of treatment facilities, and the unavailability of many medications. Routine screening—a mainstay in the developed world—could greatly increase the likelihood of identifying individuals with early stage cancers and thus reduce the number of people who present with advanced disease. This book represents a critical addition to the literature of global health studies. Focusing on cervical, breast, and oral cancers, these case studies highlight innovative strategies in cancer screening in a diverse array of developing countries. The authors discuss common issues and share how obstacles—medical, economic, legal, social, and psychological—were addressed or overcome in specific settings. Each chapter offers an empirical discussion of the nature and scope of a screening program, the methodology used, and its findings, along with a candid discussion of challenges and limitations and suggestions for future efforts.

216 pages | 6 x 9


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2019 IPPY Bronze Medal for Health/Medicine/Nutrition

2019 IPPY Awards

Table of Contents

Foreword—David Weller • Global Burden of Disease: A Short Overview—Madelon L. Finkel • The Benefits and Challenges of Population-based Screening in Low- and Middle-Income Countries—Madelon L. Finkel • Challenges in Screening for Cervical Cancer: Sharing Experiences from India—Shobha S. Krishnan • Educate, Screen, and Treat Program for Cervical Cancer in Rural Tamil Nadu, India—Biswajit Paul and Rita Isaac • Delivering a Screen and Treat Program in Rural Malawi: The Nkhoma Story—Christine Campbell and Heather A. Cubie • A National Cervical Cancer Screening Program in Haiti—Kaitlin McCurdy, Grace Tillyard, Joseph Bernard, and Vincent DeGennaro Jr. • Case Study: Introducing PCR Testing for High-Risk HPV in Honduras—Linda S. Kennedy and Gregory J. Tsongalis • Oral Cancer Screening in Low- and Middle-Income Countries—A. Ross Kerr, Shelly Arora, and Paul M. Speight • Mobile Health for Cancer Care and Control in Low- and Middle-Income Countries: Leveraging the Power of Mobile Technology to Improve Cancer Outcomes—Shreya Bhatt and Jay Evans • The Case for the Integration of Palliative Care in Health Care Systems—Liz Grant • Thoughts Going Forward—Madelon L. Finkel • About the Contributors • Index

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