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Cancer control

Reducing inequalities in cancer screening: a case study in the Community of Caribbean and Latin American States (CELAC)

Study sites: Community of Caribbean and Latin American States (CELAC): Antigua and Barbuda, Argentina, Bahamas, Barbados, Belize, Bolivia (Plurinational State of), Brazil, Chile, Colombia, Costa Rica, Cuba, Dominica, Dominican Republic, Ecuador, El Salvador, Grenada, Guatemala, Guyana, Haiti, Honduras, Jamaica, Mexico, Nicaragua, Panama, Paraguay, Peru, Saint Kitts and Nevis, Saint Lucia, Saint Vincent and the Grenadines, Suriname, Trinidad and Tobago, Uruguay and Venezuela (Bolivarian Republic of)
Principal investigator (PI) from IARC: P. Basu
PIs from collaborating institutions:
  • Terje Andreas Eikemo, CHAIN - Centre for Global Health Inequalities Research, Norway
  • Mirza Balaj, CHAIN - Centre for Global Health Inequalities Research, Norway
  • Clare Bambra, Newcastle University, United Kingdom
  • Adam Todd, Newcastle University, United Kingdom
Start date: 2019
Closure date:Ongoing
  • Identification of evidence-based interventions to reduce barriers in breast, cervical and colorectal cancer screening participation
  • Examination of existing healthcare policies in CELAC that may reduce inequalities in cancer burden through effective implementation of cancer screening
  • Mapping of existing screening policies and performance against the burden of disease in CELAC
Methodology:The study will be conducted in two simultaneous phases:
  • A systematic review on the effect of interventions on the participation rates in breast, cervical and colorectal cancer screening, paying special attention to disadvantaged population worldwide. This review will include literature published since 2000 and indexed in Embase, Pubmed and Web of Science databases
  • Cancer screening data collection from CELAC, through networking with the Panamerican Health Organization (PAHO). A series of workshops will be carried out and information will be obtained using the data collection tools of the CanScreen5 project (https://canscreen5.iarc.fr/), as well as through a questionnaire focusing on budget in cancer screening, training availability, knowledge generation, identification of eligible population, operation of the programme, follow-up, treatment, barriers and interventions in place
Funding: Norwegian Research Council

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