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Cocreating Change: Stakeholder Engagement in Advancing Equitable Cancer Screening in India.

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Engaging diverse stakeholders in cancer screening programs helps identify barriers and co-design effective strategies for early cancer detection. This approach reduces diagnostic delays and improves equitable cancer care in India.

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Area of Science:

  • Implementation science in public health
  • Health systems research
  • Oncology and cancer control

Background:

  • Cancer screening programs are complex interventions requiring multi-level stakeholder involvement.
  • Understanding stakeholder influence is crucial for intervention success.
  • The Access Cancer Care India (ACCI) project focuses on early cancer detection in India.

Purpose of the Study:

  • To outline stakeholder engagement strategies within the ACCI project.
  • To hypothesize that structured workshops with diverse actors will yield feasible interventions.
  • To reduce diagnostic delays and strengthen early cancer detection.

Main Methods:

  • Conducted stakeholder mapping and influence assessment across macro, meso, and micro levels in Tamil Nadu, Kerala, and Rajasthan.
  • Utilized collaborative workshops to share findings and codesign potential interventions.
  • Engaged policymakers, program coordinators, service providers, civil society, community health workers, and patients.

Main Results:

  • Active participation from diverse stakeholders across all study sites.
  • Identified individual barriers (fear, stigma, patriarchal norms) and system-level barriers (limited diagnostic capacity, weak coordination, financial constraints).
  • Highlighted facilitators such as community campaigns, self-help groups, provider capacity building, and the need for referral/navigation systems.

Conclusions:

  • Early, multi-level stakeholder engagement is key to identifying barriers and codesigning effective cancer detection strategies.
  • The ACCI model provides a replicable approach for reducing diagnostic delays.
  • This research advances equitable cancer care in low-resource settings.