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Implementation Science in Low- and Middle-Income Countries

Doctor with clipboard talking with a indigenous Peruvian woman
Credit: D. Snyder

The Center for Global Health (CGH) supports implementation science for cancer prevention and control in low- and middle-income countries (LMICs) and low-resource settings.

Impact

A key challenge to reducing the global burden of cancer, particularly among people in LMICs and other populations experiencing disparities, is the poor implementation of cancer prevention and control strategies that are known to work. Implementation science is the study of how to integrate evidence-based practices into routine health settings to improve a population’s health. 

Key gaps currently exist between researchers, program implementers, and the populations they serve. Without bridging these gaps, the global impact of new scientific discoveries and evidence will be diminished. CGH invests in researching and addressing the challenges of implementing evidence-based interventions, tools, policies, and guidelines in low-resource settings.

Funded Research

CGH supports a growing portfolio of dissemination and implementation science for cancer control in LMICs through funding various opportunities.  

Funded Grants for Implementation Science

Grant Number Project Leader(s) Collaborating Institutions Title Country
Global Implementation Science for Equitable Cancer Control (GlobalISE Cancer Control, U54 Clinical Trial Optional)
U54 CA284109   Maria Fernandez; Martin Lajous; Karla Unger-Saldaña   The University of Texas Health Science Center at Houston; Instituto Nacional de Salud Publica (INSP)-Mexico; Instituto Nacional de Cancerología (INCAN)-Mexico    LISTOS for Cancer Control - Leveraging Implementation Science To Optimize Strategies for Cancer Control   Mexico
U54 CA284110   Juliet Iwelunmor; Joseph Tucker; Oliver Ezechi    Washington University School of Medicine; The University of North Carolina at Chapel Hill; Nigerian Institute of Medical Research    US-Nigerian Cancer Control Center for Research on Implementation Science and Equity (C3-RISE)    Nigeria
U54 CA284036   Michael H. Chung;  Mohammed S. Ali  Emory University   Enhanced BReast and cErvical cAncer screening in Kenya THROUGH    Kenya
U54 CA284030  Delivette Castor; Louise Kuhn; Nomonde Mbatani; Rakiya Saidu; Juanita Arendse; Rachel Shelton; Parisa Tehranifar    Columbia University Irving Medical Center; University of Cape Town; Columbia University Irving Medical Center    The Empilisweni Center for Women's Health - Advancing Implementation of Equitable Cervical Cancer Control   South Africa
Implementation Science for Cancer Control in People Living with HIV in Low- and Middle-Income Countries (U01 Clinical Trial Optional)
U01 CA275053  Rebecca G Nowak; Sylvia Adebajo  University of Maryland Baltimore; Institute of Human Virology, Nigeria  Integrated Model for the Prevention of Anal Cancer using Screen and Treat for HSIL (IMPACT)  Nigeria
U01 CA275113  Lisa C Flowers; Oliver Ozechi; Olutosi Awolude; Laura Gaydos; Olabank Ogunsola  Emory University; APIN Public Health Initiatives Ltd/Gte   The CHESS (Community, Home-based Education, Screening Services) Strategy to Increase Cervical Cancer Control Access for HIV-positive Women in Nigeria  Nigeria
U01 CA275054  Sujha Subramanian; Michael Mbizvo; Catherine Mwaba  Research Triangle Institute; Clinical and Radiation Oncology Society of Zambia (ZASCRO)  Integrated Delivery of Cancer Control Interventions for Adolescents and Young Adults Living with HIV in Zambia  Zambia
U01 CA275118  Gregory Aarons; Echezona Ezeanolue  University of California, San Diego; University of Nigeria  ACCESS: Accelerating Cervical Cancer Elimination Through the Integration of Screen-and-treat Services  Nigeria

U01 CA275032 

Surbhi Grover; Katharine Rendle  University of Pennsylvania;  University of Botswana  Thibang Diphatlha: Testing Adaptive Strategies to Close the Gap from Cervical Cancer Diagnosis to Treatment in Botswana  Botswana
U01 CA275048  Manhattan E Charurat; Seth Himelhoch; Bontle Mbongwe  University of Maryland Baltimore; Botswana-UMSOM Health Initiative  Botswana Smoking Abstinence Reinforcement Trial (BSMART)  Botswana
U01 CA275033  Jean Marie Hunleth; Michelle Silver  Washington University; Tropical Disease Research Centre  Leveraging HIV Infrastructure to Implement Cervical Cancer Prevention: A Study to Integrate HPV Vaccination in Adolescent HIV Clinics in Zambia  Zambia
U01 CA275129  Lifang Hou; Jane Holl; Mamoudou Maiga  Northwestern University at Chicago; Jos University Teaching Hospital; University of Ibadan; Universite des Sciences, des Techniques et des Technologies West Africa Self-Sampling HPV-based Cervical Cancer Control Program (WA-SS-HCCP) for WLWHA: Barriers, Challenges, and Needs  Nigeria and Mali
U01 CA275120   Michael Chung   Emory University   ENHANcing CErvical cancer screening and treatment in women LIviNg with HIV in KenyA (ENHANCE LINKAge)   Kenya  
U01 CA275117   Gregory Kirk   Johns Hopkins University   Leveraging HIV care infrastructure for implementation of context-adapted liver cancer comprehensive control strategies in Uganda: The LC3 Study   Uganda
U01 CA294811   Thanh Bui   University of Oklahoma Health Sciences Center   Implementing Sustainable mobile health Technology to Optimize smoking cessation Program for Lao people with HIV (I-STOP)   Laos
U01 CA294674   Troy Moon   Tulane University of Louisiana   A hybrid type III effectiveness-implementation, pragmatic intervention trial for cervical cancer screen and treat in Mozambique   Mozambique
U01 CA294756   Corrina Moucheraud   New York University   Kupewa: Optimizing strategies to implement provider recommendation of HPV vaccination for adolescent girls and young women with HIV in Malawi   Malawi
U01 CA294799   Breanne Lott   Albert Einstein College of Medicine   Leveraging Project ECHO for improved cervical cancer screening in Ethiopia: An implementation study of integrated HPV self sampling in HIV care centers   Ethiopia
U01 CA294757   Matt Asare   Baylor University   The Impact of an Evidence-Based, Behavioral Cervical Cancer Screening Intervention among Women Living with HIV in Ghana (HOPE-inG): A Type 2 Hybrid Effectiveness Implementation Trial   Ghana
U01 CA275110  Rebecca Schnall   Columbia University   Implementation of Screen, Treat, and Triage for Women Living with HIV in La Romana (iSTAR)   Dominican Republic 

Additional Funded Research

How to Connect

CGH collaborates with NCI’s Division of Cancer Control and Population Sciences (DCCPS). For more information, see DCCPS’ Implementation Science team

For more information about implementation science at CGH, please contact Dr. Margarita Correa-Méndez and Dr. Randiak Alaro.

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