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How to turn evidence into policy in resource-limited settings

Nature Medicine (2023)Cite this article

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Multilevel stakeholder engagement in policy decision-making and implementation-planning is needed to build trust and deliver evidence-based health interventions.

Beginning in the 1990s, evidence accumulated to show that infection with specific high-risk genotypes of human papillomavirus (HPV) was a necessary but insufficient cause of invasive cervical cancer. Within a decade, this evidence was translated into HPV immunization and high-risk HPV-based screening. A vast international effort ensured that these new HPV-based strategies could be implemented in resource-constrained as well as high-resource settings, so that global disparities could be reduced or eliminated. Unfortunately, these interventions have been slow to translate. HPV immunization and screening remain unacceptably low in countries with the highest burden.

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References

  1. Brownson, R. C., Shelton, R. C., Geng, E. H. & Glasgow, R. E. Implementation Sci. 17, 26 (2022).

    Article  Google Scholar 

  2. Churruca, K. et al. J. Eval. Clin. Pract. 25, 373–380 (2019).

    Article  PubMed  Google Scholar 

  3. Gravitt, P. E. et al. Cancer Epidemiol. Biomarkers Prev. 29, 1710–1719 (2020).

    Article  PubMed  Google Scholar 

  4. Pfadenhauer, L. M. et al. Implement. Sci. 12, 21 (2017).

    Article  PubMed  PubMed Central  Google Scholar 

  5. Skivington, K. et al. BMJ 374, n2061 (2021).

    Article  PubMed  PubMed Central  Google Scholar 

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  1. US National Cancer Institute, Center for Global Health, Rockville, MD, USA

    Patti E. Gravitt

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  1. Patti E. Gravitt
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Correspondence to Patti E. Gravitt.

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The author declares no competing interests. The opinions expressed in this article are the author’s own and do not reflect the view of the National Institutes of Health, the Department of Health and Human Services, or the US Government.

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Gravitt, P.E. How to turn evidence into policy in resource-limited settings. Nat Med (2023). https://doi.org/10.1038/s41591-023-02349-w

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  • DOI: https://doi.org/10.1038/s41591-023-02349-w

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