Updates from Proyecto Precáncer



Find more details in our freely available publications

Gravitt, P. E., Rositch, A. F., Jurczuk, M., Meza, G., Carillo, L., Jeronimo, J., Adsul, P., Nervi, L., Kosek, M., Tracy, J. K., & Paz-Soldan, V. A. (2020). Integrative Systems Praxis for Implementation Research (INSPIRE): An Implementation Methodology to Facilitate the Global Elimination of Cervical Cancer. Cancer Epidemiology Biomarkers & Prevention, 29(9), 1710-1719. https://doi.org/10.1158/1055-9965.EPI-20-0501

  • Learn more about our INSPIRE methodology and how to use systems thinking and participatory action research to create scalable and sustainable implementation strategies adapted to local contexts.

Barrett, B. W., Paz-Soldan, V. A., Mendoza-Cervantes, D., Sánchez, G. M., Córdova López, J. J., Gravitt, P. E., Rositch, A. F., & Proyecto Precancer Study Group. (2020). Understanding Geospatial Factors Associated With Cervical Cancer Screening Uptake in Amazonian Peruvian Women. JCO Global Oncology, 6, 1237-1247. https://doi.org/10.1200/GO.20.00096

  • Learn more about how geospatial features influence cervical cancer screening uptake in the Amazonian city of Iquitos.

Gravitt, P. E., Silver, M. I., Hussey, H. M., Arrossi, S., Huchko, M., Jeronimo, J., Kapambwe, S., Kumar, S., Meza, G., Nervi, L., Paz-Soldan, V. A., & Woo, Y. L. (2021). Achieving equity in cervical cancer screening in low- and middle-income countries (LMICs): Strengthening health systems using a systems thinking approach. Preventive Medicine, 144, 106322. https://doi.org/10.1016/j.ypmed.2020.106322

  • Drs. Valerie Paz Soldán, Patti Gravitt and Graciela Meza were honored to collaborate with an international group of experts to highlight the health systems challenges to cervical cancer screening and propose a systems approach to meeting elimination goals!



An excellent panel discussion (including one of our co-principal investigators, Patti Gravitt) about how to strengthen health systems for cervical cancer elimination and beyond!


Learn more about the INSPIRE model from Patti Gravitt


Working within the health systems in Iquitos also meant examining the complexities of healthcare within the local context. This contextual approach was also useful when thinking about how to address COVID in Iquitos. Here is an interview with one of our co-principal investigators, Valerie Paz Soldán, about the importance of considering the context of interventions


Learn more about working in public health in Peru with an interview with Valerie Paz Soldán where she talks about the importance of using a systems thinking approach.


An excellent implementation science webinar from the National Cancer Institute. This is a great way to learn more about how systems thinking can be used integrate epidemiology and implementation research to improve cancer prevention and control!


Kudos to the team!


Our INSPIRE methodology abstract was nominated as one of the best submissions at the Conference on the Science of Dissemination and Implementation in Health

Conference Abstract

Proyecto Precáncer investigators Dr. Anne Rositch and Dr. Valerie Paz-Soldan were featured in the 2021 College and Universities of Global Health Annual Symposium on Global Cancer Research. Along with other distinguished speakers, please see Dr. Rositch moderate an excellent session on health system resilience in Part 1 and see Dr. Paz-Soldan discuss the need for systems thinking in ensuring health equity in global health and global health research in Part 2. 


See Dr. Rositch speak here


See Dr. Paz Soldán speak here

Congratulations to Anne and Valerie for their leadership in global health!

Conference 2