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ASCO 2026 | Barriers to cervical cancer screening among rural women in India

Shailendra Dandge, MD, Society for Health Allied Research Education India, Hyderabad, India, provides an overview of factors that affect cervical cancer screening among rural women, highlighting the “four A’s”: lack of awareness, availability, accessibility, and affordability of care. However, even if these issues are addressed, another crucial factor is acceptability, which involves behavioral, social, cultural, and family aspects that influence whether people accept the available care. This interview took place during the 2026 American Society of Clinical Oncology (ASCO) Meeting in Chicago, IL.

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Transcript

The biggest problem is lack of awareness and following that is lack of availability of services. The other one is difficulty in accessing the services and of course the most important being affordability. So I call it four A’s that is lack of awareness, lack of availability, lack of accessibility and also difficulty in affording the available care. So these are the four A’s...

The biggest problem is lack of awareness and following that is lack of availability of services. The other one is difficulty in accessing the services and of course the most important being affordability. So I call it four A’s that is lack of awareness, lack of availability, lack of accessibility and also difficulty in affording the available care. So these are the four A’s. And even if somehow you make these four A’s, you know, resolved, there is another A that is called acceptability. So do people accept whatever we are offering? So that actually is something very important. There is a behavioral aspect, social aspect, cultural aspect, family aspect related to that, which I have addressed in the research project that we will discuss probably soon.

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