*15.4.1 Performance*

Interest: Easy two ways—"get vaccinated, get screened."

Successful and productive past experiences; beliefs getting renewed and rationalized; benefits accrued both temporarily and permanently; breaking of barriers by several inputs and interventions; positive influence from family, friends, peers, and society; esthetic situations favoring and promoting empowerment by selfefficacy, all these factors serve as a diving plank, providing strong and sustained

Implement: Get vaccination/screening done.

Inspire: Peer group inspires.

*15.3.1 Health promotion model*

leverage to effect "action."

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**15.3 P3. Promotion**

*Human Papillomavirus*

This is a continuous process where each step is evaluated and replanned for better implementation in the next step.

Therefore in every performance, there is a betterment of the next practice. This is depicted in the performance enhancement cycle (PEC).

**Performance enhancement cycle (PEC)**

### **15.5 P5. Perseverance**

Perseverance is constant, continued efforts and attempts, amidst of many difficulties, until the desired goal is achieved. This is an important process in healthcare delivery, where the health providers make sustained efforts to convince the healthcare recipients to adopt the desired behavior in order to achieve the appropriate and relevant goals. The act of "perseverance" largely depends upon the level and depth of perception of the health problem; the support given by family, peers, and society; and the evaluation of the eventual results and benefits. In the community, we can see the example of a pregnant woman in a family, where everyone realizes the preciousness of pregnancy and has in-depth perception and the family, relatives, community, and society offer all the support needed for the pregnant woman, amidst of many problems and difficulties, for a long period of maternity, and these acts of perseverance eventually result in the successful outcome of a safe delivery, healthy mother, and a healthy child.

In HPV control measures, perseverance is needed for effecting behavioral changes like menstrual hygiene, sexual health, adoption of HPV vaccine and most importantly screening and treatment for precancer status and regular follow-up as needed. Hence,"perseverance" in health education, healthcare delivery, and followup is a very important component of the goal-oriented system.

overcome these, and the aim is ultimately achieved. The yacht travel which overcomes all difficulties like the sun, rain, storm, and many others, to reach its desti-

*HPV and Cervical Cancer Control Programs: Effective Translation of Knowledge into Practice*

In the HPV control programs, many such draw backs are seen. For example, illiteracy, ignorance, and poverty, prevent the usage of sanitary napkins. This is overcome by health education and mobilization of resources. The HPV vaccine has obstacles like differing policies, cost of the vaccine, lack of infrastructure to reach the vaccine to the community, and illiteracy and ignorance among the target groups. Screening programs suffer from problems like ignorant community; lack of infrastructure; deficient manpower; nonavailability of techniques, technology, and technicians; and inadequate, inefficient systems in place. Yet, these can be overcome by appropriate and adequate inputs, during the process of pursuit towards the

The health programs in the developing world do experience this act of pursuit to achieve goals, and already the results have been seen in reducing the incidence of HPV infections and cervical cancer, especially in the low and limited resource

**A complimentary model**

2.**Enumerate—**the resident population, document the sociodemographic data

4.**Education—**about prevention at individual, family, and community levels

5.**Invitation—**to attend awareness programs, screening, and vaccination

6.**Counseling—**the participants about possible outcomes and solutions

7.**Screening—a**cceptable, **a**vailable, **a**ccessible, **a**ffordable, **a**nswerable, **a**chievable—the **A-6** model for screening and vaccination programs

3.**Inference—**prevalence of HPV-related diseases—establish registries

The Keys for the Cancer Control Clock's 12 hours [20]:

1.**Area—**define a geographic area for your study/services

nation safely, and it's a symbolism of "pursuit."

*DOI: http://dx.doi.org/10.5772/intechopen.91313*

goals by the health planners.

settings of many countries.

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**16. Raj's cancer control clock**
