**15.3 P3. Promotion**

*15.3.1 Health promotion model*

**15.4 P4. Performance**

**15.5 P5. Perseverance**

and a healthy child.

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better implementation in the next step.

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

is depicted in the performance enhancement cycle (PEC).

This is a continuous process where each step is evaluated and replanned for

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

**Performance enhancement cycle (PEC)**

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,

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 follow-

up is a very important component of the goal-oriented system.

Therefore in every performance, there is a betterment of the next practice. This

*15.4.1 Performance*

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 leverage to effect "action."

*HPV and Cervical Cancer Control Programs: Effective Translation of Knowledge into Practice DOI: http://dx.doi.org/10.5772/intechopen.91313*
