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Supplement to the 2014 State of World Population Report, The Power of 1.8 Billion.

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Our world is home to 1.8 billion young people between the ages of 10 and 24, and the youth population is growing fastest in the poorest nations. Within this generation are 600 million adolescent girls with specific needs, challenges and aspirations for the future

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Globally, cervical cancer is the 3rd most common cancer among women with more than 530,000 new cases and 275 000 deaths every year.8 Most cases occur in low and middle-income countries where there are no cervical cancer prevention programs. In Europe, about 60,000 women develop and 30,000 women die from cervical cancer every year. Eastern Europe and the Caucasus have substantially higher rates of cervical cancer than Western Europe and this is primarily due to the extensive opportunistic screening or nationally organised screening programs that are available in Western Europe.9 Cervical cancer affects younger women than other adult onset cancers with the majority of cases occurring between 35-60 years of age.

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The implementation of new health programs is challenging because health systems are complex adaptive networks composed of multiple interconnected components and with each component having multiple stakeholders. As the cooperation of these stakeholders will be essential to delivering the new program, the implementation process must do more than simply account for the medical or scientific aspects and instead use a holistic approach that accounts for the interests, motivations and alliances of all these stakeholders, and actively involves them in all aspects of the project

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We are reviewing our experience to enable us to respond to the cultural challenge: to help countries, communities and individuals interpret universal principles, translate them into culturally sensitive terms and design programmes based on them, programmes that people can really feel are their own

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