tailieunhanh - Progress in Cervical Cancer Prevention: The CCA Report Card

Screening for precancerous lesions can be done in several ways including, cervical cytology (Pap tests), visual inspection of the cervix with acetic acid [VIA] or testing for HPV DNA. Each of these methods has specific advantages, disadvantages and health systems requirements that countries should consider when planning screening programmes (See Annex 1). Demonstration projects on both vaccination and screening-and-treatment programmes in low- and middle-income countries have shown tremendous promise, but weaknesses in their health systems highlight challenges with scale-up of these efforts. Therefore, sustained success of high quality prevention programmes will require not only using evidence-based, cost-effective approaches but also. | Progress in Cervical Cancer Prevention The CCA Report Card DECEMBER 2012 Cervical Cancer actjonl_ A Global Coalition to STOP Cervical Cancer I American J Th Cancer B Society IPPF International Planned Parenthood Federation CANCER RESEARCH UK JeJe ulcc global cancer control Pan American Health Organization KaunaiomxofttK World Health Organization 0PATH FIGO HER EXCELLENCY MADAME ZUMA FIRST LADY OF SOUTH AFRICA PROFESSOR HARALD ZUR HAUSEN 2008 NOBEL LAUREATE PHYSIOLOGY OR MEDICINE FOREWORD A New Era for Cervical Cancer Prevention We live in an extraordinary time one in which our human need to generate knowledge implement creative solutions and follow through on heartfelt commitments has resulted in a phenomenal opportunity to virtually eliminate one of the greatest causes of suffering and loss for families and communities around the world. Low-cost effective solutions are required for the prevention and treatment of cervical cancer in less developed countries where the disease is the primary cause of cancer-related deaths in women and where annual cervical cancer death rates are much higher than in more developed countries. Such solutions should be underpinned by education and advocacy initiatives to raise awareness of the disease and its impact on women their immediate families and their countries. Over the past decade dedicated scientists researchers clinicians frontline health workers community leaders and advocates have worked tirelessly to bring the scourge of cervical cancer to the world s attention and to develop and apply the necessary knowledge and technologies to prevent cervical cancer in developing countries. From Mumbai to Mexico City Kampala to Kathmandu innovative programs have demonstrated how to successfully deliver effective cervical cancer prevention and treatment to the women and girls who need them most. As this report highlights countries are taking bold steps to improve cervical cancer screening and treatment for adult women and to successfully

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