Assessment of organization of cervical and breast cancer screening programmes in the Latin American and the Caribbean states: The CanScreen5 framework
Abstract Background In the Community of Latin American and Caribbean States (CELAC), breast cancer and cervical cancer are the first and third causes of cancer death among females. The objectives are to assess the characteristics of the cervical and breast cancer screening programmes in CELAC, their...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-10-01
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| Series: | Cancer Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/cam4.6492 |
| _version_ | 1827219737539510272 |
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| author | Isabel Mosquera Clara B. Barajas Li Zhang Eric Lucas Sara Benitez Majano Mauricio Maza Silvana Luciani Partha Basu Andre L. Carvalho |
| author_facet | Isabel Mosquera Clara B. Barajas Li Zhang Eric Lucas Sara Benitez Majano Mauricio Maza Silvana Luciani Partha Basu Andre L. Carvalho |
| author_sort | Isabel Mosquera |
| collection | DOAJ |
| description | Abstract Background In the Community of Latin American and Caribbean States (CELAC), breast cancer and cervical cancer are the first and third causes of cancer death among females. The objectives are to assess the characteristics of the cervical and breast cancer screening programmes in CELAC, their level of organization, and the association of screening organization and coverage of essential health services. Methods Representatives of the Ministries of Health of 33 countries were invited to the CanScreen5 project. Twenty‐seven countries participated in a “Train The Trainers” programme on cancer screening, and 26 submitted data using standardized questionnaires. Data were discussed and validated. The level of organization of the screening programmes was examined adapting the list of essential elements of organized screening programmes identified in a recently published IARC study. Results Twenty‐one countries reported a screening programme for cervical cancer and 15 for breast cancer. For cervical cancer, 14 countries dedicated budget for screening (66.7%), and women had to pay in 3 countries for screening (14.3%), 9 for diagnosis (42.9%) and 8 for treatment (38.1%). Only 4 countries had a system to invite women individually (19.0%). For breast cancer, 8 countries dedicated budget for screening (53.3%), and women had to pay for screening in 3 countries (20.0%), diagnosis in 7 (46.7%) and treatment in 6 (40.0%). One country (6.7%) invited women individually. There was variability in the level of organization of both cancer screening programmes. The level of organization of cervical cancer screening and coverage of essential health services were correlated. Conclusion Large gaps were identified in the organization of cervical and breast cancer screening services. CELAC governments need pragmatic public health policies and strengthened health systems. They should guarantee sustainable funding, and universal access to cancer diagnosis and treatment. Moreover, countries should enhance their health information system and ensure adequate monitoring and evaluation. |
| first_indexed | 2024-03-11T17:00:15Z |
| format | Article |
| id | doaj.art-5c3b0c6add1d486cb79f695d23038b4c |
| institution | Directory Open Access Journal |
| issn | 2045-7634 |
| language | English |
| last_indexed | 2025-03-21T15:55:34Z |
| publishDate | 2023-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cancer Medicine |
| spelling | doaj.art-5c3b0c6add1d486cb79f695d23038b4c2024-06-18T06:26:02ZengWileyCancer Medicine2045-76342023-10-011219199351994810.1002/cam4.6492Assessment of organization of cervical and breast cancer screening programmes in the Latin American and the Caribbean states: The CanScreen5 frameworkIsabel Mosquera0Clara B. Barajas1Li Zhang2Eric Lucas3Sara Benitez Majano4Mauricio Maza5Silvana Luciani6Partha Basu7Andre L. Carvalho8Early Detection, Prevention & Infections Branch International Agency for Research on Cancer Lyon FrancePan American Health Organization Washington DC USAEarly Detection, Prevention & Infections Branch International Agency for Research on Cancer Lyon FranceEarly Detection, Prevention & Infections Branch International Agency for Research on Cancer Lyon FrancePan American Health Organization Washington DC USAPan American Health Organization Washington DC USAPan American Health Organization Washington DC USAEarly Detection, Prevention & Infections Branch International Agency for Research on Cancer Lyon FranceEarly Detection, Prevention & Infections Branch International Agency for Research on Cancer Lyon FranceAbstract Background In the Community of Latin American and Caribbean States (CELAC), breast cancer and cervical cancer are the first and third causes of cancer death among females. The objectives are to assess the characteristics of the cervical and breast cancer screening programmes in CELAC, their level of organization, and the association of screening organization and coverage of essential health services. Methods Representatives of the Ministries of Health of 33 countries were invited to the CanScreen5 project. Twenty‐seven countries participated in a “Train The Trainers” programme on cancer screening, and 26 submitted data using standardized questionnaires. Data were discussed and validated. The level of organization of the screening programmes was examined adapting the list of essential elements of organized screening programmes identified in a recently published IARC study. Results Twenty‐one countries reported a screening programme for cervical cancer and 15 for breast cancer. For cervical cancer, 14 countries dedicated budget for screening (66.7%), and women had to pay in 3 countries for screening (14.3%), 9 for diagnosis (42.9%) and 8 for treatment (38.1%). Only 4 countries had a system to invite women individually (19.0%). For breast cancer, 8 countries dedicated budget for screening (53.3%), and women had to pay for screening in 3 countries (20.0%), diagnosis in 7 (46.7%) and treatment in 6 (40.0%). One country (6.7%) invited women individually. There was variability in the level of organization of both cancer screening programmes. The level of organization of cervical cancer screening and coverage of essential health services were correlated. Conclusion Large gaps were identified in the organization of cervical and breast cancer screening services. CELAC governments need pragmatic public health policies and strengthened health systems. They should guarantee sustainable funding, and universal access to cancer diagnosis and treatment. Moreover, countries should enhance their health information system and ensure adequate monitoring and evaluation.https://doi.org/10.1002/cam4.6492breast cancerCaribbeancervical cancerLatin Americascreening |
| spellingShingle | Isabel Mosquera Clara B. Barajas Li Zhang Eric Lucas Sara Benitez Majano Mauricio Maza Silvana Luciani Partha Basu Andre L. Carvalho Assessment of organization of cervical and breast cancer screening programmes in the Latin American and the Caribbean states: The CanScreen5 framework Cancer Medicine breast cancer Caribbean cervical cancer Latin America screening |
| title | Assessment of organization of cervical and breast cancer screening programmes in the Latin American and the Caribbean states: The CanScreen5 framework |
| title_full | Assessment of organization of cervical and breast cancer screening programmes in the Latin American and the Caribbean states: The CanScreen5 framework |
| title_fullStr | Assessment of organization of cervical and breast cancer screening programmes in the Latin American and the Caribbean states: The CanScreen5 framework |
| title_full_unstemmed | Assessment of organization of cervical and breast cancer screening programmes in the Latin American and the Caribbean states: The CanScreen5 framework |
| title_short | Assessment of organization of cervical and breast cancer screening programmes in the Latin American and the Caribbean states: The CanScreen5 framework |
| title_sort | assessment of organization of cervical and breast cancer screening programmes in the latin american and the caribbean states the canscreen5 framework |
| topic | breast cancer Caribbean cervical cancer Latin America screening |
| url | https://doi.org/10.1002/cam4.6492 |
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