What is needed now for successful scale-up of screening?
Effective screening for pre-cancerous lesions of the cervix is the only protective intervention that can be offered to women that have not had the opportunity to be vaccinated. Elimination goals are being developed so that by 2030, 70% of women aged 35–45 years should have been screened at least onc...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-06-01
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| Series: | Papillomavirus Research |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405852119300357 |
| _version_ | 1818317618328633344 |
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| author | Silvia de Sanjose Francesca Holme |
| author_facet | Silvia de Sanjose Francesca Holme |
| author_sort | Silvia de Sanjose |
| collection | DOAJ |
| description | Effective screening for pre-cancerous lesions of the cervix is the only protective intervention that can be offered to women that have not had the opportunity to be vaccinated. Elimination goals are being developed so that by 2030, 70% of women aged 35–45 years should have been screened at least once in a lifetime and 90% of all detected lesions should have been treated. These goals focus on a substantial reduction of cervical cancer burden in low- and middle-income countries (LMICs). Scaling-up screening in these settings may be substantially improved by using self-sampling (SS), human papillomavirus (HPV) testing, and managing screened-positive women with accessible treatment. The implementation of these tools requires minimal health information data for traceability, provider training, community education, operational management and quality control. Cost-effective algorithms tailored to country needs can greatly impact the burden of disease in a limited number of years. Keywords: HPV, Cervical cancer, Screening, Follow-up, Barriers, Health information system |
| first_indexed | 2024-12-13T09:40:11Z |
| format | Article |
| id | doaj.art-fdf5c466978c434d854012a496fae1b8 |
| institution | Directory Open Access Journal |
| issn | 2405-8521 |
| language | English |
| last_indexed | 2024-12-13T09:40:11Z |
| publishDate | 2019-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Papillomavirus Research |
| spelling | doaj.art-fdf5c466978c434d854012a496fae1b82022-12-21T23:52:14ZengElsevierPapillomavirus Research2405-85212019-06-017173175What is needed now for successful scale-up of screening?Silvia de Sanjose0Francesca Holme1Corresponding author. PATH, 2201 Westlake Avenue, Suite 200, Seattle, WA, 98121, USA.; PATH, Seattle, USAPATH, Seattle, USAEffective screening for pre-cancerous lesions of the cervix is the only protective intervention that can be offered to women that have not had the opportunity to be vaccinated. Elimination goals are being developed so that by 2030, 70% of women aged 35–45 years should have been screened at least once in a lifetime and 90% of all detected lesions should have been treated. These goals focus on a substantial reduction of cervical cancer burden in low- and middle-income countries (LMICs). Scaling-up screening in these settings may be substantially improved by using self-sampling (SS), human papillomavirus (HPV) testing, and managing screened-positive women with accessible treatment. The implementation of these tools requires minimal health information data for traceability, provider training, community education, operational management and quality control. Cost-effective algorithms tailored to country needs can greatly impact the burden of disease in a limited number of years. Keywords: HPV, Cervical cancer, Screening, Follow-up, Barriers, Health information systemhttp://www.sciencedirect.com/science/article/pii/S2405852119300357 |
| spellingShingle | Silvia de Sanjose Francesca Holme What is needed now for successful scale-up of screening? Papillomavirus Research |
| title | What is needed now for successful scale-up of screening? |
| title_full | What is needed now for successful scale-up of screening? |
| title_fullStr | What is needed now for successful scale-up of screening? |
| title_full_unstemmed | What is needed now for successful scale-up of screening? |
| title_short | What is needed now for successful scale-up of screening? |
| title_sort | what is needed now for successful scale up of screening |
| url | http://www.sciencedirect.com/science/article/pii/S2405852119300357 |
| work_keys_str_mv | AT silviadesanjose whatisneedednowforsuccessfulscaleupofscreening AT francescaholme whatisneedednowforsuccessfulscaleupofscreening |