COMPREHENSIVE CERVICAL CANCER CONTROLC4 Country: Cambodia Presenters: Dr. Chhun Loum
1. Status of National Programme • Year of starting: Guideline for cervical cancer screening 2008, Draft National Program for cancer prevention and control in 2011. • Responsible unit: Preventive Medicine Department, MOH • Financing: WHO ( Develop Guideline. Program…), HSSP2 ( training, IEC… ) and government budget for supervision and monitoring.
1.National Programme for cancer prevention and control components. • Components: A - Policy Strategy - Purpose - Overall Goal . Organizational structure . Prevention . Early detection . Diagnosis and treatment / Pain relief and palliative care . Capacity building . Research B – Activities Plan
1. Status of National Programme • Current status - Primary prevention : HPV vaccin did not have service delivery, only have education and raising awareness. - Secondary prevention (Early detection) : . Organized screening programs. . Education for health care providers and women in the target group. - Diagnosis and treatment - Palliative care
2. Screening for cervical cancer • Test used: VIA and cytology . VIA test ( Reproductive age after intercourse) . Pap smear test : menopauses until 65 years old • Coverage: National • Number screened per year: N/A • Limitations: limited capacity among health professionals and funding, and equipments
3. Cancer treatment • Number of centres offering treatment for cervical cancer: 1hospital • Radiotherapy availability: yes • Brachytherapy: yes • Most common stage at presentation: latest stage
4. Monitoring and evaluation • Cancer registry:, now no • Since...... 2001-2003 • Population covered by cancer registry • Incidence rate of cervical cancer:25.8% among the female cancer
5. Challenges and opportunities for cervical cancer control • Challenges: . Lack o awareness of cervical cancer among the population and health care providers . Absence or poor quality of screening programs for precursor lesions and early stage cancer, . Limited access to health care services, . Lack of functional referral systems. • Strengthen capacities among health professionals . Secondary nurses/midwivestraining in VIAtest. . Trained gynecology physicians on VIA and Pap smear.
5. Challenges and opportunities for cervical cancer control • Train more cytopathologists, cytotechniciants, gynaecologists • Advocate for funding from international donors and national budget allocation for cervical cancer control
5. Challenges and opportunities for cervical cancer control • Opportunities Cervical cancer is one of the most preventable and treatable cancer, since it takes many years to develop from precursor lesions. We have evidence-based interventions for effective early detection and treatment. These efforts have resulted in a remarkable reduction in mortality and morbidity from cervical cancer.
6. HPV vaccination: Preparedness and decision-making Factors that are important in considering whether to introduce HPV vaccine: Yes,…… Existence of any school-based health programmes or other health services for ages 9-13 years Coverage for any vaccine (e.g., Tt or Td) delivered through school-based programme