Cervical Cancer Screening in Kiribati

Author(s):  
David Peddie

<p>In 1999, a cervical cancer screening programme was commenced in the central Pacific nation of Kiribati. This was in response to  the relatively high  incidence of  and mortality from  cervical cancer, although estimates are unclear, in this  country with its limited  resources. In Kiribati there are minimal surgical and  medical facilities available for treatment of invasive cervical cancer.  The  financial and social cost of   sending patients  to a remote destination, India or Taiwan, for surgical or radiation treatment  make a  strong   case for screening and prevention. A well organised screening programme, such as that of the New Zealand National Cervical Screening Programme,   can potentially prevent nine out of 10 invasive cancers.</p>

2019 ◽  
Vol 13 (11) ◽  
pp. 526-533
Author(s):  
Ian Peate

Screening for cervical cancer saves lives. This article provides an overview of cervical screening programmes offered by the NHS. All four countries in the UK provide a cervical cancer screening programme. Cervical screening identifies apparently healthy women who may be at increased risk of a disease or condition; this then provides an opportunity for earlier treatment or better informed decisions. In some instances, the healthcare assistant and assistant practitioner (HCA and AP) may be needed in order to provide assistance with the screening procedure, offering the woman physical and psychological support. This article offers the reader an overview of the cervix, along with a brief description of signs and symptoms of cervical cancer.


2002 ◽  
Vol 9 (2) ◽  
pp. 86-91 ◽  
Author(s):  
J.F. Nygård ◽  
G.B. Skare ◽  
S.Ø. Thoresen

OBJECTIVES: Changes in the incidence of cervical cancer were studied to assess the impact of the Norwegian coordinated cervical cancer screening programme introduced in 1995. Attention was given as to whether recommendation letters sent to women without a screen in the previous 3 years could be an alternative to a conventional screening programme that invites women irrespectively of their spontaneous screening. SETTING: A population based, nationwide, screening programme in which women of 25 to 69 are recommended to have a conventional Pap smear every 3 years. METHODS: The impact of the screening programme was assessed indirectly by comparing trends in invasive cervical cancer, changes in coverage, and changes in interval between Pap smears in the 3 year period (1992–4) before screening with the two first screening rounds (1995–7 and 1998–2000). All Pap smears taken from women of all ages were included, a total of 4 744 967 Pap smears from more than 1.4 million women. Further, the impact was assessed directly by logistic regression by comparing the screening results of women recruited for the programme with women who had regularly had Pap smears. RESULTS: In the last 2 years studied, the incidence of invasive cancer was 22% lower than in the period before the programme. The proportion of women who had a Pap smear was higher after the implementation of the coordinated screening programme. The number of smears taken was less as the interval after a normal smear was greater. The newly recruited women had a threefold risk of having a high grade precursor and a 20-fold higher risk of cancer than the women who had had regular smears. CONCLUSIONS: The coordinated screening programme provides a low cost way of increasing the coverage of the female population, and consequently has reduced the rate of invasive cervical cancer.


2013 ◽  
Vol 23 (suppl_1) ◽  
Author(s):  
G Shalgumbayeva ◽  
Y Semenova ◽  
A Baibusinova ◽  
M Dauletyarova ◽  
A Tlemisov ◽  
...  

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