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Day 1 overview

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  • 1. Overview Day 1
  • 2. Cervical Cancer Prevention and ControlChallenges Opportunities• Identifying best • New vaccines affordable • New algorithms for programmatic practices improved cervical• Coverage cancer screening• Monitoring and • New technology evaluation • New advocates, new• Coordination interest, new energy• Human resources• Financial resources
  • 3. VaccinesGood practices:• Evidence based Decision making:• Integrate HPV vaccine into existing immunization delivery system/National immunization programs• Effective advocacy and communication prior to introduction• Monitoring of HPV coverage
  • 4. Screen and treat algorithm Community mobilization SCREENING VIA or Molecular test (HPV DNA) Negative Positive Suspicious for cancer Recall VIA for cryo eligibility Refer for diagnosis & VIA: 3-5 years treatmentHPV: 5-10 years Cryotherapy Refer for LEEP
  • 5. Health System Strengthening• No vertical systems. – Screening part of PHC – Treatment part of PHC/Secondary HC – Information should be collected as part of HIS – Training and supervision should be integrated. – Vaccination should be part of comprehensive programme of immunization• Beware of over-medicalization/over treatment/over specialization
  • 6. AdvocacyKey messages:•Focus on specific groups•Clear targeted messages•Community based actions as part of advocacy•Use of champions and peer group advocates

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