Day 1 overview

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Day 1 overview

  1. 1. Overview Day 1
  2. 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. 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. 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. 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. 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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