Nuriye Ortayli (UNFPA) - Working Meeting on Cervical Prevention and Control

1. WORKING MEETING on
Cervical Cancer Prevention and Control
Dr Nuriye Ortayli
UNFPA
Technical Division-Sexual and Reproductive Health Branch

2. A MAJOR KILLER
Cervical Cancer
Incidence of cervical cancer per 100, 000 females, age-standardized, WHO, 2005
Burden of Disease

3. PREVENTION IS POSSIBLE
Exposure Persistent Precancerous
CANCER
to HPV infection lesions
20 + YEARS

4. CHALLENGES
How to synchronize different interventions which
target different population groups,?
How to ensure universal access?
How to be sustainable?
WHEN HEALTH SYSTEMS HAVE WEAKNESSES
 AND RESOURCES ARE LIMITED

5. PROGRAMME GUIDANCE
for COUNTRIES
• Seventeen countries from 5 UNFPA
regions
• Eight partner organizations (GAVI, IPPF,
Jhpiego, PAHO, PATH, UICC, WHO and
UNFPA)

6. PROGRAMME GUIDANCE
for COUNTRIES
COMPREHENSIVE APPROACH:
• Vaccination of girls against HPV infection
• Screening and treatment of women for
precancerous lesions
• Palliative care for invasive cancer

7. PROGRAMME GUIDANCE
for COUNTRIES
• Organized in three sections
– Two sections on Strengthening Health
Systems;
• Introduction and delivery of HPV vaccine
• Screening for and treatment of precancerous
lesions
– Advocacy and Community Mobilization

8. PROGRAMME GUIDANCE
for COUNTRIES
• Each country is unique
• Each health system has its own
challenges and opportunities
The solutions need to be COUNTRY SPECIFIC

9. OBJECTIVES
OF THE MEETING
• Review the existing evidence
• Learn about the experiences of other
countries
• Review CRITICALLY existing
programmes/ design new programmes

10. FOR IMPACT
Share what you
have heard and
done with
colleagues and
partners when you
are back and
follow-up. 10

11. 11