2. Cervical Cancer
Prevention and Control
Challenges 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. Vaccines
Good 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
treatment
HPV: 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. Advocacy
Key messages:
•Focus on specific groups
•Clear targeted messages
•Community based actions as part of advocacy
•Use of champions and peer group advocates
