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HPV Vaccination and Cervical Cancer Screening Policies and Practices in 18 Countries, Territories and Entities across Eastern Europe and Central Asia

BACKGROUND: To assess readiness to achieve the WHO Global Strategy targets for HPV vaccination and cervical screening and to guide capacity building, the current status of these services in 18 Eastern European and Central Asian countries, territories and entities (CTEs) was evaluated. METHODS: In or...

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Autores principales: Davies, Philip, Aluloski, Igor, Arifdjanova, Diyora, Brcanski, Jelena, Davidzenka, Aliaksandr, Durdyeva, Akjemal, Umarzoda, Saida Gayrat, Goshliyev, Kemal, Jovanović, Verica, Jugeli, Levan, Kocinaj-Berisha, Merita, Maistruk, Galina, Naumović, Tamara, Pilav, Aida, Rzayeva, Gulnara, Saribekyan, Karine, Siljak, Sladjana, Ten, Elena, Valuta, Diana, Veljković, Marko, Yildirimkaya, Gokhan, Ylli, Alban, Zhylkaidarova, Alma, Melnic, Eugen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: West Asia Organization for Cancer Prevention 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495901/
https://www.ncbi.nlm.nih.gov/pubmed/37247301
http://dx.doi.org/10.31557/APJCP.2023.24.5.1781
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author Davies, Philip
Aluloski, Igor
Arifdjanova, Diyora
Brcanski, Jelena
Davidzenka, Aliaksandr
Durdyeva, Akjemal
Umarzoda, Saida Gayrat
Goshliyev, Kemal
Jovanović, Verica
Jugeli, Levan
Kocinaj-Berisha, Merita
Maistruk, Galina
Naumović, Tamara
Pilav, Aida
Rzayeva, Gulnara
Saribekyan, Karine
Siljak, Sladjana
Ten, Elena
Valuta, Diana
Veljković, Marko
Yildirimkaya, Gokhan
Ylli, Alban
Zhylkaidarova, Alma
Melnic, Eugen
author_facet Davies, Philip
Aluloski, Igor
Arifdjanova, Diyora
Brcanski, Jelena
Davidzenka, Aliaksandr
Durdyeva, Akjemal
Umarzoda, Saida Gayrat
Goshliyev, Kemal
Jovanović, Verica
Jugeli, Levan
Kocinaj-Berisha, Merita
Maistruk, Galina
Naumović, Tamara
Pilav, Aida
Rzayeva, Gulnara
Saribekyan, Karine
Siljak, Sladjana
Ten, Elena
Valuta, Diana
Veljković, Marko
Yildirimkaya, Gokhan
Ylli, Alban
Zhylkaidarova, Alma
Melnic, Eugen
author_sort Davies, Philip
collection PubMed
description BACKGROUND: To assess readiness to achieve the WHO Global Strategy targets for HPV vaccination and cervical screening and to guide capacity building, the current status of these services in 18 Eastern European and Central Asian countries, territories and entities (CTEs) was evaluated. METHODS: In order to assess the current status of HPV vaccination and cervical cancer screening in these 18 CTEs, a 30 question survey tool was developed, covering: national policies, strategies and plans for cervical cancer prevention; status of cancer registration; status of HPV vaccination; and current practices for cervical cancer screening and treatment of precancerous lesions. As cervical cancer prevention comes within the mandate of the United Nations Fund for Population Development (UNFPA), the UNFPA offices in the 18 CTEs have regular contact with national experts who are directly involved in cervical cancer prevention actions and are well placed to provide the data required for this survey. Working through the UNFPA offices, the questionnaires were sent to these national experts in April 2021, with data collected from April to July 2021. All CTEs returned completed questionnaires. RESULTS: Only Armenia, Georgia, Moldova, North Macedonia, Turkmenistan and Uzbekistan have implemented national HPV vaccination programmes, with only the last 2 of these reaching the WHO target of 90% of girls fully vaccinated by age 15, while rates in the other 4 range from 8%-40%. Cervical screening is available in all CTEs but only Belarus and Turkmenistan have reached the WHO target of 70% of women screened once by age 35 and again by age 45, while rates elsewhere range from 2%-66%. Only Albania and Turkey follow the WHO recommendation to use a high-performance screening test, while the majority use cervical cytology as the main screening test and Kyrgyzstan, Tajikistan, Turkmenistan and Uzbekistan use visual inspection. No CTEs currently operate systems to coordinate, monitor and quality assure (QA) the entire cervical screening process. CONCLUSIONS: Cervical cancer prevention services in this region are very limited. Achieving the WHO Global Strategy targets by 2030 will require substantial investments in capacity building by international development organisations.
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spelling pubmed-104959012023-09-13 HPV Vaccination and Cervical Cancer Screening Policies and Practices in 18 Countries, Territories and Entities across Eastern Europe and Central Asia Davies, Philip Aluloski, Igor Arifdjanova, Diyora Brcanski, Jelena Davidzenka, Aliaksandr Durdyeva, Akjemal Umarzoda, Saida Gayrat Goshliyev, Kemal Jovanović, Verica Jugeli, Levan Kocinaj-Berisha, Merita Maistruk, Galina Naumović, Tamara Pilav, Aida Rzayeva, Gulnara Saribekyan, Karine Siljak, Sladjana Ten, Elena Valuta, Diana Veljković, Marko Yildirimkaya, Gokhan Ylli, Alban Zhylkaidarova, Alma Melnic, Eugen Asian Pac J Cancer Prev Research Article BACKGROUND: To assess readiness to achieve the WHO Global Strategy targets for HPV vaccination and cervical screening and to guide capacity building, the current status of these services in 18 Eastern European and Central Asian countries, territories and entities (CTEs) was evaluated. METHODS: In order to assess the current status of HPV vaccination and cervical cancer screening in these 18 CTEs, a 30 question survey tool was developed, covering: national policies, strategies and plans for cervical cancer prevention; status of cancer registration; status of HPV vaccination; and current practices for cervical cancer screening and treatment of precancerous lesions. As cervical cancer prevention comes within the mandate of the United Nations Fund for Population Development (UNFPA), the UNFPA offices in the 18 CTEs have regular contact with national experts who are directly involved in cervical cancer prevention actions and are well placed to provide the data required for this survey. Working through the UNFPA offices, the questionnaires were sent to these national experts in April 2021, with data collected from April to July 2021. All CTEs returned completed questionnaires. RESULTS: Only Armenia, Georgia, Moldova, North Macedonia, Turkmenistan and Uzbekistan have implemented national HPV vaccination programmes, with only the last 2 of these reaching the WHO target of 90% of girls fully vaccinated by age 15, while rates in the other 4 range from 8%-40%. Cervical screening is available in all CTEs but only Belarus and Turkmenistan have reached the WHO target of 70% of women screened once by age 35 and again by age 45, while rates elsewhere range from 2%-66%. Only Albania and Turkey follow the WHO recommendation to use a high-performance screening test, while the majority use cervical cytology as the main screening test and Kyrgyzstan, Tajikistan, Turkmenistan and Uzbekistan use visual inspection. No CTEs currently operate systems to coordinate, monitor and quality assure (QA) the entire cervical screening process. CONCLUSIONS: Cervical cancer prevention services in this region are very limited. Achieving the WHO Global Strategy targets by 2030 will require substantial investments in capacity building by international development organisations. West Asia Organization for Cancer Prevention 2023 /pmc/articles/PMC10495901/ /pubmed/37247301 http://dx.doi.org/10.31557/APJCP.2023.24.5.1781 Text en https://creativecommons.org/licenses/by-nc/4.0/This work is licensed under a Creative Commons Attribution-Non Commercial 4.0 International License. (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle Research Article
Davies, Philip
Aluloski, Igor
Arifdjanova, Diyora
Brcanski, Jelena
Davidzenka, Aliaksandr
Durdyeva, Akjemal
Umarzoda, Saida Gayrat
Goshliyev, Kemal
Jovanović, Verica
Jugeli, Levan
Kocinaj-Berisha, Merita
Maistruk, Galina
Naumović, Tamara
Pilav, Aida
Rzayeva, Gulnara
Saribekyan, Karine
Siljak, Sladjana
Ten, Elena
Valuta, Diana
Veljković, Marko
Yildirimkaya, Gokhan
Ylli, Alban
Zhylkaidarova, Alma
Melnic, Eugen
HPV Vaccination and Cervical Cancer Screening Policies and Practices in 18 Countries, Territories and Entities across Eastern Europe and Central Asia
title HPV Vaccination and Cervical Cancer Screening Policies and Practices in 18 Countries, Territories and Entities across Eastern Europe and Central Asia
title_full HPV Vaccination and Cervical Cancer Screening Policies and Practices in 18 Countries, Territories and Entities across Eastern Europe and Central Asia
title_fullStr HPV Vaccination and Cervical Cancer Screening Policies and Practices in 18 Countries, Territories and Entities across Eastern Europe and Central Asia
title_full_unstemmed HPV Vaccination and Cervical Cancer Screening Policies and Practices in 18 Countries, Territories and Entities across Eastern Europe and Central Asia
title_short HPV Vaccination and Cervical Cancer Screening Policies and Practices in 18 Countries, Territories and Entities across Eastern Europe and Central Asia
title_sort hpv vaccination and cervical cancer screening policies and practices in 18 countries, territories and entities across eastern europe and central asia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10495901/
https://www.ncbi.nlm.nih.gov/pubmed/37247301
http://dx.doi.org/10.31557/APJCP.2023.24.5.1781
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