ccp_myanmar
TRANSCRIPT
Cervical cancer situation at a glance in Myanmar
16/100,000 women in Asia
2nd most common Cancer in Myanmar women
Women at risk >15 years – 18 millions
Annual # Ca Cx women – 5017*
Cervical cancer screening coverage – 0.9%
(*WHO/ICO HPV information center, Jan 2010)
How does HPV infection cause cancer?Pre-Invasive Cancer Invasive Cancer
HPV infected Early abn Advanced Abn
Localized Ca
10 – 15 years 10 – 15 years
Diagnostic methods for pre-cancer cervix
Pap smear
HPV test
VIA
Which is the most suitable for you?
Easy to perform Cost
Difficult
Moderate
Easy
9.38$
31.88$
2.05$
Sensitivity
46%
77%
Cost and benefits of different strategies to screen for cervical cancer in less developed countries,Jeanne S. Mandelblatt et al. Jr of the National Cancer Institute, Vol.94, No.19, Oct, 2002
79%
Treatment options for pre-cancer cervix
Cryotherapy
LEEP
Surgical excision
Easy to perform Setting Effectiveness
Easy
Difficult
Difficult
Clinic
Hospital
Hospital
90%
95%
Which is the most suitable for you?
Source of effectiveness: Cervical Cancer Prevention fact sheet, ACCP
251 SQH outlets in 117 townships
High skills for pelvic exam
Opportunity to check cervix
Already existing instrument
SQH IUD outlets for CCP
Added cost to existing program
Current status for CCP initiation
Training in July, 2011
Advocating to DoH
TOP and SQH outlets for the service
Re-adjustment on CCP due to unexpected high cost of cryo units
Technical advocacy to DoH for CCP