WHO’s cervical cancer screening programmes managerial ：谁的宫颈癌筛查项目管理.ppt

Example of outcome measures to monitor and evaluate downstaging: Outcome Measures Short Term: More than one-third of cervical cancers are discovered by examination Medium Term: There is more than a third reduction in cases presenting with advanced disease (Stage II and beyond). Long Term: There is more than a third reduction in the mortality of cervical cancer. Cancer Control Program A cancer control program is like a chair with four legs, a seat and a back. Four legs represent: interventions or programs of prevention, screening, treatment and palliation. Seat joins the four legs into a functional chair. It represents the organizational structure, management and governance of a national cancer control program that integrates its four programs into a functional unity. Back of the chair provides support. Represents the infrastructure that needs to be in place for the four programs to function. Online sources of interest The Merck Manual of Diagnosis and Therapy, Section 18. Gynecology And Obstetrics Chapter 241. Gynecologic Neoplasms Cervical Cancer Screening Training Modules MedlinePlus Health Information on cervical cancer Reproductive Health Outlook (RHO) – cervical cancer Review Questions (Developed by the Supercourse team) What is the common cause of most cervical cancers diagnosed around the world? Describe the importance of cervical cancer screening. Why do developing countries have higher burden of cervical cancer mortality than developed countries? * NCI Cervical Cancer Page can be accessed at /cancertopics/types/cervical link has been added by the Supercourse team Original Power Point file of this lecture The Aga Khan University The College of William and Mary * * This lecture is a synopsis of the WHO’s Cervical cancer screening programmes: Managerial guidelines (Miller AB, 1992) manuscript. It outlines the managerial factors to consider when setting up a cytology screening programme. Its sister book “Cytological screening in the contr