Cervical Cancer in Ukraine : The Continuum of Care and Implications for Action
Cervical cancer is an important disease in Ukraine: Among all cancers in females, it ranks 5th for incidence and 6th for mortality. While first year mortality shows some decline, progress in earlier detection has been very modest. This report prese...
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| Language: | English |
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World Bank, Washington, DC
2019
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| Online Access: | http://documents.worldbank.org/curated/en/310921547237558102/Cervical-Cancer-in-Ukraine-The-Continuum-of-Care-and-Implications-for-Action http://hdl.handle.net/10986/31156 |
| Summary: | Cervical cancer is an important disease
in Ukraine: Among all cancers in females, it ranks 5th for
incidence and 6th for mortality. While first year mortality
shows some decline, progress in earlier detection has been
very modest. This report presents key findings from an
analysis of the continuum of cervical cancer care in
Ukraine, where the World Bank implements a technical
assistance program to support reforms and governance in the
health sector. The analysis determined the breakpoints in
the care cascade from screening to long-term monitoring of
cases, and identified opportunities for action. The
screening gaps were 47 percent (Lviv Region) and 38 percent
(Poltava Region). Due to Ukraine's cervical cancer
screening eligibility from 18 years of age, screening has a
low yield, and this is further reduced by the short
screening intervals with almost half of the women screening
at least once every year, leading to efficiency concerns.
Among the diagnosed cervical cancer cases, treatment
completion and negative outcomes were not sufficiently
documented. Understanding of diagnosis and treatment gaps
helps pinpoint solutions ranging from simplified
decision-making for cancer treatment, to improved
pharmaceutical supplies and access to diagnostic equipment.
The analysis highlights the need for age- and
risk-appropriate screening invitations and recall systems to
increase the efficiency and effectiveness of the cervical
cancer program in Ukraine. |
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