Comprehensive Cervical Cancer Prevention Action Plan

Document Sample
Comprehensive Cervical Cancer Prevention Action Plan Powered By Docstoc
					           ve
Comprehensive Cervical Cancer Prevention Action Plan
To obtain the free resources listed in this action plan, click on the resource link (requires an
                                                             www.rho.org.
internet connection) or search for the resource name on www.rho.org

Learn about cervical cancer prevention

 Learn the basics about cervical cancer

 Watch multimedia (video and animation).

      Watch videos
      RHO Cervical Cancer multimedia resources

 Read written summaries.

      Global Guidance for Cervical Cancer Prevention and Control (International Federation of
       Gynecology and Obstetrics 2009, PDF)
      Position paper on human papillomavirus vaccines (World Health Organization 2009,
       PDF)
      Outlook. Preventing cervical cancer: Unprecedented opportunities for improving
       women's health (PATH 2007, web page)
      Cervical cancer, human papillomavirus (HPV), and HPV vaccines--Key points for policy-
       makers and health professionals (World Health Organization 2007, PDF)
      Evidence-Based, Alternative Cervical Cancer Screening Approaches in Low-Resource
       Settings. (International Perspectives on Sexual and Reproductive Health 2009, web
       page)
      Comprehensive Cervical Cancer Control: A guide to essential practice (World Health
       Organization 2006, PDF)
      Benefits, cost requirements and cost-effectiveness of the HPV 16, 18 vaccine for
       cervical cancer prevention in developing countries: policy implications. (Requires free
       registration)
      HPV Vaccine Adoption in Developing Countries: Cost and Financing Issues
       (International AIDS Vaccine Initiative and PATH 2007, PDF)

 Access in-depth resources

 Find key technical and training resources and visit resource websites.

      RHO Cervical Cancer website
      World Health Organization/Institut Catala d'Oncologia Information Centre on HPV and
       Cervical Cancer website
      US National Cancer Institute International Cancer Information Center website
      US Centers for Disease Control and Prevention Cervical Cancer web page
      PubMed journal search web page
Keep up to date with new evidence

Subscribe to news services.

     PATH HPVflash e-bulletin subscription page
     Cervical Cancer Action e-newsletter
     HPV Today newsletter
     Google alerts web page

Search peer review journals.

     PubMed journal search web page

Determine whether cervical cancer control is a priority for your country

Assess cervical cancer disease burden in the country and assess potential
impact of the interventions

Contact local cancer registries and talk with local experts.

     Develop local contacts.

Review World Health Organization country reports online.

     World Health Organization/Institut Catala d'Oncologia Information Centre on HPV and
      Cervical Cancer website

Read the literature.

     RHO Cervical Cancer website
     World Health Organization Cancer Country Profiles web page
     HPV Vaccines and Screening in the Prevention of Cervical Cancer (Vaccine 2006, web
      page)

Assess the potential impact of additional services

Determine what additional services are priorities for adolescents and for adult women.

     Added Value of Cervical Cancer Programs video and transcript

Identify potential allies interested in those interventions.

     Cervical Cancer Advocacy and Communication video and transcript
     Advocacy for Immunization (GAVI Alliance 2001, PDF)




                                                                                            2
Explore partnerships to increase impact

Seek to align your activities with the national cancer control strategy and with other groups.

     Meet with local groups.

Meet with key interested parties (ministry of health, groups working on cancer, reproductive
health, adolescent health, etc.).

     Cervical Cancer Advocacy and Communication video and transcript
     Advocacy for Immunization (GAVI Alliance 2001, PDF)

Analyze the decision-making process

Discuss with key informants in your country: How are health resources allocated? How to
move the cervical cancer agenda forward? Will decentralization affect decision making or
service provision?

     Identify and meet with key informants.

Assess existing policies for adolescent vaccination and adult screening

Are they outdated?

     Discuss with local experts.

Assess political support for interventions

Discuss benefits and challenges with key decision-makers.

     Identify and meet with decision-makers.

What is the public perception of disease risk?

     Seek out sociocultural or knowledge, attitude, and practice studies conducted in the
      country or region.

Conduct focus group discussions with nongovernmental organizations and others.

     Immunization and Child Health Materials Development Guide (PATH 2001, PDF)

Consider potential cultural resistance from OB/GYNs or religious groups and other cultural
acceptability and demand issues.

     Advocacy for Immunization (GAVI Alliance 2001, PDF)

Consider equity and Millennium Development Goal issues.



                                                                                                 3
     Cervical cancer prevention and the Millennium Development Goals (Bulletin of the World
      Health Organization 2008, PDF)
     Making the case for cervical cancer prevention: what about equity? (Reproductive Health
      Matters 2008, web page)

Evaluate current opportunities and challenges

Assess your national immunization program, especially immunization of
adolescents

Interview local immunization teams and access recent immunization program reviews and/or
joint reporting forms.

     HPV Vaccination video and transcript
     Global Guidance for Cervical Cancer Prevention and Control (International Federation of
      Gynecology and Obstetrics 2009, PDF)
     Position paper on human papillomavirus vaccines (World Health Organization 2009,
      PDF)
     Cervical cancer, human papillomavirus (HPV), and HPV vaccines - Key points for policy-
      makers and health professionals (World Health Organization 2007, PDF)
     Local immunization reports

Assess current cervical cancer screening and treatment programs and programs
to control advanced cancer

Interview local cancer teams, reproductive health service teams, and cancer and reproductive
health NGOs.

     Screening and Treatment of Precancerous Lesions video and transcript
     Global Guidance for Cervical Cancer Prevention and Control (International Federation of
      Gynecology and Obstetrics 2009, PDF)
     Comprehensive Cervical Cancer Control: A guide to essential practice (World Health
      Organization 2006, PDF)
     Evidence-Based, Alternative Cervical Cancer Screening Approaches in Low-Resource
      Settings. (International Perspectives on Sexual and Reproductive Health 2009, web
      page)
     Planning and Implementing Cervical Cancer Prevention and Control Programs: A
      Manual for Managers (Alliance for Cervical Cancer Prevention 2004, web page)
     Alliance for Cervical Cancer Prevention website

Research the quality, efficacy and availability of new technologies (HPV vaccine,
HPV DNA test, cryotherapy, and other treatment methods)

Talk with local experts.

     Identify and meet with experts.




                                                                                               4
Read the literature.

     Screening and Treatment of Precancerous Lesions video and transcript
     HPV Vaccination video and transcript
     Global Guidance for Cervical Cancer Prevention and Control (International Federation of
      Gynecology and Obstetrics 2009, PDF)
     Position paper on human papillomavirus vaccines (World Health Organization 2009,
      PDF)
     Cervical cancer, human papillomavirus (HPV), and HPV vaccines: Key points for policy-
      makers and health professionals (World Health Organization 2007, PDF)
     Evidence-Based, Alternative Cervical Cancer Screening Approaches in Low-Resource
      Settings. (International Perspectives on Sexual and Reproductive Health 2009, web
      page)
     Comprehensive Cervical Cancer Control: A guide to essential practice (World Health
      Organization 2006, PDF)
     Outlook. Preventing cervical cancer: Unprecedented opportunities for improving
      women's health (PATH 2007, web page)
     RHO Cervical Cancer website

Assess costs, affordability, and financial sustainability, short and long term

Talk with budget authorities, potential donors, the GAVI Alliance, and the United Nations
Population Fund.

     Cost-effectiveness, Affordability, and Financing of Cervical Cancer Prevention video and
      transcript
     HPV Vaccine Adoption in Developing Countries: Cost and Financing Issues (IAVI and
      PATH 2007, PDF)
     World Health Organization immunization financing website
     World Health Organization guide for standardization of economic evaluations of
      immunization programmes (World Health Organization 2008, PDF)
     Guidelines for estimating costs of introducing new vaccines into the national
      immunization system (World Health Organization 2002, PDF)
     Guidelines for developing a comprehensive multi-year plan (World Health Organization
      and United Nations Children's Fund, web page)
     Financial Sustainability Diagnostic Tool for a national immunization programme (World
      Health Organization and GAVI Alliance 2003, PDF)
     GAVI Alliance website
     United Nations Populations Fund (UNFPA) website

Assess cost-effectiveness of cervical cancer prevention initiatives

Work with a technical team to explore these issues.

     Cost-effectiveness, Affordability, and Financing of Cervical Cancer Prevention video and
      transcript
     Benefits, cost requirements and cost-effectiveness of the HPV 16, 18 vaccine for
      cervical cancer prevention in developing countries: policy implications. (Reproductive
      Health Matters 2008, Full article requires free registration)



                                                                                             5
     WHO Guide to Cost-Effectiveness Analysis (World Health Organization 2003, PDF)
     CHOosing Interventions that are Cost Effective (WHO-CHOICE, World Health
      Organization website)

Assess overall programmatic feasibility

Work with a team to take into account all of the above.

     Conduct discussions with all relevant agencies.

Develop policies and plan interventions

Develop key policies based on evidence, including policies on:

Vaccination--Which product? Age range? Coverage areas and targets? Catch up? Private
sector?

     Global Guidance for Cervical Cancer Prevention and Control (International Federation of
      Gynecology and Obstetrics 2009, PDF)
     Position paper on human papillomavirus vaccines (World Health Organization 2009,
      PDF)
     Preparing for the introduction of HPV vaccines: policy and programme guidance for
      countries (World Health Organization 2006, PDF)

Screening and treatment--Screening methods? Age range? Frequency? Coverage areas and
targets? Treatment protocols?

     Global Guidance for Cervical Cancer Prevention and Control (International Federation of
      Gynecology and Obstetrics 2009, PDF)
     Evidence-Based, Alternative Cervical Cancer Screening Approaches in Low-Resource
      Settings. (International Perspectives on Sexual and Reproductive Health 2009, web
      page)
     Planning and Implementing Cervical Cancer Prevention and Control Programs: A
      Manual for Managers (Alliance for Cervical Cancer Prevention 2004, web page)

Discuss balance of resources for screening and vaccination.

     Convene high-level meeting of key decision-makers.

Consider how to coordinate efforts between vaccination and screening (especially awareness-
raising/community mobilization and monitoring/reporting).

     Convene meeting of relevant program managers.




                                                                                            6
Recruit planning teams and managers and support program planning by
Expanded Programme on Immunization and reproductive health/cancer control
teams

Design appropriate vaccination and screening programs.

     PATH's Vaccine Resource Library website, an extensive resource for immunization
      information
     Advanced Immunization Management e-Learning website
     Planning and Implementing Cervical Cancer Prevention and Control Programs: A
      Manual for Managers (Alliance for Cervical Cancer Prevention 2004, web page)


For additional information, please contact:

RHO Cervical Cancer
c/o PATH
PO Box 900922
Seattle, WA 98109 USA

Tel: 206.285.3500
Fax: 206.285.6619
rho@path.org
www.rho.org | www.path.org




                                                                                        7

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:1
posted:7/12/2012
language:
pages:7