Bradley J, Barone M, Mahé C, Lewis R, Luciani S
EngenderHealth, 440 Ninth Avenue, New York, NY 10001, USA.
Int J Gynaecol Obstet. 2005 May;89 Suppl 2:S21-9. doi: 10.1016/j.ijgo.2005.01.013.
The goals of any cervical cancer prevention program should be threefold: to achieve high coverage of the population at risk, to screen women with an accurate test as part of high-quality services, and to ensure that women with positive test results are properly managed. This article focuses on the experiences of the Alliance for Cervical Cancer Prevention (ACCP) in delivery of screening and treatment services as part of cervical cancer prevention projects in Africa, Latin America, and Asia. Research and experience show that cervical cancer can be prevented when strategies and services are well planned and well managed and when attention is paid to program monitoring and evaluation. Coordination of program components, reduction of the number of visits, improvement of service quality, and flexibility in how services are delivered are all essential features of an effective service.
实现对高危人群的高覆盖率,采用准确的检测方法对女性进行筛查,作为高质量服务的一部分,并确保对检测结果呈阳性的女性进行妥善管理。本文重点介绍了宫颈癌预防联盟(ACCP)在非洲、拉丁美洲和亚洲开展宫颈癌预防项目时提供筛查和治疗服务的经验。研究和经验表明,当策略和服务规划良好、管理得当,且注重项目监测和评估时,宫颈癌是可以预防的。项目各组成部分的协调、减少就诊次数、提高服务质量以及服务提供方式的灵活性,都是有效服务的基本特征。