Julião Ivo, Savva-Bordalo Joana, Lunet Nuno
Instituto Português de Oncologia do Porto, Porto, Portugal.
Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina, Universidade do Porto, Porto, Portugal.
Porto Biomed J. 2017 Nov-Dec;2(6):306-310. doi: 10.1016/j.pbj.2017.03.005. Epub 2017 Apr 18.
Guinea-Bissau is a severely resource constrained country, in search of political stability and development in every sector of public life. International aid is permanent and healthcare is one of the most targeted fields, focusing mostly on infectious diseases, maternity, infant malnutrition, access to healthcare and gender inequality in health. As in the rest of Sub-Saharan Africa, cervical cancer is gathering increasing attention from the community and ruling officers. The potential of screening for control of cervical cancer raised the interest of adapting screening methods to low-resource settings. This started the search for the best resource-adapted strategies, which promoted several trials that currently shape the development of screening programs in these countries. Prevention and control strategies are also being adapted taking into account the availability of human Papillomavirus vaccination. Nonetheless, several barriers are still in place for widespread vaccination programs, and cervical cancer screening and treatment remain central in the control of cervical cancer in low-resource settings. We intend to discuss current cervical cancer screening approaches in low-resource countries and opportunities for their implementation in Guinea-Bissau.
几内亚比绍是一个资源严重匮乏的国家,正在寻求公共生活各领域的政治稳定与发展。国际援助是长期的,医疗保健是最受关注的领域之一,主要侧重于传染病、孕产妇保健、婴儿营养不良、医疗服务可及性以及卫生领域的性别不平等问题。与撒哈拉以南非洲其他地区一样,宫颈癌正日益受到社会和执政官员的关注。筛查对宫颈癌控制的潜力引发了人们将筛查方法适用于资源匮乏地区的兴趣。这促使人们寻找最佳的资源适配策略,推动了多项试验,这些试验目前正在塑造这些国家筛查项目的发展。预防和控制策略也在根据人乳头瘤病毒疫苗的可及情况进行调整。尽管如此,广泛开展疫苗接种项目仍存在若干障碍,在资源匮乏地区,宫颈癌筛查和治疗仍是控制宫颈癌的核心。我们打算讨论资源匮乏国家当前的宫颈癌筛查方法以及在几内亚比绍实施这些方法的机会。