Husain Nazik Elmalaika, Burhan Amira, Ahmed Iman A I, Mohammed Sulma I, Hammad Nazik
Department of Pathology, Faculty of Medicine and Health Sciences, Omdurman Islamic University, PO Box 382, 14415, Omdurman, Sudan.
https://orcid.org/0000-0001-8333-5735.
Ecancermedicalscience. 2022 Aug 1;16:1433. doi: 10.3332/ecancer.2022.1433. eCollection 2022.
Cancer is the leading cause of death worldwide and the second leading cause of death in Sudanese women. However, despite proven interventions for primary, secondary and tertiary prevention and the World Health Organization's call to action toward eliminating cervical cancer, there has been little progress in addressing the cervical cancer burden in Sudan. This short communication intends to shed light on the challenges facing women's cancers in Sudan, taking cervical cancer as an example. It also discusses the opportunities and suggests ways to improve the outcomes of women's cancers in Sudan. Sudan's government should urgently implement a broad public health strategy to improve outcomes for women with cancer. The cancer control plan should be aligned with international, evidence-based recommendations and adapted to local circumstances. It should strengthen health literacy, augment different health care interventions, including vaccination, committed screening programmes, early detection and proper diagnosis of symptomatic cases, a programmatic approach to active management and palliative care and ensure robust referral pathways. Policies are also needed in collaboration with the international community in addressing the cancer care needs of internally displaced and refugee women in Sudan. The strategy should consider overcoming the existing challenges and making the most opportunities available.
癌症是全球首要死因,也是苏丹女性的第二大死因。然而,尽管有经证实的一级、二级和三级预防干预措施,且世界卫生组织呼吁采取行动消除宫颈癌,但苏丹在应对宫颈癌负担方面进展甚微。本简短通讯旨在以宫颈癌为例,阐明苏丹女性癌症所面临的挑战。它还讨论了机遇,并提出改善苏丹女性癌症治疗结果的方法。苏丹政府应紧急实施一项广泛的公共卫生战略,以改善癌症女性患者的治疗结果。癌症控制计划应与基于证据的国际建议保持一致,并因地制宜。应加强健康素养,增加不同的医疗保健干预措施,包括疫苗接种、持续的筛查计划、对有症状病例的早期发现和正确诊断、积极管理和姑息治疗的程序化方法,并确保强大的转诊途径。还需要与国际社会合作制定政策,以满足苏丹境内流离失所和难民妇女的癌症护理需求。该战略应考虑克服现有挑战并充分利用现有机会。