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印度宫颈癌领域全景:流行病学、预防、现状与新兴解决方案。

Navigating the landscape of cervical cancer in India: Epidemiology, prevention, current status, and emerging solutions.

机构信息

Department of Obstetrics & Gynaecology, Vivekananda Institute of Medical Sciences, Kolkata, West Bengal, India.

Department of Gynaecologic Oncology, Chittaranjan National Cancer Institute, Kolkata, West Bengal, India.

出版信息

J Obstet Gynaecol Res. 2024 Oct;50 Suppl 1:55-64. doi: 10.1111/jog.16030.

DOI:10.1111/jog.16030
PMID:39473055
Abstract

Cervical cancer poses a significant health burden for women worldwide, particularly in India. Despite global progress, India's mortality rate, with 79 906 deaths, remains disproportionately high at approximately 11.2 per 100 000 women compared to the global average of 7.1 per 100 000 women. India's NPCDCS and other initiatives focus on VIA screening for women aged 30-65. The National Health Policy 2017 emphasizes primary healthcare enhancement, allocating two-thirds of the budget. Ayushman Bharat promotes universal health coverage, including Health and Wellness Centers and PM-JAY. Initiatives like Ayushman Bharat and the National Cancer Grid offer hope for improved cancer care. Leveraging technology, strengthening infrastructure, integrating services, promoting awareness, and enhancing HPV vaccination are crucial. By addressing barriers, improving access, and fostering collaboration, the cervical cancer burden can be reduced, ensuring better health outcomes for women nationwide.

摘要

宫颈癌对全球女性健康构成重大负担,尤其是在印度。尽管全球取得了进展,但印度的死亡率仍然居高不下,约为每 10 万名妇女 79906 人,而全球平均水平为每 10 万名妇女 7.1 人。印度的国家癌症控制规划和其他倡议侧重于对 30-65 岁的妇女进行 VIA 筛查。2017 年国家卫生政策强调加强初级保健,预算的三分之二用于此。阿育吠陀·巴拉特计划(Ayushman Bharat)促进全民健康覆盖,包括健康和保健中心以及 PM-JAY。阿育吠陀·巴拉特计划和国家癌症网格等倡议为改善癌症治疗带来了希望。利用技术、加强基础设施、整合服务、提高认识和加强 HPV 疫苗接种至关重要。通过解决障碍、改善获取途径和促进合作,可以减轻宫颈癌负担,确保全国妇女的健康状况得到改善。

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