Centre for Evaluation of Vaccination, Vaccine and Infectious Disease Institute, University of Antwerp, Belgium.
The Vaccine Confidence Project, London School of Hygiene & Tropical Medicine, University of London, United Kingdom.
Vaccine. 2024 Jul 11;42 Suppl 2:S49-S53. doi: 10.1016/j.vaccine.2024.03.012. Epub 2024 Nov 7.
International stakeholders gathered in New Delhi, India, in December 2022 to share experiences on human papillomaviruses (HPV) prevention and control strategies. As part of a supplementary publication from the meeting proceedings, this paper describes secondary HPV prevention strategies highlighting the varying degrees of progress and challenges through case studies from Bhutan, India, and Türkiye. India has implemented national screening guidelines, primarily using visual inspection with acetic acid (VIA), but achieving a low coverage rate of 1.9% (2022). In contrast, Bhutan and Türkiye have redesigned and established HPV-based cervical screening programs targeting women aged 30-65, achieving 77% (2022) and 95% (2019) coverage among women ever screened, respectively. Lessons learned include utilising patient health information management systems, analysing optimal context-specific HPV testing strategies and ensuring use and continuous supply of clinically validated HPV tests.
国际利益相关者于 2022 年 12 月在印度新德里聚集,分享人乳头瘤病毒(HPV)预防和控制策略方面的经验。本文是会议记录的补充出版物的一部分,描述了二级 HPV 预防策略,通过不丹、印度和土耳其的案例研究强调了不同程度的进展和挑战。印度已实施国家筛查指南,主要使用醋酸视觉检查(VIA),但覆盖率仅为 1.9%(2022 年)。相比之下,不丹和土耳其重新设计并建立了针对 30-65 岁女性的 HPV 为基础的宫颈癌筛查计划,分别实现了 77%(2022 年)和 95%(2019 年)的女性曾接受筛查覆盖率。经验教训包括利用患者健康信息管理系统,分析最佳特定于情境的 HPV 检测策略,并确保使用和持续供应经过临床验证的 HPV 检测。