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全球基金、宫颈癌与人乳头瘤病毒感染:低收入和中等收入国家如何在2030年前加速进展?

The Global Fund, Cervical Cancer, and HPV infections: what can low- and middle-income countries do to accelerate progress by 2030?

作者信息

Chidebe Runcie C W, Osayi Alile, Torode Julie S

机构信息

Project PINK BLUE- Health & Psychological Trust Centre, Abuja, Nigeria.

Department of Sociology & Gerontology, Miami University, Oxford, OH, USA.

出版信息

EClinicalMedicine. 2025 Feb 21;81:103127. doi: 10.1016/j.eclinm.2025.103127. eCollection 2025 Mar.

Abstract

UNLABELLED

The footprint of cervical cancer mirrors the impact of global inequity and inequality on the right to health for girls and women. While today, cervical cancer is a relatively rare cause of death in Europe, North America, and Australia, almost 94% of deaths in 2022 occurred in low- and middle-income countries (LMICs). Governments adopted the WHO global strategy to eliminate cervical cancer. Still, the stark reality is that many countries may not reach the 90:70:90 targets by 2030 without political commitment and a sense of urgency. We call for enhanced advocacy for the right to prevention services and political actions to mobilise global funding, local philanthropic support, and innovative financing. During the COVID-19 pandemic, an African coalition raised over $20 million to mitigate the impact of the pandemic. Positive lessons from this response should be replicated to save millions of women and girls at risk of cervical cancer in LMICs. There is a need for a global fund for cancer; regional blocs like the African Union need to recognise the disproportionate burden and establish continental funding mechanisms to enable high-burden countries to make crucial upfront health systems investments that will put their countries on the pathway to cervical cancer elimination.

FUNDING

This study was not funded.

摘要

未标注

宫颈癌的影响范围反映了全球不平等现象对女孩和妇女健康权的冲击。如今,在欧洲、北美和澳大利亚,宫颈癌相对来说是一种较为罕见的死因,但2022年近94%的宫颈癌死亡病例发生在低收入和中等收入国家(LMICs)。各国政府采纳了世界卫生组织消除宫颈癌的全球战略。然而,严峻的现实是,如果没有政治承诺和紧迫感,许多国家到2030年可能无法实现90:70:90的目标。我们呼吁加大对预防服务权利的宣传力度,并采取政治行动以调动全球资金、当地慈善支持和创新融资。在新冠疫情期间,一个非洲联盟筹集了超过2000万美元以减轻疫情影响。这种应对措施中的积极经验应予以推广,以拯救低收入和中等收入国家数百万面临宫颈癌风险的妇女和女孩。有必要设立一个全球癌症基金;像非洲联盟这样的区域集团需要认识到不均衡的负担,并建立大陆层面的融资机制,以使高负担国家能够进行关键的前期卫生系统投资,从而让这些国家走上消除宫颈癌的道路。

资金

本研究未获资助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df8b/11905856/606fcb149341/gr1.jpg

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